Paediatric Formulae
GENERAL
- Weight = (Age + 4) x2 (1-10yrs)
- Vital signs
AIRWAY
- Weight\Age ETT Length @ lips
- 2yrs (Age\4) + 4 (age\2)+12
- Length @ nose = (age\2) + 15
- Aim for leak @ 20-30cmH2O in uncuffed
- Length PO (Age\2) + 12
- LMA #1 – < 6.5kg (4mL)
LMA #1.5 – < 13kg
LMA #2 – < 20kg (10mL)
LMA #2.5 – < 25kg
LMA #3 – 20-30kg (14mL)
LMA #4 – > 30kg (20mL) - Air = (Size – 1) x 10mL
- Dexamethasone
BREATHING
- O2
- Salbutamol
- Adrenaline nebs
CIRCULATION
- Epinehriene 0.1mL\kg of 1:10,000
- Fluid Bolus 10-20mL\kg N\S
Maintenance 4, 2, 1 -> 2.5% Dex + 1/2 N\S - Neonatal Art Line – 1.5mL\hr N\S
- 3rd space loss – minor 2mL\kg\hr, major
- Blood volume = 75mL\kg
- Defibrillation 4 J\kg
- Systolic BP = (Age x 2) + 80
- Amiodarone 5mg\kg
Fluids
- Crystalloid 20 mL/kg for resuscitation
- RBC units 10mL\kg
- Platelets 10mL\kg
- FFP 15mL\kg
- Cryo 5mL\kg
DRUGS FOR RSI/ RESUSCITIATION
- Atropine 20mcg\kg
- Propofol 4mg\kg
- Thiopentone 3-6mg\kg
- Suxamethonium
- Larynygospasm 0.5-1mg\kg
- RSI – neonates 2mg\kg, childrens 1mg\kg
- IM dose >3mg\kg
- Rocurnonium 0.6-1mg\kg
- Vecuronium 0.1mg\kg
- Atracurium 0.6-1mg\kg
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.
After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.
He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.
His one great achievement is being the father of three amazing children.
On Twitter, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC