Patient’s actual weights were compared with the predicted weights from the Broselow pediatric emergency tape.Įach color zone of the Broselow tape, version 2007B, was measured with a measuring tape on a hard surface 6 ( Table 1). Actual heights were plotted on the Broselow tape to determine the estimated weight and corresponding color zone.
Of these, 657 patients had heights within the parameters of the Broselow tape (<146.5 cm). Seven hundred forty-one patients had heights exceeded the tape and were excluded. Patients excluded were those with incomplete data (n = 1455), of which 1398 patients had the height (in centimeters) and weight (in kilograms) recorded. A review of the trauma registry of a university, rural level I trauma center was undertaken.Īll pediatric trauma patients from 2002 to 2006 were evaluated. The study protocol was approved by the West Virginia University institutional review board with a waiver of consent. The goal of this study was to determine the degree of inaccuracy of the Broselow tape at estimating weight in a pediatric population at a rural level I trauma center. 9– 12 Nieman et al 9 found that the Broselow tape was accurate in predicting the correct weight only 55% to 60% of the time and is more likely to underestimate the correct dose of the drug to be given. Recently, the accuracy of the Broselow tape has come into question, largely secondary to the growing problem of obesity in the pediatric population. This prevalence has nearly tripled for adolescents in the past 2 decades. 7 In the United States, 12.5 million children are overweight in the United States-more than 17%. This is a particular problem in West Virginia, where 36.9% of the population is overweight, and 31.9% is obese. Nationwide, 36.6% of the general population is overweight, with a body mass index 25 to 30 kg/m 2, and 26.6% is obese, with a body mass index greater than 30 kg/m 2. 3, 5 The Broselow 6 tape is one of the most widely used methods of length-based resuscitation tape (LBT) recommended by Pediatric Advanced Life Support and the Advanced Trauma Life Support to reduce medication errors during simulated pediatric emergencies. 3, 4 There have been conflicting results as to a parent’s ability to estimate the weight of his/her child. 1, 2 Research has also shown weight estimations by physicians and nurses to be unreliable. In the trauma setting, weighing patients on a scale is not feasible, and weight estimations are done under stressful conditions, resulting in an increased likelihood of dosing errors. Eliminate "wrong-end" measurements and immediately reduce 5% of dosing errors.Dosing of drugs in the pediatric population is based largely on the weight of the patient. The dose by growth mini's updated scale utilizes 2014 cod names data sets and is compatible with the Broselow Tape and other the industry standard length-based tapes you're already using.
Immediately improve your emergency pediatric dosing outcomes today with our pediatric emergency tape. No.1 method for pediatric weight estimation during emergencies and completely Broselow Tape compatible. Brose low compatible - industry standard weight-color zones to use with your existing dosing aides. Item: 272468132169 EMS Retractable Pediatric Emergency Length-Based Tape (Broselow Compatible).
0 kommentar(er)
