Jurnal Internasional Afrika vol. 10 issue 2 2020
African Journal of Emergency Medicine
Drug dosing errors in simulated paediatric emergencies – Comprehensive dosing guides outperform length-based tapes with precalculated drug doses
Dublin Core
Title
Jurnal Internasional Afrika vol. 10 issue 2 2020
African Journal of Emergency Medicine
Drug dosing errors in simulated paediatric emergencies – Comprehensive dosing guides outperform length-based tapes with precalculated drug doses
African Journal of Emergency Medicine
Drug dosing errors in simulated paediatric emergencies – Comprehensive dosing guides outperform length-based tapes with precalculated drug doses
Subject
PAWPER tape
Broselow tape
Resuscitation aid
Length-based tape
Drug dose calculations
Broselow tape
Resuscitation aid
Length-based tape
Drug dose calculations
Description
Background: The accuracy of drug dosing calculations during medical emergencies in children has not been
evaluated extensively. The objectives of this study were to evaluate the accuracy of drug dose calculations using
the Broselow tape, the PAWPER XL tape plus its companion drug-dosing guide, a custom-designed mobile phone
app and no drug-dosing aid (control group).
Methods: This was a prospective study in which 32 emergency medicine volunteers participated in eight simulations
of common paediatric emergency conditions, using children models. The participants used the three
methods to estimate the children's weight and calculate drug doses. The accuracy of and time taken for the drug
dose determinations were then evaluated for each of the methods.
Results: The overall accuracy of drug dose determinations was extremely and potentially dangerously low in the
control group in which no dosing guide was used as well as in the Broselow tape group (<20% of doses were
correct). The accuracy was significantly higher with the PAWPER XL tape group and the mobile app group (47%
and 31% respectively). The times taken to obtain the required information did not differ in a clinically meaningful
magnitude.
Conclusions: Both an accurate weight estimation and a dosing guide with comprehensive information were
necessary to produce an accurate prescription. The information on the Broselow tape was not sufficient for this
purpose. The current guidelines recommending the use of tapes with limited information should be revised. The
results from the comprehensive dosing guides were substantially better, but still had a lower proportion of
accurate prescriptions than desirable. The role of training in every aspect of the emergency paediatric weight
estimation and drug dosing procedure cannot be underestimated and should be routine in any environment
where emergency care may be needed.
evaluated extensively. The objectives of this study were to evaluate the accuracy of drug dose calculations using
the Broselow tape, the PAWPER XL tape plus its companion drug-dosing guide, a custom-designed mobile phone
app and no drug-dosing aid (control group).
Methods: This was a prospective study in which 32 emergency medicine volunteers participated in eight simulations
of common paediatric emergency conditions, using children models. The participants used the three
methods to estimate the children's weight and calculate drug doses. The accuracy of and time taken for the drug
dose determinations were then evaluated for each of the methods.
Results: The overall accuracy of drug dose determinations was extremely and potentially dangerously low in the
control group in which no dosing guide was used as well as in the Broselow tape group (<20% of doses were
correct). The accuracy was significantly higher with the PAWPER XL tape group and the mobile app group (47%
and 31% respectively). The times taken to obtain the required information did not differ in a clinically meaningful
magnitude.
Conclusions: Both an accurate weight estimation and a dosing guide with comprehensive information were
necessary to produce an accurate prescription. The information on the Broselow tape was not sufficient for this
purpose. The current guidelines recommending the use of tapes with limited information should be revised. The
results from the comprehensive dosing guides were substantially better, but still had a lower proportion of
accurate prescriptions than desirable. The role of training in every aspect of the emergency paediatric weight
estimation and drug dosing procedure cannot be underestimated and should be routine in any environment
where emergency care may be needed.
Creator
Mike Wells, Lara Goldstein
Source
www.elsevier.com/locate/afjem
Publisher
afem
Date
9 January 2020
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Mike Wells, Lara Goldstein, “Jurnal Internasional Afrika vol. 10 issue 2 2020
African Journal of Emergency Medicine
Drug dosing errors in simulated paediatric emergencies – Comprehensive dosing guides outperform length-based tapes with precalculated drug doses,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2423.
African Journal of Emergency Medicine
Drug dosing errors in simulated paediatric emergencies – Comprehensive dosing guides outperform length-based tapes with precalculated drug doses,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2423.