Check before giving

Confirm whether the preparation is 7.5% or 8.4%, and distinguish milliliters from mEq.
I-15 specifies IO use when the patient is unconscious and IV access cannot be established.

Use in OCEMS

I-15 lists major-muscle crush injury lasting more than 1 hour and cardiac arrest after 10 minutes of arrest management.
Use the applicable resuscitation/crush order; this is not a routine medication for every arrest or every acidosis.

Indication / route	Dose & limits
I-15 listed indications	One 50 mL prefilled syringe IV or IO. Inventory includes 8.4% (1 mEq/mL) and 7.5% (44.6 mEq/50 mL) preparations, which do not contain identical mEq totals.

I-20 contains a sodium-bicarbonate row with IV/IO dose and volume by weight band; the smallest-weight entries include a 1:1 saline dilution note.
The current SO-P-040 arrest pathway does not list routine bicarbonate. A chart entry alone does not establish an indication or authority: confirm the relevant pediatric order/base direction and exact concentration before use.

I-20 has preparation rows, but SO-P-040 does not authorize routine pediatric arrest bicarbonate. A separate applicable indication/order is needed; no routine pediatric dose is recommended here.

Weight	OCEMS pediatric dose
Any weight	No general pediatric dose under the cited source; follow the applicable order / medical direction.

Reconcile the requested dose with the actual concentration and any dilution instruction.
Document indication, formulation, dose/volume, route, and response. Continue the underlying resuscitation or crush-injury pathway.