For many of us that mostly treat adult patients, the pediatric emergency and especially dosing is a challenge. While most medication and dosing can be looked up using various tools, in really emergent situations like CPR, peri-arrest situations and emergency airways (e.g. in trauma) you need to have your doses ready and fast.

Also, you need to be ready to give your team of medics (who are also not very used to be treating the very sick child or baby) exact instructions of how to draw up the drugs.

There are a lot of apps (ped anesthesia etc.) but somehow, those did not work for me very well. Sometimes they had far too much or too little information or bad interfaces… So I created my own “ped emergency card” – to be ready just in case. It has served me well so far.

The rows are weight-based (kg) and correlated with the age. On the left side there is the drug with the suggested dose and then the instructions for dilution / drawing up; then the ml. E.g.: Ketamine 0,5 (100mg/10ml) 0,5ml means: You should give 0,5mg Ketamine per Kilogram; draw it up 100mg in 10ml total; give 0,5ml (= 5mg).

It’s translated from my original (german) version – what do you think?

English version: Ped EM card EN

German version: Kinder-Notfallwerte Deutsch DE

Ped Emerg

3 thoughts on “Pediatric dosing – table

  1. Nicely done. I would change the colors though, so that they match the ISO colors. Opoids blue, muscle relaxans red,….

    • Hi, sorry that’s a translation mistake i made. “pur” means pure (undiluted). e.g. in typical concentration midazolam is 1mg per ml in undiluted form. in some very small dosages (eg small kids) a diluted form is easier to dose when given iv.
      thanks a lot for pointing that out!

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