Midazolam for RSI induction
Adult dosing has a median of 2.5 mg across 32 published protocols, with the middle half between 2 and 5.
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 |
|---|---|---|---|---|
| 1 | 2 | 2.5 | 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 50%
- IV 25%
- IV/IM 6%
- IV/IO/IM 6%
- IV/IO/IM/IN 6%
- IM 3%
- IM/IN 3%
- IV/IN 3%
United States EMS Protocol Census, n=32 protocols from 28 named agencies / 16 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| 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 46%
- IV 31%
- IM 8%
- IV/IO/IM 8%
- IV/IO/IM/IN 8%
United States EMS Protocol Census, n=23 protocols from 22 named agencies / 16 states, updated Oct 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.1 | 0.1 | 0.1 | 0.125 | 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 54%
- IV/IO 31%
- IM 8%
- IV/IO/IM/IN 8%
United States EMS Protocol Census, n=11 protocols from 9 named agencies / 8 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IM 50%
- IV/IO 50%
United States EMS Protocol Census, n=2 protocols from 1 named agencies / 2 states, updated Oct 2026
Named agencies with a page36
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
- Anderson County Emergency Medical Services
- Annaville Fire Department
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Benbrook Fire Department
- Central California Emergency Medical Services
- City of Austin / Austin-Travis County EMS System
- Clark County EMS System
- EMS Region VII Bioterrorism and All Hazards Preparedness Committee
- Hunt County EMS
- Idaho EMS Physician Commission
- Illinois Region VIII Emergency Medical Services
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- La Porte County Emergency Medical Service
- Lake Emergency Medical System
- Lincoln County EMS
- Louisville Metro EMS
- Manatee County Emergency Medical Services
- County of Marin EMS
- Mauston Area Ambulance
- Northeast Ohio Regional EMS Protocol Committee
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Region Emergency Medical Services & Trauma Care Council
- Ocala/Marion County/The Villages Public Safety EMS
- OCEMS
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Reno County Emergency Medical Services
- Santa Cruz County EMS Agency
- State of Hawaiʻi Department of Health, Emergency Medical Services & Injury Prevention System Branch
- Stevens County Emergency Medical Services
- Tippecanoe Emergency Ambulance Service
- Vermont Department of Health
- Washington County Emergency Medical Services
- Wilson County Emergency Management Agency