1.                      ALS Protocols for Pediatric Patients

Age limits for pediatric patients must be flexible. For age less than 13 years, pediatric orders should always apply. Between the ages of 13 and 18, judgment should be used, although the pediatric orders will usually apply. It is recognized that the exact age of a patient is not always known.

 

PART I.  GENERAL GUIDELINES

A.     Patient Consent and Refusal: Consent or refusalof treatment/transport of minors (less than 18 years) must be given by the child's parent or legal guardian.  Although less desirable, consent or refusal may be given by a responsible adult (over age 18) caretaker if the parent has deliberately left the minor in the care of this adult, and the adult is competent and capable.  If unsure whether it is appropriate to allow someone to give consent or refuse treatment of a minor, a medical control physician should be consulted.  (Also, see Adult Protocols).

B.     Parents should be allowed to stay with children during evaluation and transport, if appropriate.  The parent's lap is usually the best place for the examination of a stable patient.

C.     May follow dosage and equipment recommendations on Broselow tape.

 

Pediatric Reference Chart

 

Age

Wt (Kgs.)

Wt. (Lbs.)

HR

RR

SBP

IV
Catheter (G)

Laryngoscope Blade Size

Tracheal Tube Size

Newborn

3-5

6-11

80-180

40-60

70

22-24

0-1 straight

Term Infant
3.0-3.5

6 Months

6-9

12-20

80-180

24-36

90 ± 30

22-24

1 straight

3.5 uncuffed

1 Year

10-11

21-24

80-180

22-30

95 ± 30

20-24

1 straight

4.0 uncuffed

2 Years

12-14

25-31

80-180

20-26

100 ± 20

18-22

2 straight

4.5 uncuffed

4 Years

15-18

32-40

75-150

20-26

100 ± 25

18-22

2 straight or curved

5.0 uncuffed

6 Years

19-22

41-48

70-150

20-24

100 ± 15

18-20

2 straight or curved

5.5 uncuffed

8 Years

24-30

49-66

60-125

18-22

105 ± 15

18-20

2-3 straight or curved

6.0 cuffed

10 Years

31-44

67-96

60-125

18-22

110 ± 20

16-20

3 straight or curved

6.5 cuffed

12 Years

45-49

97-109

60-125

16-22

115 ± 20

16-20

3 straight or curved

6.5 cuffed

14 Years

50+

110+

60-125

14-20

115 ± 20

16-20

3 straight or curved

6.5 cuffed

Adapted from AHA ECC Guidelines