The most recent version of the Broselow Tape incorporates updated length/weight zones based on the most current National Health and Nutrition Examination Survey data set. Because of the recent obesity epidemic, concerns have been raised as to the accuracy of the tape to determine acceptable weights and subsequently acceptable doses of emergency medications. The Broselow Tape is based on the relationship between weight and length each color zone estimates the 50th percentile weight for length, which for practical purposes estimates the ideal body weight (IBW) for emergency dosing. Īs the tape is not completely accurate, care is required with its use. The tape that is level with the child's heels will provide their approximate weight in kilograms and their color zone. While maintaining one hand on the red portion at the top of the child's head, use your free hand to run the tape down the length of the child's body until it is even with their heels (not toes). Use one hand to hold the red end of the tape, so it is even with the child's head. To use the Broselow Tape effectively, the child must be lying down. This technique would offer established guidelines and take out the guesswork.Color coded equipment drawers based on the Broselow Tape "I could see applying to the interventional radiology suite, to the radiography suite. Our study is an important stepping stone to taking this out of the ER department" Frush said. ![]() ![]() The eventual goal is to have the Rainbow parameters loaded onto the CT scanner itself, Frush said. The booklet should be available in time for RSNA 2001. A few precious moments can be lost when someone has to look up the information or make a phone call."įrush and his colleagues are working on a color-coded booklet that will include information on sedation doses for pediatric CT scans, as well as how to handle contrast reactions and resuscitation guidelines. "None of us has all the information on the tip of our tongues, whether it’s the kinds of drugs that should be administered, dosages, settings. "It has really simplified things for the techs and residents," Frush said. Overall, the technologists said they preferred the Rainbow format over the standard one (p<.0003). Children who weighed more than 120 lbs were scanned using an adult protocol, Frush said.Īccording to the results, the number of errors was significantly less in the Rainbow group (p<.002) with significantly lower error frequency in individual parameters affecting radiation dose (p<.05). For the standard group, the average patient age was 6.9 years in the Rainbow group, it was 5.8 years. There were 55 body CT scans in the Rainbow group and 44 scans in the standard group. ![]() A group of 20 RTs were surveyed on the use and clarity of both formats. The errors from protocol parameters, such as mA, detector configuration, and contrast dose were calculated, Soden explained in her presentation. In order to test out Rainbow Radiology, two multislice CT scanners (LightSpeed QX/i, GE Medical Systems, Waukesha, WI) were set up using either a standard, weight-based chart or the weight-based, color-coded format. In most cases, the same setting was used for adults and children, the group reported ( American Journal of Roentgenology, Feburary 2001, Vol.176:2, pp.297-301). Frush was one of the authors of a study that found that some institutions were exposing children to radiation doses that were five times higher than necessary. Inconsistency in the CT scanning parameters for pediatric patients continues to be a source of controversy.
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