Hydroxocobalamin for Other
Adult dosing has a median of 5000 mg across 24 published protocols, with the middle half between 5000 and 5000.
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 |
|---|---|---|---|---|
| 5000 | 5000 | 5000 | 5000 | 5000 |
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 56%
- IV/IO 38%
United States EMS Protocol Census, n=24 protocols from 19 named agencies / 16 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 70 | 70 | 70 | 70 | 70 |
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 53%
- IV 43%
United States EMS Protocol Census, n=22 protocols from 17 named agencies / 16 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 75%
- IV 25%
United States EMS Protocol Census, n=3 protocols from 2 named agencies / 3 states, updated Oct 2026
Named agencies with a page21
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
- Chelan/Douglas/Okanogan/Grant County
- Cowlitz County EMS Council
- DC Fire and EMS
- Department of Aviation Medicine
- Idaho EMS Physician Commission
- Kentucky Board of Emergency Medical Services
- Kosciusko County Paramedics
- Lincoln County EMS
- Massachusetts Office of Emergency Medical Services
- Miramar Fire Rescue Department
- Northeast Ohio Regional EMS Protocol Committee
- Northeastern Montana Stat Air Ambulance Cooperative
- OCEMS
- Queensland Ambulance Service
- Region X EMS
- Salt Lake County EMS
- State of Nebraska
- The Williamson County EMS System
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Wilson County ESD #4