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Indication

Hydroxycobalamin for Cyanide poisoning

8 sources6 named agencies5 statesas of 2026-10-31

Adult dosing has a median of 5000 mg across 8 published protocols, with the middle half between 5000 and 5000.

8sources
6named agencies
5states
18entries
6named here

Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.

Adultmg

8sources
6named agencies
5states
9entries
0kept as written
minp25medianp75max
50005000500050005000

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 56%
  • IV/IO 44%

United States EMS Protocol Census, n=8 protocols from 6 named agencies / 5 states, updated Oct 2026

Pediatric, weight-basedmg/kg

8sources
6named agencies
5states
9entries
0kept as written
minp25medianp75max
7070707070

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 56%
  • IV/IO 44%

United States EMS Protocol Census, n=8 protocols from 6 named agencies / 5 states, updated Oct 2026

Named agencies with a page6

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

Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.