I just want to keep this going a bit. First, I think the idea of a chart is a good idea. If you use it a lot, you can probably calculate the 0.01 mLs/kg rather easily. But, maybe a chart would be helpful. And, possibly in pounds. Even my staff will give me the weight in pounds, especially given that the weight defaults to pounds in the MRE. Even when I ask for the weight to calculate a script, my staff (all MAs) will give the weight in pounds. Plus, if you need to rely on the parent, they will usually give pounds. Actually, they will ALWAYS give pounds. I can convert lbs to kgs in about two seconds, but not necessarily the staff.

If you did use a table or chart, would you recommend using a five pound grouping rather than a dose for each lb? And, if you do use epi or any medication in a ALS type situation, do you have someone write down the med, dose and time sort of how it would be done in the hospital?

Finally, how often do you think it can be given? Every five minutes? As often as necessary? Generally, paramedics arrive within ten minutes and more likely five after we call. I know I can look some of this stuff up, but I trust your judgment more.


Bert
Pediatrics
Brewer, Maine