Indication

Sodium Bicarbonate for Other

144 sources121 named agencies41 statesas of 2026-10-31

Pediatric weight-based dosing has a median of 1 mEq/kg across 108 published protocols, with the middle half between 1 and 1.

144sources

121named agencies

41states

445entries

119named here

Includes 2 agencies 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

108sources

92named agencies

36states

166entries

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 72%
IV 28%

United States EMS Protocol Census, n=108 protocols from 92 named agencies / 36 states, updated Oct 2026

Adult, weight-basedmEq/kg

104sources

87named agencies

35states

169entries

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=104 protocols from 87 named agencies / 35 states, updated Oct 2026

AdultmEq

53sources

41named agencies

26states

74entries

0kept as written

min	p25	median	p75	max
25	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 60%
IV 41%

United States EMS Protocol Census, n=53 protocols from 41 named agencies / 26 states, updated Oct 2026

AdultmL

12sources

12named agencies

5states

12entries

0kept as written

min	p25	median	p75	max
2	2.5	2.5	3	5

Values in mL. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

NEB 100%

United States EMS Protocol Census, n=12 protocols from 12 named agencies / 5 states, updated Oct 2026

PediatricmL

8sources

8named agencies

4states

8entries

0kept as written

min	p25	median	p75	max
2	2.5	2.5	2.625	3

Values in mL. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

NEB 100%

United States EMS Protocol Census, n=8 protocols from 8 named agencies / 4 states, updated Oct 2026

Pediatric, weight-basedmL/kg

3sources

3named agencies

3states

14entries

0kept as written

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

Routes

IV 57%
IO 43%

United States EMS Protocol Census, n=3 protocols from 3 named agencies / 3 states, updated Oct 2026

Adultmmol

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 100%

United States EMS Protocol Census, n=1 protocols from 1 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 page119

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