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Medication

Lidocaine in US EMS protocols

213protocols
180named agencies
50states and regions
10indications
1,035dose entries
100% of 1,035machine-parsed

Includes 4 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Cardiac arrest Adult, weight-basedMost use 1 mg/kg matches AHA 2025 range 0.75 to 3 mg/kg, n=45
Pediatric, weight-basedMost use 1 mg/kg matches AHA 2025 range 1 to 3 mg/kg, n=42
Other Adult20 to 100 mg median 40, n=82
Adult2 to 5 mL median 2.5, n=9
Adult, weight-based0.5 to 3 mg/kg median 1, n=93
PediatricMost use 10 mg range 8.375 to 20 mg, n=5
Pediatric, weight-based0.25 to 1.5 mg/kg median 0.5, n=109
Mild to moderate pain Adult20 to 100 mg median 40, n=56
Adult, weight-based0.5 to 1 mg/kg median 0.5, n=12
Pediatric, weight-basedMost use 0.5 mg/kg range 0.5 to 1 mg/kg, n=59
RSI induction Adult, weight-basedMost use 1 mg/kg range 1 to 1.5 mg/kg, n=6
Pediatric, weight-basedAll use 1 mg/kg n=5
Narrow-complex tachycardia Adult, weight-basedMost use 1 mg/kg range 1 to 1.5 mg/kg, n=13
Pediatric, weight-basedMost use 1 mg/kg range 1 to 1.5 mg/kg, n=8
Wide-complex tachycardia AdultAll use 100 mg n=8
Adult, weight-basedMost use 1 mg/kg range 0.5 to 1.5 mg/kg, n=67
Pediatric, weight-basedMost use 1 mg/kg range 1 to 1.5 mg/kg, n=46
VF / pulseless VT AdultAll use 100 mg n=8
Adult, weight-based0.75 to 1.5 mg/kg median 1, n=77 median matches AHA 2025
Pediatric, weight-basedMost use 1 mg/kg matches AHA 2025 range 1 to 1.5 mg/kg, n=71

Too few protocols to chart yet (protocols in brackets): Head injury / TBI (5), Post-ROSC care (4), Stroke (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 page176

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, Lidocaine: n=213 protocols from 180 named agencies / 50 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.