Broselow child emergency tape
The pediatric Broselow tape for emergencies generally considered - Broselow band called - is a color-coded measuring tape, which is used worldwide for pediatric emergencies. For children up to 12 years of age and weighing up to approx. 36 kg, the Broselow tape provides a link between body size and approximate body weight and thus to appropriate drug dosages , medical device sizes and defibrillator shock strengthshere. In children, these parameters should be calculated individually as possible; In an emergency, however, time is short. Overdoses are more dangerous to children than adults. While a tenfold overdose would require multiple syringes for an adult, it can fit in the regular syringe for a young child. Emergency pediatric care is particularly prone to failure.
The tape was developed in 1985 by emergency physicians James Broselow and Robert Luten .
design
The original Broselow tape was divided into 25 kg areas for drug dosing and eight color areas for device selections. In later versions, the color ranges were intended for both applications; the simple system is used in many hospitals and ambulances. The following list shows which color ranges correspond to the estimated weight range in kilograms (kg) and pounds (lbs).
| colour | estimated weight
(in kg) |
estimated weight
(in pounds) |
|---|---|---|
| Gray | 3-5 kg | 6-11 pounds |
| pink | 6-7 kg | 13-15 pounds |
| red | 8-9 kg | 17-20 pounds |
| purple | 10-11 kg | 22-24 pounds |
| yellow | 12-14 kg | 26-30 pounds |
| White | 15-18 kg | 33-40 pounds |
| blue | 19-23 kg | 42-50 pounds |
| orange | 24-29 kg | 53-64 pounds |
| green | 30-36 kg | 66-80 pounds |
Some manufacturers in Germany use different color or dimension ranges.
use
With the child lying down, hold the red end of the ribbon at the height of the child's head and pull the ribbon smooth. The color range of the tape, which is level with the child's heels, gives the approximate weight in kilograms.
Measurement with the Broselow tape
Color-coded device drawers
accuracy
Each color area relates to the average body weight (50th percentile ) for the respective length. The latest version of the Broselow volume includes updated weight ranges based on the National Health and Nutrition Examination Survey . In around 65% of patients, the estimated weight corresponds approximately to the actual body weight; 20% are one level harder, 13% fall into the next lower (easier) range, and <1% deviate more than one level. The dose recommendation can, however, be taken from the next higher color area if the child appears overweight.
On the other hand, most rescue medications are distributed in lean body mass (e.g., adrenaline , sodium hydrogen carbonate , calcium , magnesium , etc.) so average body weight, as determined by length measurement, is preferable to actual body weight for dosing.
“There are no data on the safety and effectiveness of adjusting the dosage of resuscitation drugs in obese patients. Therefore, regardless of the patient's habitus, use actual body weight to calculate the initial resuscitation drug doses or use a length band with previously calculated doses. "
Extract from a manufacturer recommendation:
- Measure the child to identify the weight / color range.
- If a child appears overweight, consider taking the next higher range for doses only.
- Always use the area determined by length when it comes to selecting a device, regardless of habitus.
Despite these questions of accuracy, tape is still considered the best tool for estimating actual body weight.
Current application in Germany
In recent years, the concept of length-based estimation of body weight has found increasing acceptance in Germany. Several manufacturers have opted for Broselow-like concepts. I align the children's tape measure PEDIATAPE from Kindersicher to original specifications from Broselow, while z. B. the Simplestrap children's emergency tape, the Paulino system, the PädNFL children's emergency ruler use different color or dimension ranges.
Individual evidence
- ↑ R. Luten, R. Wears, J. Broselow, P. Croskerry, M. Joseph, K. Frush: Managing the Unique Size Related Issues of Pediatric Resuscitation: Reducing Cognitive Load with Resuscitation Aids. In: Academic Emergency Medicine. Aug 2002.
- ↑ K. Park: Human error. In: G. Salvendy (Ed.): Handbook of human factors and ergonomics. Wiley, New York 1997, pp. 150-173.
- ↑ RC Luten, RL Wears, Broselow et al: Length-based Endotracheal Tube Selection in Pediatrics. In: Ann Emerg. Med. 21 (8), Aug 1992, pp. 900-904.
- ^ DS Lubitz, JS Seidel, L. Chameides, R. Luten, AL Zaritsky, FW Campbell: A rapid method for estimating resuscitation drug dosages from length in the pediatric age group. In: Ann Emerg Med . 17 (6), Jun 1988, pp. 576-581.
- ↑ K. Frush: Study Packet for the Correct Use of the Broselow Pediatric Emergency Tape. Duke University Medical Center.
- ^ Centers for Disease Control and Prevention (CDC). National Center for Health Statistics (NCHS). National Health and Nutrition Examination Survey Data. Hyattsville, MD: US Department of Health and Human Services, Centers for Disease Control and Prevention, http://www.cdc.gov/nchs/nhanes/nhanes2007-2008/nhanes07_08.htm
- ↑ ME Kleinman, L. Chameides include: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. In: Circulation. 122 (supply 3), 2010, pp. S876-S908.
- ↑ M. Meguerdichian, T. Clapper: The Broselow Tape as an Effective Medication Dosing Instrument: A Review of the Literature. In: Journal of Pediatric Nursing. 27, 4/2012, pp. 416-420.