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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.

IndicationSpread: box is the middle half, dot means most agreeRange
Cyanide poisoning AdultAll use 5000 mg matches NASEMSO n=115
Adult, weight-basedAll use 70 mg/kg n=12
Pediatric, weight-basedMost use 70 mg/kg matches NASEMSO range 70 to 100 mg/kg, n=101
Other AdultAll use 5000 mg n=24
Pediatric, weight-basedAll 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.

Cite this

United States EMS Protocol Census, Hydroxocobalamin: n=134 protocols from 115 named agencies / 43 states, as of 2026-10-31

MethodologyData licenseStudy your own protocol in the app

Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.