Lorazepam in US EMS protocols
| Indication | Spread: box is the middle half, dot means most agree | Range |
|---|---|---|
| Agitation Adult | 0.5 to 2.4 mg median 1.125, n=54 | |
| Pediatric, weight-based | 0.05 to 0.1 mg/kg median 0.05, n=24 | |
| Hyperactive delirium Adult | 0.5 to 4 mg median 1.5, n=7 | |
| Nerve agent exposure Adult | Most use 1.5 mg range 1 to 4 mg, n=5 | |
| Other Adult | 0.5 to 2 mg median 1, n=52 | |
| Adult, weight-based | 0.05 to 0.15 mg/kg median 0.1, n=13 | |
| Pediatric, weight-based | 0.05 to 0.1 mg/kg median 0.1, n=41 | |
| Post-intubation sedation Adult | 1 to 2 mg median 1, n=12 | |
| Pediatric, weight-based | 0.05 to 0.1 mg/kg median 0.05, n=9 | |
| Procedural sedation Adult | 0.5 to 2 mg median 1, n=34 | |
| Adult, weight-based | 0.02 to 0.1 mg/kg median 0.05, n=5 | |
| Pediatric, weight-based | 0.02 to 0.1 mg/kg median 0.05, n=26 | |
| Seizure Adult | 1 to 4 mg median 2, n=63 | |
| Adult, weight-based | Most use 0.1 mg/kg matches NASEMSO range 0.1 to 0.15 mg/kg, n=9 | |
| Pediatric, weight-based | Most use 0.1 mg/kg matches NASEMSO range 0.05 to 0.15 mg/kg, n=72 | |
| Status epilepticus Adult | 1 to 4 mg median 1.5, n=14 | |
| Pediatric, weight-based | 0.05 to 0.1 mg/kg median 0.05, n=15 | |
| Narrow-complex tachycardia Adult | 0.5 to 1.5 mg median 1, n=5 |
Too few protocols to chart yet (protocols in brackets): ACS / chest pain (3), Alcohol withdrawal (1), Bradycardia (2), Cardiac arrest (2), Dystonic reaction (2), Eclampsia / pre-eclampsia (1), Hyperthermia (3), Hypothermia (1), Nausea / vomiting (3), Organophosphate poisoning (1), Mild to moderate pain (4), RSI induction (2), Wide-complex tachycardia (1)
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Named agencies with a page86
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Ada County-City Emergency Services System
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Anderson County Emergency Medical Services
- Arizona Department of Health Services
- Benbrook Fire Department
- Boulder County Protocol Committee
- Brunswick County EMS
- Calhoun County EMS System
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Coos County Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Dane County EMS System
- Davidson County Emergency Services
- Department of Aviation Medicine
- Dorchester County EMS
- El Campo Emergency Medical Service
- Escambia County Emergency Medical Services
- Galveston Area Ambulance Authority
- Grant County
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Haywood County EMS System
- Idaho EMS Physician Commission
- Kentucky Board of Emergency Medical Services
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Laurens County Emergency Medical Services
- Levy County Department of Public Safety
- Lincoln County EMS
- Manatee County Emergency Medical Services
- Marion County
- Mauston Area Ambulance
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Montana Board of Medical Examiners
- Nash County Emergency Medical Services
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New Mexico EMS Bureau
- North Central Oregon EMS Agencies
- Northeast Ohio Regional EMS Protocol Committee
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Arkansas Regional EMS
- Northwest Region Emergency Medical Services & Trauma Care Council
- Norton Sound Health Corporation
- Ocala/Marion County/The Villages Public Safety EMS
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Osage Ambulance District
- Pend Oreille County Emergency Medical Services
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Platte Valley Ambulance Service
- Portland Metro Five County Emergency Medical System
- Region 4 EMS
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Regional Emergency Medical Advisory Committee of New York City
- REMSA
- REMSA Sioux Falls
- Rhode Island Department of Health – Center for Emergency Medical Services
- County of Riverside EMS Agency
- Routt County EMS
- Salem Fire Department
- Salt Lake County EMS
- South Carolina Department of Public Health (DPH) Division of EMS
- Spokane County EMS
- State of Hawaiʻi Department of Health, Emergency Medical Services & Injury Prevention System Branch
- State of Nebraska
- Stevens County Emergency Medical Services
- Tennessee Emergency Medical Services
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Tippecanoe Emergency Ambulance Service
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Wake County EMS System
- Washington County Emergency Medical Services
- Weber County Paramedic Program
Cite this
United States EMS Protocol Census, Lorazepam: n=106 protocols from 88 named agencies / 42 states, as of 2026-10-31