Magnesium Sulfate for VF / pulseless VT
Adult dosing has a median of 2000 mg across 130 published protocols, with the middle half between 1625 and 2000.
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 |
|---|---|---|---|---|
| 1000 | 1625 | 2000 | 2000 | 4000 |
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 73%
- IV 27%
United States EMS Protocol Census, n=130 protocols from 109 named agencies / 40 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 20 | 25 | 40 | 50 | 50 |
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 80%
- IV 20%
United States EMS Protocol Census, n=97 protocols from 76 named agencies / 36 states, updated Oct 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 25 | 25 | 40 | 50 | 50 |
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 100%
United States EMS Protocol Census, n=5 protocols from 5 named agencies / 4 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO 100%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 2 states, updated Oct 2026
Named agencies with a page109
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
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Anderson County Emergency Medical Services
- Annaville Fire Department
- Arizona Department of Health Services
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Berrien County Medical Control Authority
- BEST EMS
- Bonner County Emergency Medical Services
- Brilliant Fire Department
- Brunswick County EMS
- Cabarrus County EMS
- Calhoun County EMS System
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Central California Emergency Medical Services
- Charleston County EMS
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis County EMS System
- Clark County EMS (Washington)
- Coos County Emergency Medical Services
- Cowlitz County EMS Council
- Craven, Jones, Pamlico Counties EMS
- Dallas Fire-Rescue
- Davidson County Emergency Services
- Denver Health Paramedic Division
- Dorchester County EMS
- Escambia County Emergency Medical Services
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Fort Worth Regional EMS System
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Giles County EMS
- Grant County
- Greater Elgin Area EMS System
- Houston Fire Department
- Illinois Emergency Medical Services for Children
- Iowa County Ambulance Service
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- Kosciusko County Paramedics
- La Porte County Emergency Medical Service
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Levy County Department of Public Safety
- Maine Emergency Medical Services
- Manatee County Emergency Medical Services
- Maryland Institute for Emergency Medical Services Systems
- Mauston Area Ambulance
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Michigan Department of Health and Human Services
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Miramar Fire Rescue Department
- Mountain West Ambulance
- Muskegon County
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Jersey Department of Health
- New Mexico EMS Bureau
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Central Oregon EMS Agencies
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Arkansas Regional EMS
- Northwest Community EMS System
- Northwest Region Emergency Medical Services & Trauma Care Council
- Norton Sound Health Corporation
- Office of the EMS Medical Director for Kansas City, Missouri
- Old Dominion EMS Alliance, Inc.
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Platte Valley Ambulance Service
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- Regional Emergency Medical Advisory Committee of New York City
- REMSA Sioux Falls
- Reno County Emergency Medical Services
- Rowan County Emergency Services EMS Division
- Santa Barbara County Public Health Department
- Sierra – Sacramento Valley EMS Agency
- Southern Fox Valley EMS System
- Spokane County EMS
- Stanly County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Tri-County Emergency Medical Control Authority
- UTSW/Parkland BioTel EMS System
- Vermont Department of Health
- Virgin Islands Fire & Emergency Medical Services
- Wake County EMS System
- Washington County Emergency Medical Services
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County Emergency Management Agency