Subject height, weight, pelvic circumference, and fit on the Broselow Pediatric Emergency Tape® (Armstrong Medical Industries), fit with the Pediatric PelvicBinder® (PelvicBinder), and fit with the small SAM Pelvic Sling® (SAM® Medical) were collected. Subjects aged 1 year to 14 years were enrolled. This study aims to inform more practical sizing guidelines. Presently, guidelines for pediatric-sized pelvic stabilization device application are limited to measured pelvic circumference. All rights reserved.Although the instances of Special Operations Forces (SOF) medical providers treating pediatric pelvic fractures are rare, such fractures are notable injuries in terror attacks and are at high risk for morbidity and mortality for the patient as well as stress for the provider. With the conventional method, 118 doses were administered, with 20 critical dosing errors (17%) with the color-coded method, 123 doses were administered, with 0 critical dosing errors (difference=17% 95% CI 4% to 30%).Ī novel color-coded, prefilled syringe decreased time to medication administration and significantly reduced critical dosing errors by emergency physician and nurse teams during simulated pediatric ED resuscitations.Ĭopyright © 2015 American College of Emergency Physicians. Median time to delivery of all doses for the conventional and color-coded delivery groups was 47 seconds (95% confidence interval 40 to 53 seconds) and 19 seconds (95% CI 18 to 20 seconds), respectively (difference=27 seconds 95% CI 21 to 33 seconds). Data were extracted from video review by blinded, independent reviewers. The ED resuscitation room and the intravenous medication port were video recorded during the simulations. We performed a prospective, block-randomized, crossover study in which 10 emergency physician and nurse teams managed 2 simulated pediatric arrest scenarios in situ, using either prefilled, color-coded syringes (intervention) or conventional drug administration methods (control). Our goal was to evaluate novel, prefilled medication syringes labeled with color-coded volumes corresponding to the weight-based dosing of the Broselow Tape, compared with conventional medication administration, in simulated pediatric emergency department (ED) resuscitation scenarios. Novel medication delivery systems that may reduce dosing errors resonate with national health care priorities. Unfortunately, medication dosing errors remain commonplace and may result in potentially life-threatening outcomes, particularly for pediatric patients when dosing requires weight-based calculations. The Institute of Medicine has called on the US health care system to identify and reduce medical errors. 6 Department of Emergency Medicine, Denver Health Medical Center, Denver, CO Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO Department of Epidemiology, Colorado School of Public Health, Aurora, CO.5 Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO.
4 Paramedic Division, Department of Emergency Medicine, Denver Health Medical Center, Denver, CO.3 Department of Medicine, National Jewish Health, Denver, CO Division of Emergency Medical Services, Platte Valley Medical Center, Brighton, CO.2 Department of Emergency Medicine, University of Northern Colorado Medical Center, Greeley, CO.1 Department of Emergency Medicine, Denver Health Medical Center, Denver, CO Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO.
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