From age or weight to situation specific drugs & doses in 2 touches.
We all know that one of the hardest things about dealing with very sick children is the wide variety of sizes they come in!
Currently we use ‘guesstimate’ formula for weight, based on age in years, and then derive the correct doses of various drugs either from memory or formularies, whilst simultaneously dealing with the acutely sick child.
These guesstimates are known to be inaccurate, but referencing against the gold standard charts is hugely time consuming in the acute situation.
Peds ED converts the age of the child in weeks, months, or years (including premature babies) into weight by referencing to WHO weight charts, increasing accuracy by up to 25%.
Peds ED then offers the user a list of emergency clinical situations to chose from.
EMERGENCY SITUATIONS:
Key Resus Data
Anaphylaxis
Convulsion
Bronchospasm
Inotropic Support
Septicaemia
Anaesthesia
Sedation
Fluids – Bolus
Fluid – Maintenance
Fluid – Rehydration
Fluid - Burns resuscitation
Pain Ladder
Drug formulary
Once selected each of these modules provides an aggregate of drugs & dosages or equipment sizes potentially required to resuscitate that child!
FORMULARY INCLUDES:
Acyclovir (IV)
Adrenaline (Cardiac arrest IV, anaphylaxis Neb IV & IM, Infusion)
Aminophyline
Atracurium
Atropine (bradycardia & anaesthesia adjunct)
Cefotaxime IV
Ceftriaxone IV
Chlorpheniramine PO & IV
Codeine Phosphate
Dexamethasone
Diamorphine
Diazepam (PR & IV)
Diclofenac
Dobutamine infusion
Dopamine
ET Tube (size, length, tidal volume)
Energy (Cardiac arrest & SVT)
Fentanyl
Fluids (burns calc, maintenance, dehydration calc)
Gentamycin
Hydrocortisone
Ibuprofen
Ipratropium Bromide
Ketamine
Lorazepam
Magnesium
Mannitol
Midazolam
Paracetamol
Paraldehyde
Penicillin
Phenytoin
Prednisolone
Propofol
Salbutemol (Neb & IV)
Suxamethonium
Thiopentone
ACADEMIC PROFILE
Finalist 2010 NHS Patient Safety Awards
Presentation 2009 EuSEP & ACEP Valencia
Presentation 2009 CEM Imperial College
PRESS & MEDIA LINKS:
http://news.bbc.co.uk/1/hi/england/south_yorkshire/8499492.stm
http://www.thestar.co.uk/doncaster/Doctor39s-phone-app-up-for.6048176.jp
INTERNATIONAL USERS PLEASE CONTACT US TO CHANGE YOUR LOCAL DRUGS OF CHOICE / DOSES ? CLINICAL SCENARIOS
Paeds ED: so simple, a child could treat itself!