DOSE THAT KID!
The wildly entertaining game show that makes you actually learn what kids weigh by looking at them without being given their specs on a written exam.
So there can be no cheating, despite your best efforts to find someone who knows the age/history of the child, none can be found. Your Braslow tape was left on the bed in the ER last night. Also, for you out there in the know, all of the clothing tags have been removed, so no excuses. Now let's play DOSE THAT KID!
Comments
We'll start with shock at 8 j and go right into CPR
IV's up so 1:10,000 Epi .04 mg, reevaluate for 4J/kg if needed defib.
And so on............
But I noticed that you said she was in a garage at a daycare. Was the patient carried into the garage, or was the actual daycare in the garage. The pt appears to young to be crawling so getting a foreign body in airway might be hard. And kids are not normally in v-fib at this age ( I have had two in 17 years that were in v fib).
I am probably thinking way too much into it as this is a dosing question
And a great way to make sure you don't ever lose your ability to have a length based tape, or have a back up.....Use colored duct tape onto the stretcher at various locations and then laminate and tape the color dosing chart to the wall of the unit. Just an idea.
Great tips! Love the tape idea. Indeed the garage is the daycare, and not a good one. The main focus for this post, and others I'm writing stems from a tale told to me about a medic who spent 45 seconds rifling through their bag for the braslow tape while their Paramedic student assessed and dosed the patient. Talk about awkward.
Just a little something to get the ol' brain juices flowing this morning.
Thanks for reading and even more for weighing (hahaha..cough...no? weighing? I thought it was funny) in on this new topic.
Those of us with kids have an advantage in these scenarios not unlike someone with a family member with Down's Syndrome can assess that population better. As more folks chime in and we see a variety of responses, let's focus on how slightly the doses will vary and remember that all our math boils down to us guessing their weight to begin with.
Some employers only used the Pedi Wheel, but you point out the big problem with that approach - you have to know the weight for it to be more useful than a Frisbee. I prefer the Frisbee - it is much more versatile.
I think I should pick him/her up, have him/her pee on me, and say That'll do pig.
We'll start with shock at 8 j and go right into CPR
IV's up so 1:10,000 Epi .04 mg, reevaluate for 4J/kg if needed defib.
And so on............
But I noticed that you said she was in a garage at a daycare. Was the patient carried into the garage, or was the actual daycare in the garage. The pt appears to young to be crawling so getting a foreign body in airway might be hard. And kids are not normally in v-fib at this age ( I have had two in 17 years that were in v fib).
I am probably thinking way too much into it as this is a dosing question
And a great way to make sure you don't ever lose your ability to have a length based tape, or have a back up.....Use colored duct tape onto the stretcher at various locations and then laminate and tape the color dosing chart to the wall of the unit. Just an idea.
Great tips! Love the tape idea. Indeed the garage is the daycare, and not a good one. The main focus for this post, and others I'm writing stems from a tale told to me about a medic who spent 45 seconds rifling through their bag for the braslow tape while their Paramedic student assessed and dosed the patient. Talk about awkward.
Just a little something to get the ol' brain juices flowing this morning.
Thanks for reading and even more for weighing (hahaha..cough...no? weighing? I thought it was funny) in on this new topic.
Those of us with kids have an advantage in these scenarios not unlike someone with a family member with Down's Syndrome can assess that population better. As more folks chime in and we see a variety of responses, let's focus on how slightly the doses will vary and remember that all our math boils down to us guessing their weight to begin with.
Also, what is a Broselow tape?
Some employers only used the Pedi Wheel, but you point out the big problem with that approach - you have to know the weight for it to be more useful than a Frisbee. I prefer the Frisbee - it is much more versatile.
I think I should pick him/her up, have him/her pee on me, and say That'll do pig.
Field guides are good resources for reading up while on standby or when stumped, but should only be used for reference, not in place of knowing your protocols.
:)
Also, what is a Broselow tape?
Field guides are good resources for reading up while on standby or when stumped, but should only be used for reference, not in place of knowing your protocols.
:)
defib 6J follwed by 12J if needed
epi .03mg IVP
amiodarone 15mg IV
ET tube size of baby's pinky
DIESEL
Sorry I am late to the party though, but I would just turn straight to my JRCALC pocket book (The UK ambulance service offical guidelines), and turn to the child age guidlines and look at the 3 month child page.
That tells me that the little one gets a 3.5mm, 11cm tube (If I cannot maintain an airway with other more basic means), defib at 25j (biphasic), adrenaline 1:10,000 60mcg (0.6ml), Amiodarone 30mg (1.0ml) IV/IO and fluid bolus of 120ml (if required).
I know it seem like a cop out not knowing all the ratios and doses of the top of my head, but in a situation like this, and without another paramedic to double check my own workings out based on memory (either working alone on the car or with an ECSW), I dont think I would trust myself. Therefore I use what I have in my pocket!!
But the best thing about this post is that it made me go back to my books and read up on things that I should know from the top of my head too. Thanks
defib 6J follwed by 12J if needed
epi .03mg IVP
amiodarone 15mg IV
ET tube size of baby's pinky
DIESEL
defib 6J follwed by 12J if needed
epi .03mg IVP
amiodarone 15mg IV
ET tube size of baby's pinky
DIESEL
Sorry I am late to the party though, but I would just turn straight to my JRCALC pocket book (The UK ambulance service offical guidelines), and turn to the child age guidlines and look at the 3 month child page.
That tells me that the little one gets a 3.5mm, 11cm tube (If I cannot maintain an airway with other more basic means), defib at 25j (biphasic), adrenaline 1:10,000 60mcg (0.6ml), Amiodarone 30mg (1.0ml) IV/IO and fluid bolus of 120ml (if required).
I know it seem like a cop out not knowing all the ratios and doses of the top of my head, but in a situation like this, and without another paramedic to double check my own workings out based on memory (either working alone on the car or with an ECSW), I dont think I would trust myself. Therefore I use what I have in my pocket!!
But the best thing about this post is that it made me go back to my books and read up on things that I should know from the top of my head too. Thanks
Sorry I am late to the party though, but I would just turn straight to my JRCALC pocket book (The UK ambulance service offical guidelines), and turn to the child age guidlines and look at the 3 month child page.
That tells me that the little one gets a 3.5mm, 11cm tube (If I cannot maintain an airway with other more basic means), defib at 25j (biphasic), adrenaline 1:10,000 60mcg (0.6ml), Amiodarone 30mg (1.0ml) IV/IO and fluid bolus of 120ml (if required).
I know it seem like a cop out not knowing all the ratios and doses of the top of my head, but in a situation like this, and without another paramedic to double check my own workings out based on memory (either working alone on the car or with an ECSW), I dont think I would trust myself. Therefore I use what I have in my pocket!!
But the best thing about this post is that it made me go back to my books and read up on things that I should know from the top of my head too. Thanks