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Add your birthday Add your birthday How can I benefit from Free Shipping program. Simply, add your wished fulfilled by Souq items to your cart before you checkout - make sure that the total amount for the added fulfilled by Souq items is above or equal 350 EGP. What happens when I have an item in my cart but it is less than the eligibility threshold. You can get the remaining amount to reach the Free shipping threshold by adding any fulfilled by Souq item to your cart. Once the total amount of fulfilled by Souq items is exceeded, you will get the Free shipping benefit. If you wish to proceed with your order without adding the remaining amount to reach the free shipping thresholds, you will not be eligible for free shipping. You can get Free shipping on fulfilled by Souq items if the total fulfilled by Souq items in your cart equals or exceed 350 EGP. How can I find fulfilled by Souq offers. Standard domestic shipping service takes from 2-4 days. Should I pay a subscription fee to always have free shipping. No, you will enjoy unlimited free shipping when you have the total amount for the added fulfilled by Souq items to your cart is above or equal 350 EGP. Can I benefit from FREE Shipping internationally. Unfortunately, FREE Shipping is only available for Egypt residents.Write a full review Enter the code below and hit Verify. This digitally printed student manual is an essential resource for training physicians, nurses, and emergency medical care providers in PALS. PALS Provider manual is based on the 2010-2014 American Heart Association Guidelines for CPR and emergency cardiac care. Key Features and Benefits PALS Provider Manual includes a length-based dosage tape. PALS Provider Manual reinforces the important concepts of a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation, and team dynamics.
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The goal of the PALS Provider Manual is to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes. PALS Provider Manual includes information on: Pediatric emergencies Concepts of a systematic approach to pediatric assessment BLS PALS treatment algorithms Effective resuscitation Team dynamics Critical care medicine Pediatric intensive care Keywords: Broslow, Brosolow, Breslow, Braslow If it is added to AbeBooks by one of our member booksellers, we will notify you! All Rights Reserved. Products may go out of stock and delivery estimates may change at any time. Desertcart does not validate any claims made in the product descriptions above. For additional information, please contact the manufacturer or desertcart customer service. While desertcart makes reasonable efforts to only show products available in your country, some items may be cancelled if they are prohibited for import in Egypt. For more details, please visit our Support Page. Need help? We'd love to help you out. Particular to children is the need to calculate all these therapies for each child individually.If the healthcare provider incorporates a visual estimate of body habitus into the prediction, the accuracy of the estimate of actual patient weight is improved as confirmed in multiple studies. Specifically, for drug dosing the patient's length-based dosing zone can be adjusted up one color zone if the child appears overweight.The result was the invention by Dr. Broselow of a home-made prototype version of the tape in 1985.This benefit has had major implications in recent years given the prevalence and magnitude of medication errors. Medical errors are a greater threat to children than adults because their organs are smaller and still developing. Tenfold mathematical errors due to incorrect calculations are a much greater threat to children than adults.
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Due to the high level of incorrect calculation errors, alternative pediatric emergency tapes that can be customized have gained popularity. A tenfold adult overdose of a standard adult medication would require multiple syringes and tends, therefore, to be obvious to a caregiver, effectively warning of the error. In contrast, for a small child both a 1x correct dose and a 10x overdose of a drug can be administered in the same syringe thus providing no clue as to a potential error.By using this site, you agree to the Terms of Use and Privacy Policy. The information provided above is for reference purposes only. While desertcart makes reasonable efforts to only show products available in your country, some items may be cancelled if they are prohibited for import in Kenya. While desertcart makes reasonable efforts to only show products available in your country, some items may be cancelled if they are prohibited for import in Sri Lanka. Author manuscript; available in PMC 2020 Aug 11. Abstract Objective: The purpose of this study was to determine the effectiveness of the Broselow tape in the evaluation of pediatric trauma patients. Methods: The trauma registry of a rural level I trauma center was examined. All pediatric trauma patients 16 years or younger were reviewed from 2002 to 2006, totaling 2358 patients. The Broselow tape measures to 146.5 cm. Patients whose height correlated with the tape and had their heights and weights in the medical record were included. The constant variable was the heights by which the estimated weights of the Broselow tape were compared with the actual weights of the patients. Results: A total of 657 patients matched this height and had both heights and weights in their record. This is observed across all age groups. In patients with heights less than 75 cm, two thirds of patients’ weights correlated with the Broselow estimated weight; however, those that deviated did so by 2 to 3 color intervals larger.
This deviation was statistically significant in all groups. Conclusions: In our population, the Broselow tape is an ineffective tool to predict weight in more than 50 of pediatric trauma patients. This may lead to the underdosing of emergency medications and blood products. Keywords: Broselow tape, length based tape, pediatric resuscitation, pediatric trauma Dosing of drugs in the pediatric population is based largely on the weight of the patient. This is a particular problem in West Virginia, where 36.9 of the population is overweight, and 31.9 is obese. 7 In the United States, 12.5 million children are overweight in the United States—more than 17. The goal of this study was to determine the degree of inaccuracy of the Broselow tape at estimating weight in a pediatric population at a rural level I trauma center. METHODS The study protocol was approved by the West Virginia University institutional review board with a waiver of consent. A review of the trauma registry of a university, rural level I trauma center was undertaken. All pediatric trauma patients from 2002 to 2006 were evaluated. A total of 2359 records were identified. Seven hundred forty-one patients had heights exceeded the tape and were excluded. Of these, 657 patients had heights within the parameters of the Broselow tape ( Each color zone of the Broselow tape, version 2007B, was measured with a measuring tape on a hard surface 6 ( Table 1 ). This was performed 3 separate times with a tape graduated in 1-mm increments. TABLE 1. Broselow Pediatric Emergency Tape (Product No. The data were analyzed using SigmaStat (SPSS Inc, Chicago, Ill) for Windows. Statistical significance was defined as P RESULTS In all, 657 patients were identified with heights less than 146.5 cm. Patient weights were correlated with predicted weights from the Broselow tape. Figure 1 plots each individual patient’s weight with relation to the Broselow ranges.
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Figure 2 shows the correlation and noncorrelation of this patient population. Open in a separate window FIGURE 1. Scatter plot of individual weight correlation with Broselow ranges. Open in a separate window FIGURE 2. Correlation and noncorrelation of the patient population. In the patient groups with heights greater than 75 cm (29.5 in, purple region), 46.0 of patient’s actual weight correlated with the Broselow estimated weight ( Table 2 ). In these patients, those that deviated did so by just 1 color interval. In patients with heights less than 75 cm, two thirds of patients’ weights correlated with the Broselow estimated weight; however, those that deviated did so by 2 to 3 color intervals greater ( Fig. 3 ). This deviation was statistically significant in all groups. Care must be taken to provide a therapeutic drug dose, without overdosing or underdosing, placing the patient at risk of toxicity or ineffectiveness, respectively. Pediatric Advanced Life Support 15 and Advanced Trauma Life Support 16 provide national standardized recommendations for resuscitation and recommend the Broselow tape be used to estimate a child’s weight. This has recently come into question in the face of a growing obesity problem. Our data indicate that the Broselow tape underestimates the weight of children. This underestimation is across all age groups. The best correlation is in the youngest and smallest of patients, but in this group, those children who deviated from the tape were overweight. As our patients age, their deviation from the predicted weight becomes more pronounced. A few authors have looked at adjuncts or alternatives for patients who are expected to be overweight. Yamamoto et al 28 described using a body habitus model by which 5 or 6 body habitus icons supplemented length-based weight estimate tools for weight estimations.
DuBois et al 12 used the devised weight estimation method that correlated to actual weight but underestimates weights in the weight classes greater than 20 kg. A multidisciplinary approach to pediatric trauma care increases weight documentation and decreases adverse medical events. 29 This is the current practice at our institution. As with any study, our study had certain limitations. Within the period during which the trauma patients in this hospital series were admitted, the obesity prevalence among children in West Virginia was 13.9 to 18.8, depending on age range. 7 Although one can geographically define a hospital service area, it is not possible to determine precisely the pediatric population at risk, as hospital-based studies do not define populations in the same way that true population-based studies do. However, the strengths of our study lie in the fact that our cohort of children is largely racially homogeneous, rural, and obese. In conclusion, the Broselow tape correlates poorly with weights seen in our setting. Use of the tape would result in underresuscitation across all weight categories, with the most significant deviation seen in the youngest patients, those falling into the gray, red, and pink intervals. Until the Broselow tape is updated to reflect the ongoing obesity epidemic, physicians are advised to remain cognizant of the potential for extreme underestimation and modify medication doses and fluid volumes accordingly. A consensus opinion is needed to guide providers of emergency pediatric care as to whether to treat ideal or actual body weight to avoid potential errors in resuscitation. Footnotes No financial support for funding to disclose. REFERENCES 1. Kaushal R, Bates DW, Landrigan D, et al.Vital Signs, Inc; 1993. Patent R7331I-010494. 7. Centers for Disease Control Behavioral risk factor surveillance system Accessed December 3, 2009. 8. Childhood overweight and obesity prevention initiative. Available at. Accessed December 3, 2009. 9.
Nieman CT, Manacci CF, Super DM, et al.Theron L, Adams A, Jansen K, et al.Argall JA, Wright N, Mackway-Jones K, et al.DuBois D, Baldwin S, King WD. Accuracy of weight estimation methods for children.Dixon WJ, Massey FJ. Introduction to Statistical Analysis. 4th ed. Pediatric Advanced Life Support Provider Manual. Elk Grove Village, Ill: American Academy of Pediatrics and Dallas, Tex: American Heart Association; 2006. Advanced Trauma Life Support Student Course Manual. 8th ed. Jang HY, Shin SD, Kwak YH. Can the Broselow tape be used to estimate weight and endotracheal tube size in Korean children. Varghese A, Vasudevan VK, Lwein S, et al.Ramarajan N, Krishnamoorthi R, Strehlow M, et al.So TY, Farrington E, Absher RK. Evaluation of the accuracy of different methods used to estimate weights in the pediatric population. Hofer CK, Ganter M, Tucci M, et al.The Broselow tape reconsidered. Hashikawa A, Juhn Y, Homme J, et al.National Health and Nutrition Examination Survey. Han YY, Caricillo JA, Dragotta MA, et al.Oliveira CF, Nogueira de Sa FR, Oliveira DSF, et al.Carcillo JA, Kuch BA, Han YY, et al. Yamamoto LG, Inaba AS, Young LL, et al.Kalina M, Tinkoff G, Gleason W, et al. Imported from USA. Item Package Quantity:5. This is a 5-pack version of the 2017 Pediatape. PediaTape is aQuickly measure length andGet exact mLsThe PediaTape isMade with durable synthetic. While desertcart makes reasonable efforts to only show products available in your country, some items may be cancelled if they are prohibited for import in Zimbabwe. Pediatric Emergency Tape and PALS Provider Manual - Paper NEW 2017 NIH National Health and Nutrition Examination Survey (NHANES) Approved TapeA reference at each color bar on the tape informs you of equipment sizes to perform emergency resuscitation on the child. A reference at each weight zone on the tape shows pre-calculated medication dosages.Designated resuscitation equipment is contained in color coded equipment pouches.
PALS Provider Manual is a summary of PALS information. The book is printed with a small font size of 7. Persons who have difficulty reading small print should not purchase this item. The PALS algorithms are printed on each paper tapePulseless arrest, bradycardia, stable tachycardia, unstable tachycardia algorithmsPALS resuscitation dosesDefibrillation dosesFluid resuscitation IV bolus volumesOverdose antidote dosesCalcium gluconate dosesRapid sequence intubation dosesEquipment sizesIncreased intracranial pressure isotonic saline doses (mannitol is no longer recommended)Anaphylaxis treatment with 1:1,000 epinephrine Treatment of the underlying cause of the dysrhythmia with H's and T'sIncludes one digitally printed plain non-laminated paper tape and one book The 2017 version incorporates revised length weight zones based on the most recent National Health and Nutrition Examination Survey (NHANES) data set. Pediatric Emergency Tape, Breslow, Broslow, Braslow, Broselow tape, AHA., AHA. You are the light of the world. The problem becomes more pronounced in chaotic acute care settings or during late night shifts when pharmacy resources may not be immediately available. This quick check helps prevent incorrect drug delivery that can lead to tragic results. For more information, visit www.ebroselow.com. The Prevention. And by havingTo get started finding Pediatric Advanced Life Support Provider Manual With Length Based Tape Pals Broselow Broslow Type, you are right to find our website which has aOur library is the biggest of these thatI get my most wanted eBook Many thanks If there is a survey it.