US EMS Protocol Census
Indication

Hydroxocobalamin for Cyanide poisoning

1,335 under review103 sources94 named agencies36 statesas of 2026-09-20

Adult dosing has a median of 5000 mg across 95 published protocols, with the middle half between 5000 and 5000.

103sources
94named agencies
36states
198entries
92named here

1,335 rows are under review across the census and excluded from every number on this page. How that works.

Adultmg

95sources
86named agencies
36states
108entries
0kept as written
minp25medianp75max
50005000500050005000

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

Routes

  • IV/IO 52%
  • IV 44%

United States EMS Protocol Census, n=95 protocols from 86 named agencies / 36 states, updated Sep 2026

Pediatric, weight-basedmg/kg

68sources
63named agencies
28states
76entries
0kept as written
minp25medianp75max
70707070100

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

Routes

  • IV/IO 59%
  • IV 36%

United States EMS Protocol Census, n=68 protocols from 63 named agencies / 28 states, updated Sep 2026

Adult, weight-basedmg/kg

11sources
10named agencies
5states
12entries
0kept as written
minp25medianp75max
7070707070

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

Routes

  • IV/IO 83%
  • IV 17%

United States EMS Protocol Census, n=11 protocols from 10 named agencies / 5 states, updated Sep 2026

Pediatricmg

2sources
2named agencies
2states
2entries
0kept as written

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

Routes

  • IV 50%
  • IV/IO 50%

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

Named agencies

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