Indication

Sodium Bicarbonate for Hyperkalemia

164 sources136 named agencies44 statesas of 2026-10-31

Pediatric weight-based dosing has a median of 1 mEq/kg across 124 published protocols, with the middle half between 1 and 1.

164sources

136named agencies

44states

307entries

132named here

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

124sources

104named agencies

38states

136entries

0kept as written

min	p25	median	p75	max
0.5	1	1	1	2

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 25%

United States EMS Protocol Census, n=124 protocols from 104 named agencies / 38 states, updated Oct 2026

Adult, weight-basedmEq/kg

86sources

71named agencies

36states

96entries

0kept as written

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 25%

United States EMS Protocol Census, n=86 protocols from 71 named agencies / 36 states, updated Oct 2026

AdultmEq

73sources

60named agencies

27states

73entries

0kept as written

min	p25	median	p75	max
44	50	50	50	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 71%
IV 29%

United States EMS Protocol Census, n=73 protocols from 60 named agencies / 27 states, updated Oct 2026

AdultmL

1sources

0named agencies

1states

1entries

0kept as written

Below 5 sources, so no distribution is published for this group — only the counts above.

Routes

IV 100%

United States EMS Protocol Census, n=1 protocols from 0 named agencies / 1 states, updated Oct 2026

PediatricmEq

1sources

1named agencies

1states

1entries

0kept as written

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 page132

Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.