| Weight |
- Use Broselow Tape
- Ask Parents the weight of their child
- Original APLS formula : (age [years] + 4) × 2 for 1–12 years
UPDATED APLS FORMULA:
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| Electricity |
- Defibrillation = 4 joules/kg
- AEDs can be used for kids
|
| Endotracheal Tube Size and Length |
- Size:
- Birth (at Term) = Size 3.5 (+/0.5)
- 1 year approximately size 4.0 tube
- Beyond 1 year: Use the APLS tube formula: Tube = (Age / 4 + 4)
- Length:
- At birth = 9cm
- 6 months = 11cm
- 1 year = 12cm
- Then later use a formula such as Length = (Age/2 +12)
- Add 2cm for Nasal
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| Fluid Dosing |
- Boluses are 20ml/Kg of Normal saline
- Maintenance fluid is calculated as: 4-2-1
| Patients weight |
Full Maintenance mls/day |
mls/hour |
| 3 to 10kg |
100 x wt |
4 x wt |
| 10- 20kg |
1000 plus 50 x (wt – 10) |
40 plus 2 x (wt- 10) |
| >20kg |
1500 plus 20 x (wt- 20) |
60 plus 1 x (wt- 20) |
|
| Lorazepam Dosing |
- Treatment of seizures
- STOP the seizure
- Use your local benzodiazepine of choice in moderate doses
- (e.g. Lorazepam / Midazolam 0.1- 0.2mg/kg IV/IO/IM or 0.3mg/kg buccal)
|
| Adrenaline Dosing |
- In Cardiac Arrest 0.1mls/kg of 1:10000 Adrenaline
|
| Glucose Dosing |
- Generally use 10% Glucose for hypoglycaemia rather than 50% which is toxic to cute baby veins
- Dose is 22.5ml/kg of 10% Glucose
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