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Emergency Pediatric Dosing
Aka: Emergency Pediatric Dosing, Emergency Pediatric Dosing Weight Estimation, Broselow Tape, Broselow Luten Color Coding for Pediatric Weight Estimation
- See Also
- Advanced Airway
- Adult Resuscitation
- Pediatric Resuscitation
- Newborn Resuscitation
- Obstetrical Resuscitation
- Approach: Measurement with Broselow Tape
- Patient lies supine (not sitting)
- Place the red arrow indicator of the Broselow Tape to the level of the top of the patient's head
- Unfold the Broselow Tape so that the patient's heels are in line with a color zone
- Use the identified color zone in the protocol below
- Adjustments
- Overweight
- May increase dose to next color zone (but dose airway equipment based on broselow length)
- Underweight
- May decrease length-based estimated dosing weight by 8-10%
- References
- Young (2016) Ann Emerg Med 68(4): 441-51 [PubMed]
- Approach: Emergency Pediatric Dosing Weight Estimation
- Broselow Tape is preferred when available
- Parental estimate of child weight (best option without a measurement)
- Weight estimation based on age is inaccurate (esp. for age >10-12 years) but may be used in Resuscitation
- Estimated weight (in kg) = (2 * ageY) + 10
- Protocols
- Emergency Pediatric Dosing 3 Kilogram (Broselow Grey 3 kg)
- Emergency Pediatric Dosing 4 kilogram (Broselow Grey 4 kg)
- Emergency Pediatric Dosing 5 kilogram (Broselow Grey 5 kg)
- Emergency Pediatric Dosing 6-7 kilogram (Broselow Pink)
- Emergency Pediatric Dosing 8-9 kilogram (Broselow Red)
- Emergency Pediatric Dosing 10-11 kilogram (Broselow Purple)
- Emergency Pediatric Dosing 12-14 kilogram (Broselow Yellow)
- Emergency Pediatric Dosing 15-18 kilogram (Broselow White)
- Emergency Pediatric Dosing 19-22 kilogram (Broselow Blue)
- Emergency Pediatric Dosing 24-28 kilogram (Broselow Orange)
- Emergency Pediatric Dosing 30-36 kilogram (Broselow Green)
- Emergency Pediatric Dosing over 36 kilogram (Broselow Over 36 kg)
- Adults 80 kg Emergency Adult Dosing 80 kilogram
- References
- eBroselow
- http://www.ebroselow.com
- Broselow (2011) Broselow Pediatric Emergency Tape, Vital Signs, Inc, Totowa, NJ
- LA County EMS Color Coded Pediatric Drugs
- http://ems.dhs.lacounty.gov/ManualsProtocols/3colordrug.pdf
- Difficult Airway Course
- http://www.theairwaysite.com
- (2008) Fairview University - Childrens Hospital, Pediatric Emergency Drug Guide