Emergency Pediatric Dosing

Aka: Emergency Pediatric Dosing, Emergency Pediatric Dosing Weight Estimation, Broselow Tape, Broselow Luten Color Coding for Pediatric Weight Estimation

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II. Approach: Measurement with Broselow Tape

  1. Patient lies supine (not sitting)
  2. Place the red arrow indicator of the Broselow Tape to the level of the top of the patient's head
  3. Unfold the Broselow Tape so that the patient's heels are in line with a color zone
  4. Use the identified color zone in the protocol below
  5. Adjustments
    1. Overweight
      1. May increase dose to next color zone (but dose airway equipment based on broselow length)
    2. Underweight
      1. May decrease length-based estimated dosing weight by 8-10%
  6. References
    1. Young (2016) Ann Emerg Med 68(4): 441-51 [PubMed]

III. Approach: Estimation

  1. Emergency Pediatric Dosing Weight Estimation
    1. Broselow Tape is preferred when available
    2. Parental estimate of child weight (best option without a measurement)
    3. Weight estimation based on age is inaccurate (esp. for age >10-12 years) but may be used in Resuscitation
      1. Estimated weight (in kg) = (2 * ageY) + 10
  2. Common estimations
    1. ET Tube Diameter (uncuffed for age >=2 years): (Age/4)+4
    2. Nasogastric, orogastric and Foley Catheter sizes: ETT size x2
    3. ET Tube Length: ETT size x3
    4. Chest Tube size (max): ETT size x4

IV. Protocols

  1. Emergency Pediatric Dosing 3 Kilogram (Broselow Grey 3 kg)
  2. Emergency Pediatric Dosing 4 kilogram (Broselow Grey 4 kg)
  3. Emergency Pediatric Dosing 5 kilogram (Broselow Grey 5 kg)
  4. Emergency Pediatric Dosing 6-7 kilogram (Broselow Pink)
  5. Emergency Pediatric Dosing 8-9 kilogram (Broselow Red)
  6. Emergency Pediatric Dosing 10-11 kilogram (Broselow Purple)
  7. Emergency Pediatric Dosing 12-14 kilogram (Broselow Yellow)
  8. Emergency Pediatric Dosing 15-18 kilogram (Broselow White)
  9. Emergency Pediatric Dosing 19-22 kilogram (Broselow Blue)
  10. Emergency Pediatric Dosing 24-28 kilogram (Broselow Orange)
  11. Emergency Pediatric Dosing 30-36 kilogram (Broselow Green)
  12. Emergency Pediatric Dosing over 36 kilogram (Broselow Over 36 kg)
  13. Adults 80 kg Emergency Adult Dosing 80 kilogram

V. Resources

  1. PediStat
    1. Iphone/Android App - electronic Broselow Tape
    2. https://www.pedi-stat.com/

VI. References

  1. eBroselow
    1. http://www.ebroselow.com
  2. Broselow (2011) Broselow Pediatric Emergency Tape, Vital Signs, Inc, Totowa, NJ
  3. LA County EMS Color Coded Pediatric Drugs
    1. http://ems.dhs.lacounty.gov/ManualsProtocols/3colordrug.pdf
  4. Difficult Airway Course
    1. http://www.theairwaysite.com
  5. (2008) Fairview University - Childrens Hospital, Pediatric Emergency Drug Guide

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