Medication
Hydroxocobalamin in US EMS protocols
134protocols
115named agencies
43states and regions
4indications
325dose entries
100% of 325machine-parsed
Includes 4 agencies outside the US.
| Indication | Spread: box is the middle half, dot means most agree | Range |
|---|---|---|
| Cyanide poisoning Adult | All use 5000 mg matches NASEMSO n=115 | |
| Adult, weight-based | All use 70 mg/kg n=12 | |
| Pediatric, weight-based | Most use 70 mg/kg matches NASEMSO range 70 to 100 mg/kg, n=101 | |
| Other Adult | All use 5000 mg n=24 | |
| Pediatric, weight-based | All use 70 mg/kg n=22 |
Too few protocols to chart yet (protocols in brackets): Carbon monoxide poisoning (1), Cardiac arrest (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 page113
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
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Arizona Department of Health Services
- Arlington EMS System
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Aurora Fire Rescue
- BC Emergency Health Services
- Berrien County Medical Control Authority
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Boulder County Protocol Committee
- Brunswick County EMS
- Cabarrus County EMS
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis County EMS System
- Clark County EMS System
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of San Diego Emergency Medical Services
- Cowlitz County EMS Council
- Craven, Jones, Pamlico Counties EMS
- Dallas Fire-Rescue
- Dane County EMS System
- Davidson County Emergency Services
- Daviess County EMS
- DC Fire and EMS
- Denver Health Paramedic Division
- Department of Aviation Medicine
- Department of Health Services, County of Los Angeles
- East Baton Rouge Parish Department of Emergency Medical Services
- Escambia County Emergency Medical Services
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- Fort Lauderdale Fire Rescue
- Fort Worth Regional EMS System
- Grant County
- Greater Elgin Area EMS System
- Hays County ESD 9 EMS
- Houston Fire Department
- Idaho EMS Physician Commission
- Illinois Region VIII Emergency Medical Services
- Kentucky Board of Emergency Medical Services
- Kosciusko County Paramedics
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Lane County Medical Control Board
- Lincoln County EMS
- Maine Emergency Medical Services
- County of Marin EMS
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- McKinney Fire Department
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Miramar Fire Rescue Department
- Montana Board of Medical Examiners
- Montgomery County Hospital District
- Mountain West Ambulance
- Muskegon County
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New Mexico EMS Bureau
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northeast Ohio Regional EMS Protocol Committee
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Community EMS System
- Ocala/Marion County/The Villages Public Safety EMS
- OCEMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Oklahoma State Department of Health
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- Platte Valley Ambulance Service
- Queensland Ambulance Service
- Rappahannock EMS Council
- Region 4 EMS
- Region X EMS
- Regional Emergency Medical Advisory Committee of New York City
- REMSA
- REMSA Sioux Falls
- Rhode Island Department of Health – Center for Emergency Medical Services
- Rowan County Emergency Services EMS Division
- Salem Fire Department
- Salt Lake County EMS
- South Carolina Department of Public Health (DPH) Division of EMS
- Southern Fox Valley EMS System
- Spokane County EMS
- St. Johns County Fire Rescue
- Stanly County EMS
- State of Nebraska
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Tippecanoe Emergency Ambulance Service
- Tri-County Emergency Medical Control Authority
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- UTSW/Parkland BioTel EMS System
- Vermont Department of Health
- Wake County EMS System
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County ESD #4
Cite this
United States EMS Protocol Census, Hydroxocobalamin: n=134 protocols from 115 named agencies / 43 states, as of 2026-10-31