OzEMedicine - Wiki for Australian Emergency Medicine Doctors

see also paediatric emergency medicine, anaesthetics, cardiac arrhythmias

• RCH paediatric emergency drug dose calculator
• RCH guideline - resuscitation
• RCH guideline - paediatric IV fluids
• RCH paediatric drug doses
• RCH antibiotic guidelines
• Victorian Poisons Information Centre - Austin Hospital

• RCH guideline - paediatric cardiac arrest algorithm
• adrenaline / epinephrine 1:10000 iv 0.1 ml/kg
• adrenaline / epinephrine 1:1000 ETT 0.1ml/kg
• lignocaine 1% solution iv 0.1ml/kg (1mg/kg)
• amiodarone iv 5mg/kg
• Sodium bicarbonate 8.4% iv 1ml/kg
• atropine iv 0.02mg/kg

• adenosine iv 0.1mg/kg then incremental increases of 0.1mg/kg to a maximum of 0.5mg/kg (max dose 18mg)
• see supraventricular tachycardias (SVT)

• see anaphylaxis

• adrenaline / epinephrine 1ml of 1% (L-isomer) solution (plus 3ml saline) via nebuliser
• Prednisolone oral 1mg/kg, or,
  • Dexamethasone im 0.6mg/kg
• see croup

• glucagon im/sc/iv 0.02mg/kg (max 1mg)
• Dextrose 10% iv 4-5ml/kg

• see seizures
• midazolam iv/im 0.15mg/kg
• midazolam buccal/nasal 0.2mg/kg
• phenytoin iv 20mg/kg (max 1 gram) Dilute to 6mg/ml or weaker. Infusion rate up to 1mg/kg/minute

• thiopentone iv 2-5mg/kg, or,
  • ketamine iv 1-2mg/kg
• suxamethonium iv 1-2mg/kg
• (atropine iv 0.02mg/kg not all practitioners use atropine)
• see rapid sequence induction (RSI) for emergency intubation

• Drug Doses 14th Edition Frank Shann 2008;