US EMS Protocol Census
Indication

Sodium Bicarbonate for Hyperkalemia

1,335 under review135 sources119 named agencies36 statesas of 2026-09-20

Pediatric weight-based dosing has a median of 1 mEq/kg across 93 published protocols, with the middle half between 1 and 1.

135sources
119named agencies
36states
248entries
115named here

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

Pediatric, weight-basedmEq/kg

93sources
83named agencies
29states
100entries
0kept as written
minp25medianp75max
0.51112

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

Routes

  • IV/IO 70%
  • IV 30%

United States EMS Protocol Census, n=93 protocols from 83 named agencies / 29 states, updated Sep 2026

Adult, weight-basedmEq/kg

68sources
60named agencies
27states
78entries
0kept as written
minp25medianp75max
0.51111

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

Routes

  • IV/IO 76%
  • IV 23%

United States EMS Protocol Census, n=68 protocols from 60 named agencies / 27 states, updated Sep 2026

AdultmEq

66sources
59named agencies
23states
67entries
2kept as written
minp25medianp75max
44505050150

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

Routes

  • IV/IO 72%
  • IV 28%

United States EMS Protocol Census, n=66 protocols from 59 named agencies / 23 states, updated Sep 2026

PediatricmEq

2sources
2named agencies
1states
2entries
2kept as written

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

Routes

  • IV/IO 100%

United States EMS Protocol Census, n=2 protocols from 2 named agencies / 1 states, updated Sep 2026

AdultmL

1sources
0named agencies
1states
1entries
2kept as written

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

Routes

  • IV 100%

United States EMS Protocol Census, n=1 protocols from 0 named agencies / 1 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.