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Medication

Insulin in US EMS protocols

21protocols
9named agencies
15states and regions
5indications
80dose entries
100% of 80machine-parsed

Includes 2 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Hyperglycemia / DKA Adult, weight-basedMost use 0.1 unit/kg range 0.05 to 0.15 unit/kg, n=9
Pediatric, weight-basedMost use 0.1 unit/kg range 0.05 to 0.1 unit/kg, n=5
Hyperkalemia AdultAll use 10 unit n=9
Pediatric, weight-basedMost use 0.1 unit/kg range 0.05 to 0.1 unit/kg, n=9
Other Adult, weight-basedMost use 0.1 unit/kg range 0.05 to 0.125 unit/kg, n=10
Pediatric, weight-based0.05 to 0.1 unit/kg median 0.075, n=7

Too few protocols to chart yet (protocols in brackets): Beta-blocker / calcium-channel-blocker overdose (3), Crush injury (2)

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 page9

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, Insulin: n=21 protocols from 9 named agencies / 15 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.