Calcium Gluconate for Hyperkalemia
Adult dosing has a median of 2000 mg across 80 published protocols, with the middle half between 1000 and 3000.
Includes 2 agencies 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 80%
- IV 20%
United States EMS Protocol Census, n=80 protocols from 61 named agencies / 27 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 20 | 50 | 60 | 100 | 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 84%
- IV 16%
United States EMS Protocol Census, n=48 protocols from 39 named agencies / 19 states, updated Oct 2026
Pediatricmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 1000 | 1000 | 1000 | 1000 | 2000 |
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 60%
- IV/IO 40%
United States EMS Protocol Census, n=5 protocols from 3 named agencies / 5 states, updated Oct 2026
Pediatric, weight-basedmL/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 0.5 | 0.5 | 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 67%
- IV 33%
United States EMS Protocol Census, n=5 protocols from 5 named agencies / 3 states, updated Oct 2026
AdultmL
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO 60%
- IV 40%
United States EMS Protocol Census, n=4 protocols from 4 named agencies / 4 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 100%
United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 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
Named agencies with a page63
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
- Anderson County Emergency Medical Services
- 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
- 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
- Dane County EMS System
- Denver Health Paramedic Division
- Dorchester County EMS
- EMS Region VII Bioterrorism and All Hazards Preparedness Committee
- Galveston Area Ambulance Authority
- Hays County ESD 9 EMS
- Hunt County EMS
- Laurens County Emergency Medical Services
- Lincoln County EMS
- Maine Emergency Medical Services
- Manatee County Emergency Medical Services
- Massachusetts Office of Emergency Medical Services
- McKinney Fire Department
- Mecklenburg EMS Agency
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Mountain West Ambulance
- Nash County Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Hampshire Bureau of Emergency Medical Services
- 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
- Region 1 Emergency Medical Services
- Region 4 EMS
- 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
- Stanly County EMS
- State of Hawaiʻi Department of Health, Emergency Medical Services & Injury Prevention System Branch
- State of Nebraska
- Stevens County Emergency Medical Services
- The Williamson County EMS System
- UNM EMS Consortium
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Wake County EMS System