Resuscitation of the Child
A structured approach to the seriously ill or injured child can rapidly optimise their outcome. Estimation of weight in children is inaccurate and they should be weighed as soon as stabilised. The PAWPER tape allows for consideration of body habitus when estimating weight and can be used as an alternative to the formulae provided (in diagram below). The following is a diagrammatic overview
A structured approach to the seriously ill or injured child can rapidly optimise their outcome.
Estimation of weight in children is inaccurate and they should be weighed as soon as stabilised. The PAWPER tape allows for consideration of body habitus when estimating weight and can be used as an alternative to the formulae provided (in diagram below).
The following is a diagrammatic overview derived from an advanced paediatric life support approach.
Click on the image to enlarge
To optimise oxygen delivery:
- Oxygen, high flow, 15 L/minute via facemask with reservoir bag or 6–10 L/minute.
- If oxygen saturation < 92% or PaO2 < 80 mmHg despite maximal oxygen supply, consider providing additional respiratory support.
Standard Treatment Guidelines And Essential Medicines List For South Africa, Hospital Level, Paediatrics, 2023 Edition
Chapter 1: Emergencies and Trauma, 1.1 Paediatric Emergencies, 1.1.2 Resuscitation Of The Child