Sodium Bicarbonate for Cardiac arrest
Pediatric weight-based dosing has a median of 1 mEq/kg across 57 published protocols, with the middle half between 1 and 1.
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.
Pediatric, weight-basedmEq/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 1 | 1 | 1 | 1 |
Values in mEq/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 85%
- IV 16%
United States EMS Protocol Census, n=57 protocols from 50 named agencies / 28 states, updated Oct 2026
Adult, weight-basedmEq/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 1 | 1 | 1 | 1 |
Values in mEq/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 74%
- IV 26%
United States EMS Protocol Census, n=41 protocols from 36 named agencies / 22 states, updated Oct 2026
AdultmEq
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 50 | 50 | 50 | 50 | 100 |
Values in mEq. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 96%
- IV 4%
United States EMS Protocol Census, n=23 protocols from 17 named agencies / 14 states, updated Oct 2026
AdultmL
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=2 protocols from 2 named agencies / 2 states, updated Oct 2026
Named agencies with a page58
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Alabama Department of Public Health Office of Emergency Medical Services
- BC Emergency Health Services
- Benbrook Fire Department
- Berkeley County EMS
- Brilliant Fire Department
- Brunswick County EMS
- Central California Emergency Medical Services
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis County EMS System
- Craven, Jones, Pamlico Counties EMS
- Davidson County Emergency Services
- Department of Aviation Medicine
- Dorchester County EMS
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Giles County EMS
- Grant County
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Houston Fire Department
- Hunt County EMS
- Illinois Region VIII Emergency Medical Services
- Inland Counties Emergency Medical Agency
- Kosciusko County Paramedics
- Laurens County Emergency Medical Services
- Maine Emergency Medical Services
- Manatee County Emergency Medical Services
- Marion County
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- MetroCare Services and Abilene Fire Department
- 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
- Oakland County Medical Control Authority
- Ocala/Marion County/The Villages Public Safety EMS
- OCEMS
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Region 1 Emergency Medical Services
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Reno County Emergency Medical Services
- Richland County Emergency Medical Services
- Santa Cruz County EMS Agency
- Southern Fox Valley EMS System
- St. Johns County Fire Rescue
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Vermont Department of Health
- Washington County Emergency Medical Services
- Wilson County Emergency Management Agency
- Wilson County ESD #4