US EMS Protocol Census
Indication

Sodium Thiosulfate for Cyanide poisoning

1,335 under review23 sources21 named agencies14 statesas of 2026-09-20

Adult dosing has a median of 12500 mg across 17 published protocols, with the middle half between 12500 and 12500.

23sources
21named agencies
14states
43entries
20named here

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

Adultmg

17sources
15named agencies
11states
19entries
0kept as written
minp25medianp75max
1250012500125001250012500

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 74%
  • IV/IO 26%

United States EMS Protocol Census, n=17 protocols from 15 named agencies / 11 states, updated Sep 2026

Pediatric, weight-basedmg/kg

8sources
7named agencies
6states
8entries
0kept as written
minp25medianp75max
250250325425500

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 75%
  • IV/IO 25%

United States EMS Protocol Census, n=8 protocols from 7 named agencies / 6 states, updated Sep 2026

AdultmL

6sources
6named agencies
3states
6entries
0kept as written
minp25medianp75max
5050505050

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

Routes

  • IV 50%
  • IV/IO 50%

United States EMS Protocol Census, n=6 protocols from 6 named agencies / 3 states, updated Sep 2026

Pediatric, weight-basedmL/kg

6sources
5named agencies
5states
6entries
0kept as written
minp25medianp75max
11.16251.651.652

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

Routes

  • IV 83%
  • IV/IO 17%

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

Adult, weight-basedmL/kg

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

PediatricmL

2sources
2named agencies
1states
2entries
0kept 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

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.