US EMS Protocol Census
Drug

Sodium Bicarbonate in US EMS protocols

1,335 under review177 sources156 named agencies41 statesas of 2026-09-20

177 published protocols carry Sodium Bicarbonate across 21 indications, from 156 named agencies in 41 states.

177protocols
156named agencies
41states
21indications
1,006dose entries
98% of 1,006machine-parsed

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

Indications21

  • Agitation n=3
  • Asthma / bronchospasm n=1
  • Asystole / PEA n=5
  • Beta-blocker / calcium-channel-blocker overdose n=3
  • Bradycardia n=2
  • Burns n=1
  • Cardiac arrest n=61
  • Crush injury n=68
  • Hyperactive delirium n=5
  • Head injury / TBI n=1
  • Hyperkalemia n=136
  • Hyperthermia n=1, raw only
  • Hypotension / shock n=2
  • Neonatal resuscitation n=3
  • Other n=97
  • Sepsis n=1
  • Wide-complex tachycardia n=3
  • Tricyclic overdose n=125
  • Trauma / hemorrhage n=1
  • Traumatic arrest n=2
  • VF / pulseless VT n=5

Published distributions17

Only groups with at least 5 sources publish a distribution; thinner groups show their count alone.

IndicationPopulationSourcesMedianMiddle halfUnit
Cardiac arrestAdult225050–50mEq
Cardiac arrestAdult, weight-based3511–1mEq/kg
Cardiac arrestPediatric, weight-based4511–1mEq/kg
Crush injuryAdult375050–100mEq
Crush injuryAdult, weight-based3211–1mEq/kg
Crush injuryPediatric, weight-based3911–1mEq/kg
HyperkalemiaAdult665050–50mEq
HyperkalemiaAdult, weight-based6811–1mEq/kg
HyperkalemiaPediatric, weight-based9311–1mEq/kg
OtherAdult325050–50mEq
OtherAdult112.52.5–3mL
OtherAdult, weight-based6311–1mEq/kg
OtherPediatric72.52.25–2.75mL
OtherPediatric, weight-based5911–1mEq/kg
Tricyclic overdoseAdult495050–50mEq
Tricyclic overdoseAdult, weight-based7811–1mEq/kg
Tricyclic overdosePediatric, weight-based8311–1mEq/kg

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.

7 more agencies are counted but have too little published detail for a page yet.