Ketorolac for Mild to moderate pain
Adult dosing has a median of 22.5 mg across 104 published protocols, with the middle half between 15 and 22.5.
Includes 2 agencies outside the US.
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 10 | 15 | 22.5 | 22.5 | 45 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IM 35%
- IV 25%
- IV/IM 18%
- IV/IO 13%
- IV/IO/IM 8%
- IM/IN/PO 1%
- IV/IM/IN 1%
United States EMS Protocol Census, n=104 protocols from 81 named agencies / 38 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.25 | 0.5 | 0.5 | 0.5 | 1 |
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
- IM 32%
- IV 28%
- IV/IM 18%
- IV/IO 11%
- IV/IO/IM 10%
- IM/IN/PO 1%
United States EMS Protocol Census, n=62 protocols from 50 named agencies / 27 states, updated Oct 2026
Adult, weight-basedmg/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IM 33%
- IV/IO 33%
- IV/IO/IM 33%
United States EMS Protocol Census, n=2 protocols from 2 named agencies / 2 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IM 100%
United States EMS Protocol Census, n=2 protocols from 2 named agencies / 1 states, updated Oct 2026
Named agencies with a page81
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Anderson County Emergency Medical Services
- BC Emergency Health Services
- Benbrook Fire Department
- Berkeley County EMS
- Berrien County Medical Control Authority
- Bexar County ESD 4 Fire Rescue
- Bonner County Emergency Medical Services
- Brilliant Fire Department
- Brunswick County EMS
- Cabarrus County EMS
- Clark County EMS (Washington)
- Coastal Valleys EMS Agency
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Craven, Jones, Pamlico Counties EMS
- Dane County EMS System
- DC Fire and EMS
- Denver Health Paramedic Division
- Dorchester County EMS
- East Baton Rouge Parish Department of Emergency Medical Services
- Escambia County Emergency Medical Services
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Franklin County Emergency Medical Services
- Giles County EMS
- Idaho EMS Physician Commission
- Illinois Region VIII Emergency Medical Services
- Iowa County Ambulance Service
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- Kosciusko County Paramedics
- Lincoln County EMS
- Manatee County Emergency Medical Services
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Montgomery County Hospital District
- Mountain West Ambulance
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northwest Arkansas Regional EMS
- Oakland County Medical Control Authority
- OCEMS
- Okaloosa County EMS
- Old Dominion EMS Alliance, Inc.
- Osage Ambulance District
- Peninsulas EMS Council, Inc.
- Pettis County Ambulance District
- Platte Valley Ambulance Service
- Rappahannock EMS Council
- Regional Emergency Medical Advisory Committee of New York City
- Rhode Island Department of Health – Center for Emergency Medical Services
- Richland County Emergency Medical Services
- Salem Fire Department
- Salt Lake County EMS
- Sierra – Sacramento Valley EMS Agency
- Southern Fox Valley EMS System
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- The Williamson County EMS System
- Thurston County Medic One
- Tippecanoe Emergency Ambulance Service
- Tri-County Emergency Medical Control Authority
- UNM EMS Consortium
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Virgin Islands Fire & Emergency Medical Services
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County Emergency Management Agency