Contact: research@protoquiz.com

Indication

Hydroxocobalamin for Cyanide poisoning

126 sources108 named agencies42 statesas of 2026-10-31

Adult dosing has a median of 5000 mg across 115 published protocols, with the middle half between 5000 and 5000.

126sources
108named agencies
42states
256entries
107named here

Includes 3 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

115sources
97named agencies
41states
132entries
0kept as written
minp25medianp75max
50005000500050005000

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 54%
  • IV 46%

United States EMS Protocol Census, n=115 protocols from 97 named agencies / 41 states, updated Oct 2026

Pediatric, weight-basedmg/kg

101sources
86named agencies
37states
112entries
0kept as written
minp25medianp75max
70707070100

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 61%
  • IV 39%

United States EMS Protocol Census, n=101 protocols from 86 named agencies / 37 states, updated Oct 2026

Adult, weight-basedmg/kg

12sources
12named agencies
6states
12entries
0kept as written
minp25medianp75max
7070707070

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 83%
  • IV 17%

United States EMS Protocol Census, n=12 protocols from 12 named agencies / 6 states, updated Oct 2026

Named agencies with a page107

Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.

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