Page 273 - 2023 SMOG Digital

FORMS

Vital Functions

Assessment Reference Charts

PEDIATRIC ALS EQUIPMENT
(Always use a Broselow® Pediatric Emergency Tape if available)
BROSELOW cm <61cm 61cm 67cm 75cm 87cm 96cm 109cm 122cm 138cm 149+cm
(approx) weight 3-5kg 6-7kg 8-9kg 10-11kg 12-14kg 15-18kg 19-23kg 24-29kg 30-36kg 37>kg
AGE MONTHS YEARS
0 1 2 3 4 5 6789 10 11 1 2 3 4 5 6 7 8 9 10 11 12-16
RESUSCITATION BAG Infant Child Child/Adult Adult
O2 MASK Newborn Pediatric Adult
ORAL AIRWAY Infant/Small Child S Child Child Child/S Adult Med Adult
BAG MASK Infant Pediatric Peds/Adult
LARYNGOSCOPE 0-1 1 Straight 2 Strait 2Straight/Curved 2-3 St/Curv 3 St/Curved
2.5-3 4 Un 4.5 Un 5 Un 5.5 Un
ET TUBE Uncufd 3.5 Uncuffed cuffed cuffed cuffed cuffed 6 Cuffed 6.5 Cuffed
STYLET 6 14
SUCTION 6-8 8 8-10 10 12
Infant/ Child/
BP CUFF Newborn/Infant Child Adult
Child Adult
IV CATHETER 22-24 20-24 18-22 18-20 16-20
OG/NG TUBE 5-8 8-10 10 10-12 12-14 14-18 18
CHEST TUBE 10-12 16-20 20-24 24-32 28-32 32-40
URINARY CATHETER 5-8 8-10 10 10-12 12
CERVICAL COLLAR N/A Small S/M Medium M/L
Weights and lengths in above chart are estimates, to achieve most accuracy utilize Broselow tape on patient
BROSELOW cm <61cm 61cm 67cm 75cm 87cm 96cm 109cm 122cm 138cm 149+cm
(approx) weight 3-5kg 6-7kg 8-9kg 10-11kg 12-14kg 15-18kg 19-23kg 24-29kg 30-36kg 40kg 45
pounds 6-11 13-15 17-20lbs 22-25 27-32 34-41 42-52 54-65 67-80 90 101
AGE MONTHS YEARS
0 1 2 3 4 5 6789 10 11 1 2 3 4 5 6 7 8 9 10 11 12-16
FLUID BOLUS 80ml 130 170ml 210ml 260ml 340ml 420ml 500ml
ZOLL DEFIB ENERGY 1st 8J 10J 15J 20J 30J 50J 75J
2nd 15J 20J 30J 50J 75J 100J 120J 150J
MAXIMUM 30J 50J 75J 100J 120J 150J 200J
Weights and lengths in above chart are estimates, to achieve most accuracy utilize Broselow tape on patient
ZOLL® Defibrillation Energy Settings for PEDIATRIC Patients

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