Sodium Bicarbonate for Tricyclic overdose
Pediatric weight-based dosing has a median of 1 mEq/kg across 126 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 65%
- IV 35%
United States EMS Protocol Census, n=126 protocols from 109 named agencies / 36 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 60%
- IV 40%
United States EMS Protocol Census, n=104 protocols from 86 named agencies / 35 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 69%
- IV 31%
United States EMS Protocol Census, n=49 protocols from 42 named agencies / 20 states, updated Oct 2026
PediatricmEq
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV 50%
- IV/IO 50%
United States EMS Protocol Census, n=2 protocols from 1 named agencies / 2 states, updated Oct 2026
AdultmL
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
Pediatric, weight-basedmL/kg
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
Named agencies with a page126
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Academy of Medicine of Cincinnati
- Ada County-City Emergency Services System
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Anderson County Emergency Medical Services
- Annaville Fire Department
- Arlington EMS System
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Aurora Fire Rescue
- Berkeley County EMS
- Berrien County Medical Control Authority
- BEST EMS
- Bonner County Emergency Medical Services
- 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
- Cabarrus County EMS
- Calhoun County EMS System
- Central California Emergency Medical Services
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis County EMS System
- Clark County EMS System
- Clark County EMS (Washington)
- Coos County Emergency Medical Services
- County of San Diego Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Dane County EMS System
- Davidson County Emergency Services
- Department of Aviation Medicine
- Department of Health Services, County of Los Angeles
- Dorchester County EMS
- El Campo Emergency Medical Service
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Galveston Area Ambulance Authority
- Grant County
- Greater Elgin Area EMS System
- Hays County ESD 9 EMS
- Haywood County EMS System
- Houston Fire Department
- Hunt County EMS
- Idaho EMS Physician Commission
- Inland Counties Emergency Medical Agency
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- La Porte County Emergency Medical Service
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Lane County Medical Control Board
- Laurens County Emergency Medical Services
- Manatee County Emergency Medical Services
- Marion County
- Mauston Area Ambulance
- McKinney Fire Department
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Miramar Fire Rescue Department
- Montana Board of Medical Examiners
- Muskegon County
- Nash County Emergency Medical Services
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New Mexico EMS Bureau
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Community EMS System
- Norton Sound Health Corporation
- Nueces County ESD4
- Oakland County Medical Control Authority
- Ocala/Marion County/The Villages Public Safety EMS
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Platte Valley Ambulance Service
- Rappahannock EMS Council
- Region 1 Emergency Medical Services
- Region 4 EMS
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- REMSA
- REMSA Sioux Falls
- Reno County Emergency Medical Services
- Rowan County Emergency Services EMS Division
- Salt Lake County EMS
- Santa Barbara County Public Health Department
- Sierra – Sacramento Valley EMS Agency
- South Carolina Department of Public Health (DPH) Division of EMS
- South Plains Emergency Medical Services
- Southern Fox Valley EMS System
- St. Johns County Fire Rescue
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Tippecanoe Emergency Ambulance Service
- Tri-County Emergency Medical Control Authority
- UNM EMS Consortium
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Wake County EMS System
- Washington County Emergency Medical Services
- Weber County Paramedic Program
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County Emergency Management Agency
- Wilson County ESD #4