Sodium Bicarbonate for Crush injury
Pediatric weight-based dosing has a median of 1 mEq/kg across 51 published protocols, with the middle half between 1 and 1.
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 75%
- IV 26%
United States EMS Protocol Census, n=51 protocols from 43 named agencies / 26 states, updated Oct 2026
AdultmEq
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 50 | 50 | 50 | 100 | 150 |
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 70%
- IV 30%
United States EMS Protocol Census, n=41 protocols from 34 named agencies / 18 states, updated Oct 2026
Adult, weight-basedmEq/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 1 | 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 67%
- IV 33%
United States EMS Protocol Census, n=39 protocols from 29 named agencies / 24 states, updated Oct 2026
PediatricmEq
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV 67%
- IV/IO 33%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 3 states, updated Oct 2026
Pediatric, weight-basedmL/kg
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 0 named agencies / 1 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=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page66
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Berkeley County EMS
- Berrien County Medical Control Authority
- Boulder County Protocol Committee
- Brownsville Rural Fire District, Halsey-Shedd Fire Protection District, Jefferson Fire District, Lebanon Fire District, Scio Fire District & Sweet Home Fire & Ambulance District
- Brunswick County EMS
- Calhoun County EMS System
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- City of Austin / Austin-Travis County EMS System
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Craven, Jones, Pamlico Counties EMS
- Davidson County Emergency Services
- East Baton Rouge Parish Department of Emergency Medical Services
- EMS Region VII Bioterrorism and All Hazards Preparedness Committee
- Escambia County Emergency Medical Services
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Greater Elgin Area EMS System
- Hays County ESD 9 EMS
- Idaho EMS Physician Commission
- Kosciusko County Paramedics
- Levy County Department of Public Safety
- Lincoln County EMS
- Maine Emergency Medical Services
- County of Marin EMS
- Marion County
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Community EMS System
- Norton Sound Health Corporation
- OCEMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Old Dominion EMS Alliance, Inc.
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Rappahannock EMS Council
- Region 11 Chicago EMS System
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- REMSA
- REMSA Sioux Falls
- Rhode Island Department of Health – Center for Emergency Medical Services
- Salem Fire Department
- Santa Barbara County Public Health Department
- Santa Cruz County EMS Agency
- Sierra – Sacramento Valley EMS Agency
- Spokane County EMS
- St. Johns County Fire Rescue
- State of Nebraska
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- UNM EMS Consortium
- Virgin Islands Fire & Emergency Medical Services
- Wilson County Emergency Management Agency
- Wilson County ESD #4