Broselow tape

relating a pediatric patient’s height to his/her weight
The Broselow Tape, also called the Broselow pediatric emergency tape, is a color-coded length-based tape measure that is used throughout the world for pediatric emergencies.wikipedia
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Human body weight

body massbody weightweight
The Broselow Tape relates a child’s height as measured by the tape to his/her weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of shock voltage when using a defibrillator. The Broselow Tape is based on the relationship between weight and length across all ages; each color zone estimates the 50th percentile weight for length, which for practical purposes estimates the ideal body weight (IBW) for emergency dosing.
There are also several types of tape-based systems for estimating children's weight, with the most well-known being the Broselow tape.

James Broselow

Emergency physicians James Broselow and Robert Luten struggled with solving these issues related to the emergency treatment of children in the early 1980s.
He and fellow emergency physician Robert Luten, M.D., are best known in the medical community for inventing the Broselow Tape in 1985, which was the first tool developed relating a pediatric patient’s height to his/her weight in order to “determine the size of equipment, supplies, and dosages of medication to use…” during emergencies.

Dose (biochemistry)

dosedosagedoses
The Broselow Tape relates a child’s height as measured by the tape to his/her weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of shock voltage when using a defibrillator.

Medical equipment

medical suppliesequipmentmedical
The Broselow Tape relates a child’s height as measured by the tape to his/her weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of shock voltage when using a defibrillator.

Voltage

potential differenceVvoltages
The Broselow Tape relates a child’s height as measured by the tape to his/her weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of shock voltage when using a defibrillator.

Defibrillation

defibrillatordefibrillatorsdefibrillate
The Broselow Tape relates a child’s height as measured by the tape to his/her weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of shock voltage when using a defibrillator.

Percentile

percentiles50th percentile85th percentile speed
The Broselow Tape is based on the relationship between weight and length across all ages; each color zone estimates the 50th percentile weight for length, which for practical purposes estimates the ideal body weight (IBW) for emergency dosing.

Epidemiology of obesity

obesity epidemicobesity ratebecome a global epidemic
Because of the recent obesity epidemic, concerns have been raised as to the accuracy of the tape to determine acceptable weights and subsequently acceptable doses of emergency medications.

National Health and Nutrition Examination Survey

NHANES
The most recent version of the Broselow Tape incorporates updated length/weight zones based on the most current National Health and Nutrition Examination Survey data set.

Outlier

outliersconservative estimateirregularities
Of the remaining 35%, ~20% fall into the heavier Broselow-Luten zone above and 13% fall into the lighter zone below, with < 1% outliers falling greater than 1 zone from predicted.

Habitus (sociology)

habitusbody habitusmentality
If the healthcare provider incorporates a visual estimate of body habitus into the prediction, the accuracy of the estimate of actual patient weight is improved as confirmed in multiple studies.

Overweight

excess body weightexcess weightheavy-set
Specifically, for drug dosing the patient’s length-based dosing zone can be adjusted up one color zone if the child appears overweight.

Obesity in the United States

obesityobesity epidemicUnited States
Thus incorporating a visual estimate of whether the child is over-weight provides a simple method to predict actual patient weight that appears to be clinically relevant given the rise in obesity in the U.S..

Suxamethonium chloride

succinylcholinesuxamethoniumsuccinylcholine chloride
Although some medications are best dosed by actual body weight (e.g., succinylcholine), most resuscitation medications are distributed in lean body mass (e.g., epinephrine, sodium bicarbonate, calcium, magnesium, etc.) so that IBW as accurately predicted by length, not the actual body weight, would appear preferable for dosing.

Cardiopulmonary resuscitation

CPRresuscitationresuscitated
Although some medications are best dosed by actual body weight (e.g., succinylcholine), most resuscitation medications are distributed in lean body mass (e.g., epinephrine, sodium bicarbonate, calcium, magnesium, etc.) so that IBW as accurately predicted by length, not the actual body weight, would appear preferable for dosing.

Body composition

fat free massbody composition monitorsfat-free mass
Although some medications are best dosed by actual body weight (e.g., succinylcholine), most resuscitation medications are distributed in lean body mass (e.g., epinephrine, sodium bicarbonate, calcium, magnesium, etc.) so that IBW as accurately predicted by length, not the actual body weight, would appear preferable for dosing.

Adrenaline

epinephrineadrenaline junkieadrenalin
Although some medications are best dosed by actual body weight (e.g., succinylcholine), most resuscitation medications are distributed in lean body mass (e.g., epinephrine, sodium bicarbonate, calcium, magnesium, etc.) so that IBW as accurately predicted by length, not the actual body weight, would appear preferable for dosing.

Sodium bicarbonate

baking sodabicarbonate of sodaNaHCO 3
Although some medications are best dosed by actual body weight (e.g., succinylcholine), most resuscitation medications are distributed in lean body mass (e.g., epinephrine, sodium bicarbonate, calcium, magnesium, etc.) so that IBW as accurately predicted by length, not the actual body weight, would appear preferable for dosing.

Calcium

CaCa 2+ calcium ion
Although some medications are best dosed by actual body weight (e.g., succinylcholine), most resuscitation medications are distributed in lean body mass (e.g., epinephrine, sodium bicarbonate, calcium, magnesium, etc.) so that IBW as accurately predicted by length, not the actual body weight, would appear preferable for dosing.

Magnesium

MgMg 2+ magnesian
Although some medications are best dosed by actual body weight (e.g., succinylcholine), most resuscitation medications are distributed in lean body mass (e.g., epinephrine, sodium bicarbonate, calcium, magnesium, etc.) so that IBW as accurately predicted by length, not the actual body weight, would appear preferable for dosing.

Tracheal tube

endotracheal tubebreathing tubebreathing tubes
Studies on the accuracy of predicting endotracheal tube sizes consistently demonstrate the superiority of length predictions over other methods.

University of Florida

FloridaUFFlorida Gators
Dr. Broselow joined with Dr. Luten, an academic physician from the University of Florida and member of the newly formed Pediatric Advanced Life Support (PALS) subcommittee, to do the foundational studies upon which the tape was based and to develop and update the tape over the years.

Pediatric advanced life support

PALSPALS EssentialsPediatric Advanced Life Support (PALS)
Dr. Broselow joined with Dr. Luten, an academic physician from the University of Florida and member of the newly formed Pediatric Advanced Life Support (PALS) subcommittee, to do the foundational studies upon which the tape was based and to develop and update the tape over the years.

Medical error

misdiagnosedmisdiagnosismedical errors
Medical errors are a greater threat to children than adults because their organs are smaller and still developing.

Syringe

hypodermic syringesyringesdisposable syringe
A tenfold adult overdose of a standard adult medication would require multiple syringes and tends, therefore, to be obvious to a caregiver, effectively warning of the error.