Calcium Gluconate in US EMS protocols
Includes 4 agencies outside the US.
| Indication | Spread: box is the middle half, dot means most agree | Range |
|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose Adult | 1000 to 3000 mg median 2000, n=51 | |
| Pediatric, weight-based | 20 to 100 mg/kg median 60, n=37 | |
| Pediatric, weight-based | 0.5 to 0.6 mL/kg median 0.6, n=5 | |
| Cardiac arrest Adult | 1000 to 3000 mg median 3000, n=9 | |
| Pediatric, weight-based | 30 to 100 mg/kg median 60, n=9 | |
| Crush injury Adult | 1000 to 3000 mg median 2000, n=9 | |
| Pediatric, weight-based | 20 to 60 mg/kg median 20, n=8 | |
| Hyperkalemia Adult | 1000 to 3000 mg median 2000, n=80 | |
| Pediatric | Most use 1000 mg range 1000 to 2000 mg, n=5 | |
| Pediatric, weight-based | 20 to 100 mg/kg median 60, n=48 | |
| Pediatric, weight-based | 0.5 to 0.6 mL/kg median 0.5, n=5 | |
| Other Adult | 500 to 3000 mg median 1000, n=58 | |
| Adult | 4 to 30 mL median 10, n=14 | |
| Pediatric | Most use 1000 mg range 500 to 2000 mg, n=5 | |
| Pediatric | 1 to 4 mL median 2, n=7 | |
| Pediatric, weight-based | 20 to 100 mg/kg median 50, n=33 | |
| Trauma / hemorrhage Adult | 1000 to 3000 mg median 1000, n=6 |
Too few protocols to chart yet (protocols in brackets): Asystole / PEA (1), Bradycardia (4), Burns (5), Eclampsia / pre-eclampsia (2), Hypotension / shock (1), Obstetric hemorrhage (1), Seizure (1), Narrow-complex tachycardia (1), Traumatic arrest (1), VF / pulseless VT (1)
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Named agencies with a page91
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Academy of Medicine of Cincinnati
- Ada County-City Emergency Services System
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Anderson County Emergency Medical Services
- Annaville Fire Department
- Arizona Department of Health Services
- Aurora Fire Rescue
- BC Emergency Health Services
- Benbrook Fire Department
- Berkeley County EMS
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Boulder County Protocol Committee
- Brownsville Rural Fire District, Halsey-Shedd Fire Protection District, Jefferson Fire District, Lebanon Fire District, Scio Fire District & Sweet Home Fire & Ambulance District
- Brunswick County EMS
- Cabarrus County EMS
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Charleston County EMS
- Chaves County EMS
- Clark County EMS (Washington)
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Coos County Emergency Medical Services
- Cowlitz County EMS Council
- Craven, Jones, Pamlico Counties EMS
- Dane County EMS System
- Davidson County Emergency Services
- Denver Health Paramedic Division
- Department of Aviation Medicine
- Dorchester County EMS
- EMS Region VII Bioterrorism and All Hazards Preparedness Committee
- Fern Creek Fire and Emergency Medical Services
- Fort Lauderdale Fire Rescue
- Galveston Area Ambulance Authority
- Giles County EMS
- Grant County
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Hunt County EMS
- Kentucky Board of Emergency Medical Services
- Kosciusko County Paramedics
- Laurens County Emergency Medical Services
- Lincoln County EMS
- Maine Emergency Medical Services
- Manatee County Emergency Medical Services
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- McKinney Fire Department
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Miramar Fire Rescue Department
- Mountain West Ambulance
- Nash County Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- North Carolina Office of Emergency Medical Services (NC OEMS)
- North Central Oregon EMS Agencies
- Northeast Ohio Regional EMS Protocol Committee
- Northeastern Montana Stat Air Ambulance Cooperative
- Pend Oreille County Emergency Medical Services
- Platte Valley Ambulance Service
- Queensland Ambulance Service
- Region 1 Emergency Medical Services
- Region 4 EMS
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Rhode Island Department of Health – Center for Emergency Medical Services
- Richland County Emergency Medical Services
- Routt County EMS
- Rowan County Emergency Services EMS Division
- Salem Fire Department
- Salt Lake County EMS
- South Carolina Department of Public Health (DPH) Division of EMS
- South Plains Emergency Medical Services
- Spokane County EMS
- Stanly County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State of Hawaiʻi Department of Health, Emergency Medical Services & Injury Prevention System Branch
- State of Nebraska
- Stevens County Emergency Medical Services
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Tidewater Emergency Medical Services Council, Inc.
- UNM EMS Consortium
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Wake County EMS System
Cite this
United States EMS Protocol Census, Calcium Gluconate: n=117 protocols from 95 named agencies / 39 states, as of 2026-10-31