Indication

Ketamine for Seizure

29 sources23 named agencies15 statesas of 2026-10-31

Pediatric weight-based dosing has a median of 1 mg/kg across 21 published protocols, with the middle half between 1 and 1.5.

29sources

23named agencies

15states

65entries

23named here

Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.

Pediatric, weight-basedmg/kg

21sources

17named agencies

12states

24entries

0kept as written

min	p25	median	p75	max
1	1	1	1.5	2

Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

IV/IO 29%
IM 13%
IM/IN 13%
IV/IM 13%
IV/IO/IM 13%
IV/IO/IM/IN 13%
IV 4%
IV/IN 4%

United States EMS Protocol Census, n=21 protocols from 17 named agencies / 12 states, updated Oct 2026

Adult, weight-basedmg/kg

18sources

13named agencies

12states

26entries

0kept as written

min	p25	median	p75	max
1	1	1.5	1.875	3

Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

IV/IO 39%
IM 23%
IM/IN 8%
IV/IM 8%
IV/IO/IM 8%
IV/IO/IM/IN 8%
IV 4%
IV/IN 4%

United States EMS Protocol Census, n=18 protocols from 13 named agencies / 12 states, updated Oct 2026

Adultmg

11sources

10named agencies

6states

12entries

0kept as written

min	p25	median	p75	max
100	100	100	100	100

Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

IV/IO/IM 33%
IV/IM 17%
IV/IO 17%
IM 8%
IM/IN 8%
IV 8%
IV/IO/IM/IN 8%

United States EMS Protocol Census, n=11 protocols from 10 named agencies / 6 states, updated Oct 2026

Pediatricmg

3sources

2named agencies

3states

3entries

0kept as written

Below 5 sources, so no distribution is published for this group — only the counts above.

Routes

IV/IO/IM 67%
IV/IM 33%

United States EMS Protocol Census, n=3 protocols from 2 named agencies / 3 states, updated Oct 2026

Named agencies with a page23

Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.