Pediatrics
Approximate weights:
Newborn: about 3 kg
12 month-old: about 10 kg
4 year-old: about 15-20 kg
9 year-old: about 30 kg
14 year-old: about 50 kg
SBP low range = 70 + age x 2
Contraindicated Medications
No cough or cold medicines under age 2
No phenergan under age 2
No ibuprofen under 2 months
No ketamine under 3 months
Drug Dosing
<27kg: bicillin 600,000 units IM
>27kg: bicillin 1.2 million units IM
<15kg 2mg Zofran
>15kg 4mg+ Zofran
Ceftriaxone: 50mg/kg IM/IV
Dexamethasone (croup): 0.6mg/kg max 10mg
Prednisone (asthma): 2mg/kg initial, 1mg/kg daily
Hypoglycemia empiric treatment
dextrose 0.5 - 1 g/kg =
D5 20 mL/kg
D10 10 mL/kg
D25 4 mL/kg
D50 2 mL/kg
Cyanotic Congenital Heart Disease = 5 "Terrible T's"
Truncus Arteriosis
Transposition of Great Arteries
Tricuspid Atresia
Tetralogy of Fallot (Overriding Aorta, Pulmonary Stenosis, VSD, RVH)
Total Anomolous Pulmonary Venous Return
Pediatric Airway
12 minute lecture by Strayer: http://emupdates.com/2011/05/24/12-minute-screencast-pediatric-airway-for-emergency-physicians-who-are-not-also-pediatricians/
Uncuffed tube size = Age/4 + 4, cuffed tube size = -1
Depth = 3x ET tube size
Laryngoscope Blade = Central incisor to angle of mandible (Mellick, 2006)
Larynx at C1 in children, C6 in adults (straighter = Miller)