1. Aims & Objectives
•No standardized methods available for
rapid weight estimation in children
admitted for acute pediatric emergencies
in Chennai, India.
•The Broselow tape has shown to improve
accuracy in weight prediction and
eliminate the need for memorization and
calculation in Emergency situations.
•To determines the accuracy of the
Broselow pediatric emergency tape in
the Indian pediatric population.
•To find out the standard deviation of
Weight from Broselow pediatric
emergency tape to Indian population.
•To determine the usefulness of
Broselow pediatric emergency tape in
Indian Settings.
Background
Setting: The data was collected from children
attending Sri Ramachandra Pediatric OPD and ED
in tertiary care hospitals in Chennai, and also from
16 different schools in and around Chittoor
municipality, in South India.
Proforma: Age, sex, height, actual weight, &
Broselow weight were recorded in a preformatted
Performa.
Instrument: Broselow Luten Pediatric Emergency
Tape.
Analysis: Measured weight was compared to
Broselow predicted weight and percent difference
was calculated. A cross – validated correction
factor was derived by non linear regression.
Analysis done using SPSS Ver. 15.0.
Methods & Methodology
Results
Conclusion
The Broselow tape overestimates weight
by more than 10% in Indian children
<10 kg & 30% in >18 Kgs increasing risk
of medical errors due to incorrect dosing
or equipment selection.
Need for modified Indian pediatric
emergency tape based on Broselow Luten
colour coding is the need of the hour.
ASSESSING COMPETENCY OF THE BROSELOW-LUTEN PEDIATRIC RESUSCITATION TAPE
A PROSPECTIVE, CROSS - SECTIONAL STUDY OF 15,000 SOUTH INDIAN CHILDREN
Dr. Srihari Cattamanchi*, Dr. Srinivas Banala Reddy, Dr. Prabhu.S, Dr. Trichur V. Ramakrishnan.
Sri Ramachandra Medical College & Research Institute, Porur, Chennai – 600116. T.N. India.
References
Internationalizing the Broselow Tape: How
Reliable is Weight Estimation in Indian
Children? N. Ramarajan, R.
Krishnamoorthi, M. Strehlow, J. Quinn.
Annals of Emergency Medicine . April
2008 (Vol. 51, Issue 4, Pages 512-513)
Contact: Dr. Srihari Cattamanchi, 10-/2, Gandhi Road Extn, Chittoor -517001. A.P. India. Mob: +919994616329. Email: c.srihari@gmail.com Printed by
Design: A prospective, cross-sectional
study
Population: 15,000 South Indian children
in three weight-based groups of >10 kg,
10-18 kg and <18 kg.
Duration: 2 months, September 15th 2008
to November 15th 2008.
Inclusion criteria: Children above 2
months of age and below 12 years of age
were be eligible to participate in this
study.
Exclusion: Severely Malnourished
children & child with chronic illness.
•A total of 15,000 subjects were included.
•Females accounted for 46%.
•Mean age was 7.589 years.
•Height ranged from 55 – 146 cms with a mean
of 119.83 cms.
•Weights ranged from 2.25 - 36.0 kg with a
mean of 21.36 kg.
•The mean percentage differences were – 2.4
+6.3, and -17.9% for each weight-based group.
•The Broselow color-coded zone Std. dev was
16.12, 11 & 24.5 in their respective group.
Usefulness of Broselow’s Tape
Pediatric drugs, Defibrillator settings,
Infusion Pumps, Ventilator Settings,
C.Spine Collar Size.
Medication: PALS, Rapid Sequence
Intubation, Anaphylaxis, Pain and
Sedation, Fluids and burns, Seizure &
electrolyte correction, Oral Antibiotics.
Limitation
Children below 10 kg were less
included than other Weight Groups.
Benefits
Helps in Rapid Weight estimation in ED.
Reducing dosage errors due to wrong weight
estimation.
olour Coding of our New Pediatric
Emergency Dept.
Colour coded band while transferring
patient out of ED into wards.
Gave me inspiration to design a new
Indianised Pediatric Emergency Tape based
on this study, which is under progress.