Broselow Tape (equipment size & drug doses based on child length)
Airway: RSI (See 17-1)
• Pretreatment: Atropine (0.01–0.02 mg/kg) prn bradycardia; lidocaine (1.5 mg/kg) prn ↑ ICP
• Sedation: Etomidate (0.3 mg/kg); thiopental (3–5 mg/kg); ketamine (1–2 mg/kg)
• Paralysis: Succinylcholine (1–1.5 mg/kg); rocuronium (0.6–1 mg/kg)
• ETT size: 3 mm cuffed (newborns); (age/4 + 4) – 0.5 mm cuffed (>1 mo); depth (cm) = ETT size × 3
• Laryngoscope size: 0 (<2.5 kg); 1 (<3 yr); 2 (3–12 yr); 3 (12 yr to adult)
Shock
• nl systolic BP (mmHg) = 70 + (age in years × 2) b/w 1 & 10 yr
• Start w/ 20 cc/kg NS, up to 3 boluses
• Dopamine (2–20 μg/kg/min); epinephrine (0.05–1 μg/kg/min) for cold shock; norepinephrine (0.05–1 μg/kg/min) for warm shock; dobutamine (2–20 μg/kg/min) for cardiogenic shock
• Consider hydrocortisone if at risk for adrenal insufficiency
• In trauma, start w/ 20–40 mL//kg NS; then add 10–20 mL/kg PRBCs