Emergency Drug Dosing in Children

A Resuscitation Aid for Paediatric Emergencies


  • Mike Wells, BSc(Hons), MD, FRCPath MBBCh MScMed(Emergency Medicine) DipPEC(SA) FCEM(SA), Professor and Chairman, Department of Pathology, University of Sheffield, Sheffield, UK PLUERE Inc., CO, USA Specialist Emergency Physician, Lecturer and Consultant, Director of Emergency Ultrasound Training, Division of Emergency Medicine, Faculty of Health, University of Witwatersrand, Johannesburg, South Africa; Netcare Union Hospital Emergency Department, Johannesburg, South Africa
  • Lara Goldstein, MBBCh, FCEM(SA), Specialist Emergency Physician and Registrar Programme Director, Division of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand; Department of Emergency Medicine, Helen Joseph Hospital, Johannesburg, South Africa
  • Martin Botha, N Dip AET BTech EMC BTech Education FLP BSc, Division of Emergency Medicine, University of the Witwatersrand; Chairman, Resuscitation Council of Southern Africa; ER Corporate Training & Development Centre, Johannesburg, South Africa


Book information

  • Published: April 2012
  • ISBN: 978-0-7020-4639-1

Table of Contents

Emergency Drug Dosing in Children Made Easy - Wells et al

 Glossary & list of abbreviations

1. Pharmacology in children

This section will highlight the differences in pharmacokinetics and pharmacocodynamics between adults and children, the changes that occur between infancy and adolescence and the differences between health and critical illness or injury.

2. Medication errors in children in the Emergency Department

A description of the significance of medication errors in children, especially in the Emergency Department, how these errors occur, and how they can (and must) be avoided. A discussion of resuscitation aids and team dynamics in paediatric resuscitation.

3. Paediatric assessment - the first 30 seconds; the first 3 minutes; the first 30 minutes.

A short easy approach to assessing critically ill or injured children in the ED.

4. Instructions on how to use the Broselow tape

How to use the Broselow tape & incorporate this into team-based resuscitation.

5. Instructions on how to use the PAWPER tape

How to use the PAWPER tape & incorporate this into team-based resuscitation. A discussion of the value of including a measure of body habitus into length-based weight estimation in children.

6. Instructions on how to use the EDDC

How to use the drug-dose guideline section of the book.

7. Bolus drug dosing - grey, pink, red, purple, yellow, white, blue, orange, green

The section containing the comprehensive drug dose guidelines for bolus IV drug dose administration by weight groups; the weights are grouped according to the Broselow-Luten colour zones to facilitate use with the Broselow tape.

8. Infusion drug dosing

9. Oral drug dosing

10. Lund & Browder chart and "formula-ry"

This section will contain miscellaneous information that is useful for the emergency management of children - e.g. the Lund & Browder chart (burns), insulin sliding scales, formulas for calculating fluid and electrolyte requirements etc.

11. Drug information and references

This section will contain information on the drugs and equipment included in the guideline section. This information will focus on very basic pharmacology, dose guidelines and useful information that will allow the reader confidence to use the drugs and equipment under a wide range of emergency situations.