Aims & Objectives •No standardized methods available for rapid weight estimation in children admitted for acute pediatric emergencies in Chennai, India. •The Broselow tape has shown to improve accuracy in weight prediction and eliminate the need for memorization and calculation in Emergency situations. •To determines the accuracy of the Broselow pediatric emergency tape in the Indian pediatric population. •To find out the standard deviation of Weight from Broselow pediatric emergency tape to Indian population. •To determine the usefulness of Broselow pediatric emergency tape in Indian Settings. Background Setting: The data was collected from children attending Sri Ramachandra Pediatric OPD and ED in tertiary care hospitals in Chennai, and also from 16 different schools in and around Chittoor municipality, in South India. Proforma: Age, sex, height, actual weight, & Broselow weight were recorded in a preformatted Performa. Instrument: Broselow Luten Pediatric Emergency Tape. Analysis: Measured weight was compared to Broselow predicted weight and percent difference was calculated. A cross – validated correction factor was derived by non linear regression. Analysis done using SPSS Ver. 15.0. Methods & Methodology Results Conclusion The Broselow tape overestimates weight by more than 10% in Indian children <10 kg & 30% in >18 Kgs increasing risk of medical errors due to incorrect dosing or equipment selection. Need for modified Indian pediatric emergency tape based on Broselow Luten colour coding is the need of the hour. ASSESSING COMPETENCY OF THE BROSELOW-LUTEN PEDIATRIC RESUSCITATION TAPE A PROSPECTIVE, CROSS - SECTIONAL STUDY OF 15,000 SOUTH INDIAN CHILDREN Dr. Srihari Cattamanchi*, Dr. Srinivas Banala Reddy, Dr. Prabhu.S, Dr. Trichur V. Ramakrishnan. Sri Ramachandra Medical College & Research Institute, Porur, Chennai – 600116. T.N. India. References Internationalizing the Broselow Tape: How Reliable is Weight Estimation in Indian Children? N. Ramarajan, R. Krishnamoorthi, M. Strehlow, J. Quinn. Annals of Emergency Medicine . April 2008 (Vol. 51, Issue 4, Pages 512-513) Contact: Dr. Srihari Cattamanchi, 10-/2, Gandhi Road Extn, Chittoor -517001. A.P. India. Mob: +919994616329. Email: [email protected] Printed by Design: A prospective, cross-sectional study Population: 15,000 South Indian children in three weight-based groups of >10 kg, 10-18 kg and <18 kg. Duration: 2 months, September 15 th 2008 to November 15 th 2008. Inclusion criteria: Children above 2 months of age and below 12 years of age were be eligible to participate in this study. Exclusion: Severely Malnourished children & child with chronic illness. • A total of 15,000 subjects were included. • Females accounted for 46%. • Mean age was 7.589 years. • Height ranged from 55 – 146 cms with a mean of 119.83 cms. • Weights ranged from 2.25 - 36.0 kg with a mean of 21.36 kg. • The mean percentage differences were – 2.4 +6.3, and -17.9% for each weight- based group. • The Broselow color-coded zone Std. dev was 16.12, 11 & 24.5 in their respective group. Usefulness of Broselow’s Tape Pediatric drugs, Defibrillator settings, Infusion Pumps, Ventilator Settings, C.Spine Collar Size. Medication: PALS, Rapid Sequence Intubation, Anaphylaxis, Pain and Sedation, Fluids and burns, Seizure & electrolyte correction, Oral Limitation Children below 10 kg were less included than other Weight Groups. Benefits Helps in Rapid Weight estimation in ED. Reducing dosage errors due to wrong weight estimation. olour Coding of our New Pediatric Emergency Dept. Colour coded band while transferring patient out of ED into wards. Gave me inspiration to design a new Indianised Pediatric Emergency Tape based on this study, which is under progress.

ASSESSING COMPETENCY OF THE BROSELOW-LUTEN PEDIATRIC RESUSCITATION TAPE A PROSPECTIVE, CROSS - SECTIONAL STUDY OF 15,000 SOUTH INDIAN CHILDREN

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Page 1: ASSESSING COMPETENCY OF THE BROSELOW-LUTEN PEDIATRIC RESUSCITATION TAPE A PROSPECTIVE, CROSS - SECTIONAL STUDY OF 15,000 SOUTH INDIAN CHILDREN

Aims & Objectives

• No standardized methods available for rapid weight estimation in children admitted for acute pediatric emergencies in Chennai, India. • The Broselow tape has shown to

improve accuracy in weight prediction and eliminate the need for memorization and calculation in Emergency situations.

• To determines the accuracy of the Broselow pediatric emergency tape in the Indian pediatric population.

• To find out the standard deviation of Weight from Broselow pediatric emergency tape to Indian population.

• To determine the usefulness of Broselow pediatric emergency tape in Indian Settings.

BackgroundSetting: The data was collected from children attending Sri Ramachandra Pediatric OPD and ED in tertiary care hospitals in Chennai, and also from 16 different schools in and around Chittoor municipality, in South India. Proforma: Age, sex, height, actual weight, & Broselow weight were recorded in a preformatted Performa.Instrument: Broselow Luten Pediatric Emergency Tape.Analysis: Measured weight was compared to Broselow predicted weight and percent difference was calculated. A cross – validated correction factor was derived by non linear regression. Analysis done using SPSS Ver. 15.0.

Methods & Methodology

Results

ConclusionThe Broselow tape overestimates weight by more than 10% in Indian children <10 kg & 30% in >18 Kgs increasing risk of medical errors due to incorrect dosing or equipment selection. Need for modified Indian pediatric emergency tape based on Broselow Luten colour coding is the need of the hour.

ASSESSING COMPETENCY OF THE BROSELOW-LUTEN PEDIATRIC RESUSCITATION TAPEA PROSPECTIVE, CROSS - SECTIONAL STUDY OF 15,000 SOUTH INDIAN CHILDREN Dr. Srihari Cattamanchi*, Dr. Srinivas Banala Reddy, Dr. Prabhu.S, Dr. Trichur V. Ramakrishnan.

Sri Ramachandra Medical College & Research Institute, Porur, Chennai – 600116. T.N. India.

ReferencesInternationalizing the Broselow Tape: How Reliable is Weight Estimation in Indian Children? N. Ramarajan, R. Krishnamoorthi, M. Strehlow, J. Quinn. Annals of Emergency Medicine . April 2008 (Vol. 51, Issue 4, Pages 512-513)

Contact: Dr. Srihari Cattamanchi, 10-/2, Gandhi Road Extn, Chittoor -517001. A.P. India. Mob: +919994616329. Email: [email protected] Printed by

Design: A prospective, cross-sectional study

Population: 15,000 South Indian children in three weight-based groups of >10 kg, 10-18 kg and <18 kg. Duration: 2 months, September 15th 2008 to November 15th 2008.

Inclusion criteria: Children above 2 months of age and below 12 years of age were be eligible to participate in this study. Exclusion: Severely Malnourished children & child with chronic illness.

• A total of 15,000 subjects were included.• Females accounted for 46%.• Mean age was 7.589 years.

• Height ranged from 55 – 146 cms with a mean of 119.83 cms.

• Weights ranged from 2.25 - 36.0 kg with a mean of 21.36 kg.

• The mean percentage differences were – 2.4 +6.3, and -17.9% for each weight-based group.

• The Broselow color-coded zone Std. dev was 16.12, 11 & 24.5 in their respective group.Usefulness of Broselow’s Tape

Pediatric drugs, Defibrillator settings, Infusion Pumps, Ventilator Settings, C.Spine Collar Size. Medication: PALS, Rapid Sequence Intubation, Anaphylaxis, Pain and Sedation, Fluids and burns, Seizure & electrolyte correction, Oral Antibiotics.

LimitationChildren below 10 kg were less included than other Weight Groups.

BenefitsHelps in Rapid Weight estimation in ED.Reducing dosage errors due to wrong weight estimation.olour Coding of our New Pediatric Emergency Dept. Colour coded band while transferring patient out of ED into wards.Gave me inspiration to design a new Indianised Pediatric Emergency Tape based on this study, which is under progress.