Calcium Gluconate for Beta-blocker / calcium-channel-blocker overdose
Adult dosing has a median of 2000 mg across 51 published protocols, with the middle half between 1000 and 3000.
Includes 1 agency outside the US.
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 1000 | 1000 | 2000 | 3000 | 3000 |
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/IO 77%
- IV 23%
United States EMS Protocol Census, n=51 protocols from 39 named agencies / 19 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 20 | 50 | 60 | 60 | 100 |
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/IO 89%
- IV 11%
United States EMS Protocol Census, n=37 protocols from 28 named agencies / 17 states, updated Oct 2026
Pediatric, weight-basedmL/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 0.5 | 0.6 | 0.6 | 0.6 |
Values in mL/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 60%
- IV 40%
United States EMS Protocol Census, n=5 protocols from 5 named agencies / 2 states, updated Oct 2026
AdultmL
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=4 protocols from 4 named agencies / 2 states, updated Oct 2026
Adult, weight-basedmg/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO 67%
- IV 33%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 3 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV 67%
- IV/IO 33%
United States EMS Protocol Census, n=2 protocols from 1 named agencies / 2 states, updated Oct 2026
PediatricmL
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=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Pediatric, weight-basedmmol/kg
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 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page44
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Annaville Fire Department
- Aurora Fire Rescue
- Berkeley County 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
- Charleston County EMS
- Chaves County EMS
- Clark County EMS (Washington)
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Coos County Emergency Medical Services
- Denver Health Paramedic Division
- Dorchester County EMS
- Galveston Area Ambulance Authority
- Grant County
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Hunt County EMS
- Laurens County Emergency Medical Services
- Lincoln County EMS
- Maine Emergency Medical Services
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Nash County Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Northeast Ohio Regional EMS Protocol Committee
- Northeastern Montana Stat Air Ambulance Cooperative
- Pend Oreille County Emergency Medical Services
- Platte Valley Ambulance Service
- Region 1 Emergency Medical Services
- 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
- State Board of Emergency Medical, Fire, and Transportation Services
- Stevens County Emergency Medical Services
- The Williamson County EMS System
- Wake County EMS System