Sodium Thiosulfate for Cyanide poisoning
Adult dosing has a median of 12500 mg across 14 published protocols, with the middle half between 12500 and 12500.
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.
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 12500 | 12500 | 12500 | 12500 | 12500 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV 57%
- IV/IO 43%
United States EMS Protocol Census, n=14 protocols from 12 named agencies / 11 states, updated Oct 2026
Pediatric, weight-basedmL/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 1 | 1.6 | 1.65 | 1.65 | 2 |
Values in mL/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV 60%
- IV/IO 40%
United States EMS Protocol Census, n=9 protocols from 8 named agencies / 6 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 250 | 250 | 250 | 325 | 500 |
Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV 57%
- IV/IO 43%
United States EMS Protocol Census, n=7 protocols from 6 named agencies / 5 states, updated Oct 2026
AdultmL
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 50 | 50 | 50 | 50 | 50 |
Values in mL. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV 57%
- IV/IO 43%
United States EMS Protocol Census, n=6 protocols from 6 named agencies / 3 states, updated Oct 2026
Adult, 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
PediatricmL
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 page18
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Arizona Department of Health Services
- Central Arizona Regional EMS
- Clark County EMS (Washington)
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of San Diego Emergency Medical Services
- Cowlitz County EMS Council
- Craven, Jones, Pamlico Counties EMS
- Evansville Fire Department
- Lincoln County EMS
- Massachusetts Office of Emergency Medical Services
- Mecklenburg EMS Agency
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Regional Emergency Medical Advisory Committee of New York City
- Rhode Island Department of Health – Center for Emergency Medical Services
- Salem Fire Department
- South Carolina Department of Public Health (DPH) Division of EMS
- Tidewater Emergency Medical Services Council, Inc.