If a child is far above any growth chart expectations, the tape reminds us to bump up a color based on what we believe is appropriate, and what protocols or orders allow.Īn important consideration when exercising this exception is to only bump up one color for medication dosages, not for equipment. Drugs like epinephrine, dopamine, morphine, fentanyl and ketamine are based on what a child should ideally weigh. 2 Ideal body weight is the weight that’s determined from the length (i.e., height) of the child. The good news, according to Luten, is that pediatric emergency drugs–with the exception of amiodarone and succinylcholine–are based on ideal body weight. Put quite bluntly, what do we do with an obese or emaciated child? Lacking specific guidance on the subject, we often made our own rules or followed the great myth of “just bump it up a color.” So naturally, we wondered what to do when faced with a child whose size and body proportions fell outside of what we would typically consider average. We were understandably excited with the concept of length-based resuscitation guidelines, but our training and experience has taught us to question just about everything. You should be ready to answer a few, basic questions: Where do I find the tape? What information is on it? How do I properly use it? Regular review and practice are needed to properly use this innovative tool in a highly stressful pediatric medical emergency. 1Īlthough using the tape isn’t a complex task, proficiency doesn’t come automatically. Created by emergency medicine physician Jim Broselow, MD, and pediatric emergency medicine physician Robert Luten, MD, the Broselow tape established a worldwide standard for managing the emergency care of pediatric patients using a length-based system of color-coded zones.

And making matters worse, there was no time to waste “¦ we need to act now!īut that was the mid-1980s, and as our disco balls went into storage (only ever to be seen again for the occasional theme party), a revolutionary tool for pediatric care was introduced: the Broselow tape. GREAT product from a GREAT site.If you began your healthcare career when disco ruled the airwaves, you probably had the distinctly unpleasant–and possibly frightening–experience of pediatric emergency care ruled by guesswork: How much does the patient weigh “¦ so you can calculate how much of each drug to administer? What amount of fluid should be infused? What size endotracheal tube is needed? There were so many questions and no easy way to find the answers.

When I showed it to some Paramedic instructors, they said it was the best they' d ever seen. I expected to receive a paper tape that wouldn' t last very long but what I got was a well made durable tape that will last for a long time. The Broselow tape I received was even better then I thought. This was the best price I found and the order came quickly. I ordered and received the Broselow tape so I could demonstrate to my nursing students how it is used. Time saved is life saved, and nothing saves time like having doses and treatments already calculated and at your fingertips. If I' m in any clinical setting, I keep one in a pocket next to my light & my trauma shears. If you work in Pediatrics, Emergency Medicine, Intensive Care or anything similar, you already know the Broselow tape. 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. 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.

2017 broselow tape