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Medication

Sodium Bicarbonate in US EMS protocols

226protocols
189named agencies
50states and regions
23indications
1,373dose entries
100% of 1,373machine-parsed

Includes 3 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Cardiac arrest AdultMost use 50 mEq range 50 to 100 mEq, n=23
Adult, weight-basedMost use 1 mEq/kg range 0.5 to 1 mEq/kg, n=41
Pediatric, weight-basedMost use 1 mEq/kg range 0.5 to 1 mEq/kg, n=57
Crush injury Adult50 to 150 mEq median 50, n=41
Adult, weight-basedAll use 1 mEq/kg n=39
Pediatric, weight-basedMost use 1 mEq/kg range 0.5 to 1 mEq/kg, n=51
Hyperkalemia AdultMost use 50 mEq range 44 to 150 mEq, n=73
Adult, weight-basedMost use 1 mEq/kg range 0.5 to 1 mEq/kg, n=86
Pediatric, weight-basedMost use 1 mEq/kg range 0.5 to 2 mEq/kg, n=124
Other AdultMost use 50 mEq range 25 to 100 mEq, n=53
Adult2 to 5 mL median 2.5, n=12
Adult, weight-basedMost use 1 mEq/kg range 0.5 to 1 mEq/kg, n=104
Pediatric2 to 3 mL median 2.5, n=8
Pediatric, weight-basedMost use 1 mEq/kg range 0.5 to 2 mEq/kg, n=108
Tricyclic overdose AdultMost use 50 mEq range 50 to 100 mEq, n=49
Adult, weight-basedMost use 1 mEq/kg range 0.5 to 1 mEq/kg, n=104
Pediatric, weight-basedMost use 1 mEq/kg range 0.5 to 1 mEq/kg, n=126

Too few protocols to chart yet (protocols in brackets): Agitation (5), Asthma / bronchospasm (1), Asystole / PEA (6), Beta-blocker / calcium-channel-blocker overdose (3), Bradycardia (1), Burns (1), Cyanide poisoning (2), Hyperactive delirium (4), Head injury / TBI (2), Hyperglycemia / DKA (1), Hypotension / shock (3), Neonatal resuscitation (1), Sepsis (3), Narrow-complex tachycardia (1), Wide-complex tachycardia (3), Trauma / hemorrhage (2), Traumatic arrest (2), VF / pulseless VT (5)

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 page185

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, Sodium Bicarbonate: n=226 protocols from 189 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.