Succinylcholine for RSI induction
Adult weight-based dosing has a median of 1.5 mg/kg across 72 published protocols, with the middle half between 1.5 and 2.
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 1 | 1.5 | 1.5 | 2 | 2 |
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/IO 53%
- IV 40%
- IV/IO/IM 4%
- IM 3%
- IV/IM 1%
United States EMS Protocol Census, n=72 protocols from 56 named agencies / 31 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 1 | 1.5 | 2 | 2 | 3 |
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/IO 58%
- IV 33%
- IV/IO/IM 6%
- IM 4%
United States EMS Protocol Census, n=48 protocols from 37 named agencies / 21 states, updated Oct 2026
Adultmg
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 / 2 states, updated Oct 2026
Named agencies with a page58
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Anderson County Emergency Medical Services
- Arizona Department of Health Services
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- 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
- Central Arizona Regional EMS
- Chelan/Douglas/Okanogan/Grant County
- Clark County EMS (Washington)
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Coos County Emergency Medical Services
- Cowlitz County EMS Council
- Craven, Jones, Pamlico Counties EMS
- Department of Aviation Medicine
- Dorchester County EMS
- Fort Lauderdale Fire Rescue
- Galveston Area Ambulance Authority
- Hunt County EMS
- Illinois Region VIII Emergency Medical Services
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Lane County Medical Control Board
- Laurens County Emergency Medical Services
- Lincoln County EMS
- Louisville Metro EMS
- Maryland Institute for Emergency Medical Services Systems
- McKinney Fire Department
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- 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 York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northeast Ohio Regional EMS Protocol Committee
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Region Emergency Medical Services & Trauma Care Council
- Ocala/Marion County/The Villages Public Safety EMS
- Okaloosa County EMS
- Old Dominion EMS Alliance, Inc.
- Pettis County Ambulance District
- Region One Metropolitan Ambulance Council (MAC)
- Rhode Island Department of Health – Center for Emergency Medical Services
- Routt County EMS
- Rowan County Emergency Services EMS Division
- Salem Fire Department
- South Plains Emergency Medical Services
- Stanly County EMS
- State of Hawaiʻi Department of Health, Emergency Medical Services & Injury Prevention System Branch
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- Thurston County Medic One
- Vermont Department of Health
- Washington County Emergency Medical Services
- West Virginia Department of Health, Office of Emergency Medical Services