Indication

Midazolam for Procedural sedation

157 sources129 named agencies44 statesas of 2026-10-31

Adult dosing has a median of 2 mg across 144 published protocols, with the middle half between 2 and 2.5.

157sources

129named agencies

44states

371entries

128named here

Includes 3 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

144sources

119named agencies

42states

218entries

0kept as written

min	p25	median	p75	max
1	2	2	2.5	5

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/IN 27%
IV/IO 23%
IV 13%
IV/IO/IN 9%
IM/IN 9%
IM 5%
IV/IN 5%
IV/IO/IM 4%
IV/IM 3%
IN 2%
IV/IM/IN 1%

United States EMS Protocol Census, n=144 protocols from 119 named agencies / 42 states, updated Oct 2026

Pediatric, weight-basedmg/kg

90sources

71named agencies

36states

134entries

0kept as written

min	p25	median	p75	max
0.05	0.1	0.1	0.1	0.2

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 25%
IV/IO/IM/IN 16%
IV 12%
IM/IN 10%
IV/IO/IN 10%
IM 8%
IN 5%
IV/IO/IM 5%
IV/IM 4%
IV/IN 4%
IV/IM/IN 2%

United States EMS Protocol Census, n=90 protocols from 71 named agencies / 36 states, updated Oct 2026

Adult, weight-basedmg/kg

14sources

12named agencies

11states

15entries

0kept as written

min	p25	median	p75	max
0.05	0.1	0.1	0.1	0.2

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 27%
IV/IO/IN 20%
IN 13%
IV 13%
IV/IM/IN 13%
IM/IN 7%
IV/IO/IM/IN 7%

United States EMS Protocol Census, n=14 protocols from 12 named agencies / 11 states, updated Oct 2026

Pediatricmg

4sources

4named agencies

2states

4entries

0kept as written

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

Routes

IV 50%
IV/IO/IM/IN 50%

United States EMS Protocol Census, n=4 protocols from 4 named agencies / 2 states, updated Oct 2026

Named agencies with a page128

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