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#BROSELOW TAPE 2017 CHANGES SERIES#

The Broselow Tape relates a child’s height as measured by the tape to his/her weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of shock voltage when using a defibrillator. Mechanism of injury differs due to child’s smaller size- more likely to suffer polytrauma.High BMR, high body surface area dissipates heat quicker.Decreased myelinization and increased cerebral water content- higher risk of diffuse axonal injury, less amenable to operative intervention.

Thinner cranial bones- increased likelihood of skull fractures.Signs of increased intracranial pressure (ICP) in peds important especially for nonverbal- decreasing level of consciousness, Cushing’s triad (hypertension, bradycardia, irregular respiratory rate), irritability, and bulging anterior fontanelles (open sutures, anterior fontanelle until 12-18 months).

Compartments of bleeding similar to adults: thorax, abdomen, retroperitoneum, long bones (less severe), head (infants), “the street”.

Thoracic skeleton and abdominal musculature not as developed or protective- more damage to internal organs.

More difficult to obtain IV access due to smaller vessels, small gauge IV or IO often necessary.

To increase cardiac output (CO), infants are heart rate (HR) dependent.

Hypotension is a late (ominous) sign- can indicate pre-arrest!.

Extremely pliable and compliant chest wall- allows for significant internal injury without external signs of trauma.

Smaller functional residual capacity (FRC), desaturate more quickly than adults.

High basal metabolic rate (BMR), high O2 demand.

Cricoid is narrowest point in the airway.

Larynx is superior and anterior (C3-C4).

Relatively larger tongue and smaller oral cavity.

Larger occiput- causes flexion of airway, especially when on a flat backboard.

What are some specific considerations unique to pediatric patients in trauma? His obvious injuries on primary assessment include bruising to the anterior chest wall, a deformed left wrist (closed), and tenderness to palpation over the abdominal area. He comes into the ED via EMS with vitals as follows: T 36.8 HR 140, BP 90/60, RR 25, SpO2 98% RA. He was riding on a trail at approximately 40 km/hr and hit a large wood telephone pole. A 10-year-old boy is brought into the Pediatric ED after he has been in a collision on an ATV. For more information and further pediatric emergency medicine guidelines, please visit the TREKK website. Ashley Lubberdink and Kaif Pardhan translating the pediatric guidelines that have been developed by TREKK (TRanslating Emergency Knowledge for Kids).

#BROSELOW TAPE 2017 CHANGES SERIES#

Thus, incorporating a visual estimate of whether the child is over-weight provides a simple method to predict weight that appears to be clinically relevant given the rise of obesity in the United States.Editor’s note: This post represents the second in a series led by Drs. Specifically, for application the patient's length-based measurements zone if the child appears overweight. *If the healthcare provider incorporates a visual estimate of body habitus into the prediction, the accuracy of the estimate of actual patient weight is improved as confirmed in multiple studies. PediPro Pediatric Resuscitation System Kit - Z Fold.Broselow Pediatric Resuscitation System.Retractable Pediatric Emergency Tape - Broselow Compatible.Made of strong reusable poly tape s not paper.Note: Want a more updated & cheaper version that is a different brand? (Click Here) Broselow Pediatric Emergency Tape Features: The 2019 version of the Broselow Tape incorporates revised length weight zones based on the most recent National Health and Nutrition Examination Survey (NHANES) data set. Designated resuscitation equipment is contained in corresponding, color coded equipment pouches (not included). A reference at each weight zone on the tape shows pre-calculated measurements. One of the most popular pediatric tools needed with reference at each color bar on the tape informs you of equipment sizes to perform emergency resuscitation. NEW 2019 edition Broselow Pediatric Measuring Tape is a reference tape to determine application as well as equipment sizes to use during emergency resuscitation on pediatric patients.