GENERAL
- Weight = (Age + 4) x2 (1-10yrs)
- Vital signs
AIRWAY
- Weight\Age ETT Length @ lips
- 2yrs (Age\4) + 4 (age\2)+12
- Length @ nose = (age\2) + 15
- Aim for leak @ 20-30cmH2O in uncuffed
- Length PO (Age\2) + 12
- LMA #1 – < 6.5kg (4mL)
LMA #1.5 – < 13kg
LMA #2 – < 20kg (10mL)
LMA #2.5 – < 25kg
LMA #3 – 20-30kg (14mL)
LMA #4 – > 30kg (20mL) - Air = (Size – 1) x 10mL
- Dexamethasone
BREATHING
- O2
- Salbutamol
- Adrenaline nebs
CIRCULATION
- Epinehriene 0.1mL\kg of 1:10,000
- Fluid Bolus 10-20mL\kg N\S
Maintenance 4, 2, 1 -> 2.5% Dex + 1/2 N\S - Neonatal Art Line – 1.5mL\hr N\S
- 3rd space loss – minor 2mL\kg\hr, major
- Blood volume = 75mL\kg
- Defibrillation 4 J\kg
- Systolic BP = (Age x 2) + 80
- Amiodarone 5mg\kg
Fluids
- Crystalloid 20 mL/kg for resuscitation
- RBC units 10mL\kg
- Platelets 10mL\kg
- FFP 15mL\kg
- Cryo 5mL\kg
DRUGS FOR RSI/ RESUSCITIATION
- Atropine 20mcg\kg
- Propofol 4mg\kg
- Thiopentone 3-6mg\kg
- Suxamethonium
- Larynygospasm 0.5-1mg\kg
- RSI – neonates 2mg\kg, childrens 1mg\kg
- IM dose >3mg\kg
- Rocurnonium 0.6-1mg\kg
- Vecuronium 0.1mg\kg
- Atracurium 0.6-1mg\kg
Hello everyone
Calculating weight in children is always an issue and accuracy is lacking
But the new APLS formula are supposed to be the most accurate ( ?)
Old APLS formula , apparently underestimates weight in children in developed countries by almost 32%
Here is the new formula( not accurate), bit the closest , I have started following this
0-1 yr Age/2+4
1-5 yrs (age*2)+8
6-12 yrs (age*3)+7
I love this website
Keep up the good work