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[Prototype of a new pediatric emergency scale tape: PES tape]
S Ikegaki1, Y Tohyama, Y Sugimoto
1Department of Anesthesia, Tonami General Hospital.
Insights
This study introduces the Pediatric Emergency Scale (PES) Tape, a reliable tool for estimating pediatric patient weight and determining appropriate medical equipment sizes in emergencies. The PES Tape accurately predicts endotracheal tube size and lip-tip distance using height measurements.
Area of Science:
- Pediatric Emergency Medicine
- Medical Device Innovation
- Anesthesia Tools
Background:
- Accurate pediatric patient data (age, weight, height) is crucial for emergency medical care.
- Obtaining precise patient information can be challenging in emergency situations.
- Child's height may be a more reliable predictor than age for critical measurements like endotracheal tube size.
Purpose of the Study:
- To introduce and evaluate the reliability of the Pediatric Emergency Scale (PES) Tape.
- To assess the PES Tape's ability to predict key pediatric emergency parameters based on height.
- To validate the tape's utility in pediatric anesthesia settings.
Main Methods:
- Development of the PES Tape, a measuring device calibrated in centimeters for supine height.
- Printing of height-based estimations for body weight, drug dosage, defibrillation energy, endotracheal tube size, and lip-tip distance on the tape.
- Study of the tape's reliability in pediatric anesthesia.
Main Results:
- The PES Tape demonstrated accurate body weight estimation.
- Predicted endotracheal tube sizes were appropriate for pediatric patients.
- Predicted lip-tip distances were found to be appropriate.
Conclusions:
- The PES Tape is a reliable and practical tool for use in pediatric emergencies.
- Utilizing height measurements via the PES Tape can simplify and improve the accuracy of critical care decisions.
- The tape aids in determining appropriate medical equipment sizes and drug dosages for pediatric patients.
Abstract:
Drug dosage and appropriate size of medical equipment for emergency pediatric patients are determined by age, body weight and/or height. In an emergency situation, however, such information about the patients is not always clear. Body height is easily measured when the patient lies down supine. Furthermore, child's height could be a better parameter than age to predict appropriate endotracheal tube (ETT) size and body weight. We propose a new pediatric emergency scale tape (PES Tape). PES Tape is graduated in centimeters to measure body height in supine position. Height-based body weight, drug dosage, energy dosage for defibrillation, appropriate size of ETT and lip-tip distance (LTD) are printed on the tape. We studied the reliability of this tape in pediatric anesthesia. Body weight estimated from the tape was accurate, and predicted size of ETT and LTD was appropriate. PES Tape is a reliable tool in pediatric emergency.