Addition of Midthigh Circumference Improves Predictive Ability of BroselowTape Weight Estimation. This study aimed to improve the accuracy of Broselowtape (BT) weight prediction by adding midthigh circumference (MTC) and to compare and standardize the methods for measuring MTC. This prospective, observational study was conducted in a pediatric emergency department of a tertiary care children's hospital. Children up to 12 years of age presenting to emergency department were included. Children were excluded if obtaining the data would interfere with their acute management. The data collected included MTC, height, BT weight, and actual weight. Three models were built. Broselowtape-only model and MTC plus BT model used 2 methods for MTC measurements: visual approximation of thigh midpoint (visual
Utility of Body Habitus Parameters to Determine and Improve the Accuracy of the BroselowTape. The aims of this study were to determine and improve accuracy of the BroselowTape (BT) in estimating children's weight by adding body habitus parameters. This cross-sectional study was conducted in an urban hospital pediatric clinic. Children up to 8 years old coming in for well-child visit were
Estimating the Weight of Children During Simulated Emergency Situations Using the BroselowTape: Are We Underestimating the Risks of Errors? The objective of this study was to evaluate whether residents can accurately estimate children's weight using the Broselowtape. We conducted a preplanned secondary analysis from an experimental trial. Participants were residents in pediatrics, family medicine, and emergency medicine rotating in the ED. Residents were randomly assigned to 2 sets of paired scenarios during 2 sessions. They were asked to estimate the weight of a manikin using the Broselowtape at the beginning of each scenario. The first scenario from the initial session and the last scenario from the second session were used for the current study. The primary analysis
Accuracy of weight estimation by the Broselowtape is substantially improved by including a visual assessment of body habitus. BackgroundThe Broselowtape (BT) has been shown to estimate weight poorly primarily because of variations in body habitus. The manufacturers have suggested that a visual assessment of habitus may be used to increase its performance. This study evaluated the ability
A Reexamination of the Accuracy of the BroselowTape as an Instrument for Weight Estimation. Accurate weight estimation is important for calculating appropriate medication dosages, determining rates of fluid replacement, and selecting correct equipment sizes in critically ill children requiring resuscitation. The actual measurement of the weight of a critically ill or injured child is often
Validity of Broselowtape for estimating weight of Indian children The Broselowtape has been validated in both ambulatory and simulated emergency situations in the United States and is believed to reduce complications arising from inaccurate drug dosing and equipment sizing in paediatric population. This study was conducted to determine the relationship between the actual weight and weight determined by Broselowtape in the Indian children and to derive an equation for determination of weight based on height in the Indian children. This cross-sectional study was conducted at a tertiary care hospital in Mumbai, India. The participants' weights were divided into three groups <10 kg, 10-18 kg and >18 kg with a total sample size estimated to be 210 (70 in each group). Using the tape
Examination of Nurses' Use of BroselowTape in Non-resuscitation Pediatric Emergency Department Practices The patient's body weight is often taken as a basis when calculating drug doses and determining equipment sizes for pediatric patients presenting to the emergency department.The methods used to determine body weight are the family's estimated weight, formulas for estimating weight according
A Prospective Evaluation of the Accuracy of Weight Estimation Using the BroselowTape in Overweight and Obese Pediatric Patients in the Emergency Department. The aims of the study were to examine the predictive accuracy of Broselowtape (BT) weight estimation and body mass index-based weight categorization in overweight and obese pediatric patients and to develop an adjustment factor
The Accuracy of BroselowTape Weight Estimate among Pediatric Population To determine the accuracy of the BroselowTape (BT) versions 2007 and 2011 in estimating weight among pediatric population. A cross-sectional study was conducted at King Fahad Medical City and six schools across Riyadh province on 1-143-month-old children. BT 2007 and 2011 estimated weights were recorded. Both tapes via
Use of the BroselowTape in a Mexican Emergency Department. The Broselowtape is one method for rapid weight estimation in pediatric patients undergoing resuscitation, but it does not perform equally in all populations. To date, we are unaware of any study evaluating its use in a Latin American population. To investigate the accuracy of the Broselowtape in a Mexican emergency department (ED ). We conducted a prospective, observational study of children presenting to a Mexican ED. Patient weight was estimated using the Broselowtape and the estimate compared to their weight measured on a scale. Researchers were blinded to scale weight and Broselow categories. For analysis, the Broselowtape's nine color zones were divided into three weight categories. Of 815 subjects, 356 (43.7%) were
Accuracy of the BroselowTape in South Sudan, "The Hungriest Place on Earth". The Broselowtape is a length-based tool used for the rapid estimation of pediatric weight and was developed to reduce dosage-related errors during emergencies. This study seeks to assess the accuracy of the Broselowtape and age-based formulas in predicting weights of South Sudanese children of varying nutritional status. This was a retrospective, cross-sectional study using data from existing acute malnutrition screening programs for children less than 5 years of age in South Sudan. Using anthropometric measurements, actual weights were compared with estimated weights from the Broselowtape and three age-based formulas. Mid-upper arm circumference was used to determine if each child was malnourished. Broselow
Comparison of the finger counting method, the Broselowtape and common weight estimation formulae in Filipino children after Typhoon Haiyan. We sought to evaluate commonly used paediatric weight estimation techniques in a sample of children in the Philippines. We prospectively collected age, height and weight data for a sample of 207 children aged 1-9 years seen during a medical aid trip (95% CI 2.4-3.7) and 18.6 (95% CI 16.4-20.8) for the finger counting method; 4.0 (95% CI 3.2-4.8) and 23.1 (95% CI 20.3-25.8) for the updated APLS method; 5.1 (95% CI 4.4-5.8) and 21.1 (95% CI 18.6-23.6) for the Luscombe formula; and 5.3 (95% CI 4.5-6.1) and 22.5 (95% CI 20-25.2) for the Best Guess formulae. The Broselowtape and the traditional APLS formula performed best in our sample. The finger
Comparison of Modified BroselowTape and Cole Formula This study aimed to determine the accuracy of modified Broselowtape measurements compared to Cole formula in predicting the size of uncuffed endotracheal tubes in Indonesian pediatrics 110 subjects were given informed consent before enrolling the study and randomized into two groups, modified BroselowTape and Cole formula. Preoperatively , prediction of suitable ETT size was performed based on Cole formula and Modified BroselowTape. In the operating theatre, general anesthesia induction was performed with sevoflurane 4-8 vol%, fentanyl 2 μcg/kg BW, and atracurium 0.5 mg/kg BW. Laryngoscopy was performed, and an uncuffed polyvinyl chloride endotracheal tubes, whose size was based on the Cole formula, was inserted. An appropriate size
A comparison of actual to estimated weights in Australian children attending a tertiary children's' hospital, using the original and updated APLS, Luscombe and Owens, Best Guess formulae and the Broselowtape. During paediatric resuscitation it is essential to be able to estimate the child's weight as it determines drug doses and equipment sizes. Age and length-based estimations exist, with age -based estimations being especially useful in the preparation phase and the length-based Broselowtape having weight-based drug doses and equipment already assigned via a colour code system. The aim of this study was to compare the actual recorded weights of Australian children to the predicted weights using the original and updated APLS, Luscombe and Owens and Best Guess formulae and the Broselowtape
Too tall for the tape: the weight of schoolchildren who do not fit the Broselowtape. In paediatric resuscitation, for a rapid and accurate estimate of children's weight, the Broselowtape can be used in children who are 46-144 cm tall. The Broselowtape has previously been found to provide the most accurate estimate of children's weight internationally, but it is not known how many fall outside the range of the tape, or whether such children can be assumed to be of adult weight, or how otherwise to estimate the weight of these children. To determine what proportion of children in different age groups falls outside the limits of the Broselowtape, how their weight compares with that of the adults and what correlates most strongly with weight in these children. This was a population-based
Accuracy of Paramedic BroselowTape Use in the Prehospital Setting. The Broselowtape is widely used to rapidly estimate weight and facilitate proper medication dosing in pediatric patients. We aimed to determine the accuracy of prehospital use of the Broselowtape. We prospectively enrolled a consecutive sample of pediatric patients transported to the emergency department (ED) at Harbor-UCLA weight and the ED Broselow weight as defined by Pearson's correlation coefficient was 0.92 (95% CI 0.90 to 0.93) and 0.97 (95% CI 0.97 to 0.98), respectively. Multiple imputation for missing data did not alter the results. Paramedic Broselow weight correlates well with scale weight and ED Broselow weight. Paramedics can use the Broselowtape to accurately determine weight for pediatric patients
Estimating the Weight of Children in Kenya: Do the BroselowTape and Age-Based Formulas Measure Up? Validated methods for weight estimation of children are readily available in developed countries; however, their utility in developing countries with higher rates of malnutrition and infectious disease is unknown. The goal of this study is to determine the validity of a height-based estimate , the Broselowtape, compared with age-based estimations among pediatric patients in Western Kenya. A prospective cross-sectional study of all sick children presenting to the emergency department of a government referral hospital in Eldoret, Kenya, was performed. Measured weight was compared with predicted weights according to the Broselowtape and commonly used advanced pediatric life support (APLS
Electronic Pediatric Emergency Ruler vs the BroselowTape. Comparison of two different pediatric emergency rulers for length-based body weight estimation in pediatric emergencies.Primary outcome is the time needed to identify four defined parameters from the pediatric emergency rulers during a low-fidelity pediatric emergency scenario (cardiac arrest). Secondary outcome is the correctness knowing where to find the information of interest.The pediatric emergency rulers investigated were the electronic Pediatric Emergency Ruler (ePER) and the BroselowTape (BT)All participants were instructed for the use of the two pediatric emergency rulers and were given time to practice with each device using one training manikin (Sim-Baby)After they felt comfortable using the devices the participants