When children suffer cardiopulmonary arrest (CPA) in the pre-hospital setting, it is particularly important that Emergency Medical Services personnel administer correct medication doses. In a study presented at the 2006 Society for Academic Emergency Medicine Annual Meeting, May 18-21, 2006 in San Francisco, researchers evaluated the change in medication dosing error rates after the Los Angeles County EMS instituted the "LA Kids" program. In that program, paramedics were mandated to use a Broselow tape (a weight-estimating tool) and report weight-based color-codes to the base station. Additionally, base station personnel were taught to use a color-coded dosing chart.
Prior to the "LA Kids" program, during the period 1994 to 1997, only 28% of 104 children with CPA received the correct dose, while 44% received a dose within 20%. After the LA Kids program was started, in the period 2003-2004, 57% of the children received the exact dose and 70% were dosed within 20% of the exact dose. Therefore, a child was 3.4 times as likely to receive an exact dose after the program began as before, and was 2.6 times as likely to receive a dose within 20% of the exact dose.
Amy H Kaji MD, states, "Although there are many in the field of pediatric emergency medicine who advocate the use of the Broselow tape for providers, we demonstrate that it is only after Los Angeles County instituted system-wide changes with education that there was any benefit. Merely handing the length-based measuring tape to the paramedics was not enough."
The study is "EMS System Changes Reduce Pediatric Epinephrine Dosing Errors in the Prehospital Setting" by Amy H Kaji MD, Marianne Gausche-Hill MD, Heather B Conrad MD, Kelly D Young MD, William J Koenig MD, Erin Dorsey RN, and Roger J Lewis MD. This paper will be presented at the 2006 SAEM Annual Meeting, May 18-21, 2006, San Francisco, CA on Saturday, May 20, 2006 at approximately 11:45 AM in Salons 1-3 of the San Francisco Page: 1 2 Related medicine news :1
. Reducing tobacco use in US2
. Reducing cardiovascular disease risk factors when discontinuing hormone replacement therapy3
. Reducing side effects of painkillers4
. Reducing contrast material injection in elderly patients can lower cost of exam and risks5
. Sudden infant death syndrome: Reducing the risk6
. Reducing the damage caused by cardiac arrest7
. Reducing fine particulate air pollution cuts mortality risk8
. Reducing oral health disparities: Achieving healthy people 2010 objectives9
. Reducing teens intake of sugary drinks10
. Reducing barriers to exercise can save womens lives11
. Reducing pain in children receiving intravenous cannulation