Medical Gems

Settings
Weight: 10 kg
Age: 1 years

Drugs

years
Essentials1 / 12
Adrenaline
IV: 10 mcg/kg
100 mcg
Atropine
IV: 20 mcg/kg
200 mcg
Suxamethonium
IV: 2 mg/kg
20 mg
IM: 4 mg/kg
40 mg
(neat: 100 mg / 2 mL
0.8 mL)
Defibrillation
4 J/kg
40 J
Airway2 / 12
ETT Size
(age / 4) + 3.5 (cuffed)
4
(age / 4) + 4.0 (uncuffed)
4.5
ETT Depth
ETT * 3
13.5 cm
(age/2) + 12
12.5 cm
LMA Size
-
2.0
Larynoscope blade
-
Miller 1
Weight3 / 12
Estimated Weight
APLS 4: (age + 4) * 2
10 kg
APLS 5: (age x 2) + 8
10 kg
Measured Weight
-
10 kg
Arrest4 / 12
Adrenaline
IV: 10 mcg/kg
100 mcg
Atropine
IV: 20 mcg/kg
200 mcg
Bicarbonate (HyperK, TCA, MA, Prolonged (15 mins)
IV: 1 mmol/kg
10 mmol
Amiodarone
IV: 5 mg/kg
50 mg
Magnesium 50% (Torsades pVF, hypoK, refractory VF/VT)
IV: 0.1 mL/kg
1 mL
Anaphylaxis5 / 12
Adrenaline IM
IM: 6-12 kg
300 mcg
Adrenaline IV
IV: Grade 2 = 2 mcg/kg
20 mcg
IV: Grade 3 = 4 mcg/kg
40 mcg
IV: Grade 3 = 10 mcg/kg
100 mcg
IV: Grade 4 (Arrest) = 10 mcg/kg
100 mcg
Antidotes6 / 12
Dantrolene
IV: 2.5 mg/kg
25 mg
(20 mg vial / 60 mL = 3 mg/mL
75 mL)
Intralipid 20%
IV: 1.5 mL/kg
15 mL
Naloxone
IV: 10 mcg/kg
100 mcg
Anti-arrhythmics7 / 12
Amiodarone
IV: 5 mg/kg
50 mg
Adenosine
IV: 0.1 mg/kg
1 mg
IV: 0.2 mg/kg
2 mg
Anti-convulsants8 / 12
Midazolam
IV: 0.15 mg/kg
1.5 mg
IM: 0.15 mg/kg
1.5 mg
Buccal: 0.3 mg/kg
3 mg
Phenytoin
IV: 20 mg/kg
200 mg
Levetiracetam
IV: 40 mg/kg
400 mg
Blood Products9 / 12
Packed Red Cells
IV: 10 mL/kg
100 mL
FFP / ELP
IV: 10 mL/kg
100 mL
Cryoprecipitate
IV: 5 mL/kg
50 mL
Platelets
IV: 10 mL/kg
100 mL
Tranexamic acid
IV: 15 mg/kg
150 mg
Calcium Chloride 10% = 0.68 mmol/mL
IV: 0.2 mL/kg
2 mL
Electricity10 / 12
Cardioversion
0.5 J/kg
5 J
1 J/kg
10 J
Defibrillation
4 J/kg
40 J
Glucose11 / 12
Insulin
IV: 0.1 iu/kg
1 iu
Infusion: 0.02 iu/kg/hr
0.2 iu/kg/hr
Infusion: 0.5 iu/kg/day
5 iu/kg/day
Glucose 5% = 5 g / 100 mL = 0.05 g/mL
IV: 2 mL/kg
20 mL
Infusion: 0.1 g/kg/hr
1 g/kg/hr
Glucose 10% = 10 g / 100 mL = 0.1 g/mL
IV: 2 mL/kg
20 mL
Infusion: 0.1 g/kg/hr
1 g/kg/hr
Glucose 50% = 50 g / 100 mL = 0.5 g/mL
IV: 0.2 mL/kg
2 mL
Infusion: 0.1 g/kg/hr
1 g/kg/hr
Raised ICP12 / 12
Mannitol 20% = 20 g / 100 mL = 1 g / 5 mL = 0.2 g/mL
IV: 0.5 g/kg = 2.5 mL/kg
25 mL
IV: 1 g/kg = 5 mL/kg
50 mL
3% NaCl = Hypertonic Saline
IV: 3 mL/kg
30 mL
Thiopentone
IV: 10 mg/kg (Max)
100 mg
IV: 1.25 mg/kg (1/8 Max)
12.5 mg
Propofol
IV: 4 mg/kg (Max)
40 mg
IV: 0.5 mg/kg (1/8 Max)
5 mg
Standard Induction1 / 12
Propofol
IV: 2 mg/kg
20 mg
IV: 4 mg/kg
40 mg
Rocuronium
IV: 0.6 mg/kg
6 mg
IV: 1 mg/kg
10 mg
Adjuncts2 / 12
Clonidine
IV: 1 mcg/kg
10 mcg
Remifentanil
IV: 1 mcg/kg
10 mcg
Infusion: 0.1 mcg/kg/min
1 mcg/min
Infusion: 0.2 mcg/kg/min
2 mcg/min
Infusion: 0.3 mcg/kg/min
3 mcg/min
Dexmedetomidine
IV: 0.2 mcg/kg
2 mcg
IV: 0.3 mcg/kg
3 mcg
IV: 1 mcg/kg
10 mcg
Infusion: 0.2 mcg/kg/hr
2 mcg/hr
Infusion: 0.3 mcg/kg/hr
3 mcg/hr
Infusion: 0.5 mcg/kg/hr
5 mcg/hr
Magnesium 50% (Torsades pVF, hypoK, refractory VF/VT)
IV: 0.1 mL/kg
1 mL
Analgesia3 / 12
Fentanyl
IV: 0.5 mcg/kg
5 mcg
IV: 1 mcg/kg
10 mcg
Oxycodone
IV: 0.05 mg/kg
0.5 mg
IV: 0.1 mg/kg
1 mg
Paracetamol
IV: 15 mg/kg
150 mg
PO: 15 mg/kg
150 mg
Ibuprofen
PO: 10 mg/kg
100 mg
Parecoxib
IV: 0.5 mg/kg
5 mg
Antibiotics4 / 12
Cefazolin
IV: 25 mg/kg
250 mg
Anti-emetics5 / 12
Dexamethasone
IV: 0.15 mg/kg
1.5 mg
Ondansetron
IV: 0.15 mg/kg
1.5 mg
Hypnotic6 / 12
Propofol
IV: 2 mg/kg
20 mg
IV: 4 mg/kg
40 mg
Thiopentone
IV: 5 mg/kg
50 mg
Ketamine
IV: 0.5 mg/kg
5 mg
IV: 1 mg/kg
10 mg
IV: 2 mg/kg
20 mg
IV Fluids7 / 12
Bolus
IV: 10 mL/kg
100 mL
IV: 20 mL/kg
200 mL
Maintenance
4:2:1
40 mL/hr
Local Anaesthetics8 / 12
0.25% bupivacaine / Ad 1:400,000 = 2.5 mg/mL = 1 mL/kg
Max: 2.5 mg/kg = 25 mg
10 mL
1% lignocaine = 10 mg/mL = 0.1 mL/kg
Max: 3 mg/kg = 30 mg
3 mL
Max: 4.5 mg/kg = 45 mg
4.5 mL
Max: 7 mg/kg = 70 mg
7 mL
NMBA9 / 12
Suxamethonium
IV: 2 mg/kg
20 mg
IM: 4 mg/kg
40 mg
(neat: 100 mg / 2 mL
0.8 mL)
Rocuronium
IV: 0.6 mg/kg
6 mg
IV: 1 mg/kg
10 mg
Vecuronium
IV: 0.1 mg/kg
1 mg
Premedication10 / 12
Midazolam
PO: 0.5 mg/kg
5 mg
IV: 0.1 mg/kg
1 mg
Ketamine
PO: 2 mg/kg
20 mg
PO: 3 mg/kg
30 mg
IM: 5 mg/kg
50 mg
Clonidine
PO: 3 mcg/kg
30 mcg
Reversal11 / 12
Sugammadex
IV: 2 mg/kg
20 mg
IV: 4 mg/kg
40 mg
IV: 16 mg/kg
160 mg
Neostigmine
IV: 50 mcg/kg
500 mcg
Glycopyrrolate
IV: 10 mcg/kg
100 mcg
Atropine
IV: 20 mcg/kg
200 mcg
Vasopressor12 / 12
Metaraminol
IV: 5 mcg/kg
50 mcg
IV: 10 mcg/kg
100 mcg
Essentials1 / 24
Adrenaline
IV: 10 mcg/kg
100 mcg
Atropine
IV: 20 mcg/kg
200 mcg
Suxamethonium
IV: 2 mg/kg
20 mg
IM: 4 mg/kg
40 mg
(neat: 100 mg / 2 mL
0.8 mL)
Defibrillation
4 J/kg
40 J
Airway2 / 24
ETT Size
(age / 4) + 3.5 (cuffed)
4
(age / 4) + 4.0 (uncuffed)
4.5
ETT Depth
ETT * 3
13.5 cm
(age/2) + 12
12.5 cm
LMA Size
-
2.0
Larynoscope blade
-
Miller 1
Weight3 / 24
Estimated Weight
APLS 4: (age + 4) * 2
10 kg
APLS 5: (age x 2) + 8
10 kg
Measured Weight
-
10 kg
Arrest4 / 24
Adrenaline
IV: 10 mcg/kg
100 mcg
Atropine
IV: 20 mcg/kg
200 mcg
Bicarbonate (HyperK, TCA, MA, Prolonged (15 mins)
IV: 1 mmol/kg
10 mmol
Amiodarone
IV: 5 mg/kg
50 mg
Magnesium 50% (Torsades pVF, hypoK, refractory VF/VT)
IV: 0.1 mL/kg
1 mL
Adjuncts5 / 24
Clonidine
IV: 1 mcg/kg
10 mcg
Remifentanil
IV: 1 mcg/kg
10 mcg
Infusion: 0.1 mcg/kg/min
1 mcg/min
Infusion: 0.2 mcg/kg/min
2 mcg/min
Infusion: 0.3 mcg/kg/min
3 mcg/min
Dexmedetomidine
IV: 0.2 mcg/kg
2 mcg
IV: 0.3 mcg/kg
3 mcg
IV: 1 mcg/kg
10 mcg
Infusion: 0.2 mcg/kg/hr
2 mcg/hr
Infusion: 0.3 mcg/kg/hr
3 mcg/hr
Infusion: 0.5 mcg/kg/hr
5 mcg/hr
Magnesium 50% (Torsades pVF, hypoK, refractory VF/VT)
IV: 0.1 mL/kg
1 mL
Analgesia6 / 24
Fentanyl
IV: 0.5 mcg/kg
5 mcg
IV: 1 mcg/kg
10 mcg
Oxycodone
IV: 0.05 mg/kg
0.5 mg
IV: 0.1 mg/kg
1 mg
Paracetamol
IV: 15 mg/kg
150 mg
PO: 15 mg/kg
150 mg
Ibuprofen
PO: 10 mg/kg
100 mg
Parecoxib
IV: 0.5 mg/kg
5 mg
Anaphylaxis7 / 24
Adrenaline IM
IM: 6-12 kg
300 mcg
Adrenaline IV
IV: Grade 2 = 2 mcg/kg
20 mcg
IV: Grade 3 = 4 mcg/kg
40 mcg
IV: Grade 3 = 10 mcg/kg
100 mcg
IV: Grade 4 (Arrest) = 10 mcg/kg
100 mcg
Antibiotics8 / 24
Cefazolin
IV: 25 mg/kg
250 mg
Antidotes9 / 24
Dantrolene
IV: 2.5 mg/kg
25 mg
(20 mg vial / 60 mL = 3 mg/mL
75 mL)
Intralipid 20%
IV: 1.5 mL/kg
15 mL
Naloxone
IV: 10 mcg/kg
100 mcg
Anti-arrhythmics10 / 24
Amiodarone
IV: 5 mg/kg
50 mg
Adenosine
IV: 0.1 mg/kg
1 mg
IV: 0.2 mg/kg
2 mg
Anti-emetics11 / 24
Dexamethasone
IV: 0.15 mg/kg
1.5 mg
Ondansetron
IV: 0.15 mg/kg
1.5 mg
Anti-convulsants12 / 24
Midazolam
IV: 0.15 mg/kg
1.5 mg
IM: 0.15 mg/kg
1.5 mg
Buccal: 0.3 mg/kg
3 mg
Phenytoin
IV: 20 mg/kg
200 mg
Levetiracetam
IV: 40 mg/kg
400 mg
Blood Products13 / 24
Packed Red Cells
IV: 10 mL/kg
100 mL
FFP / ELP
IV: 10 mL/kg
100 mL
Cryoprecipitate
IV: 5 mL/kg
50 mL
Platelets
IV: 10 mL/kg
100 mL
Tranexamic acid
IV: 15 mg/kg
150 mg
Calcium Chloride 10% = 0.68 mmol/mL
IV: 0.2 mL/kg
2 mL
Electricity14 / 24
Cardioversion
0.5 J/kg
5 J
1 J/kg
10 J
Defibrillation
4 J/kg
40 J
Glucose15 / 24
Insulin
IV: 0.1 iu/kg
1 iu
Infusion: 0.02 iu/kg/hr
0.2 iu/kg/hr
Infusion: 0.5 iu/kg/day
5 iu/kg/day
Glucose 5% = 5 g / 100 mL = 0.05 g/mL
IV: 2 mL/kg
20 mL
Infusion: 0.1 g/kg/hr
1 g/kg/hr
Glucose 10% = 10 g / 100 mL = 0.1 g/mL
IV: 2 mL/kg
20 mL
Infusion: 0.1 g/kg/hr
1 g/kg/hr
Glucose 50% = 50 g / 100 mL = 0.5 g/mL
IV: 0.2 mL/kg
2 mL
Infusion: 0.1 g/kg/hr
1 g/kg/hr
Hypnotic16 / 24
Propofol
IV: 2 mg/kg
20 mg
IV: 4 mg/kg
40 mg
Thiopentone
IV: 5 mg/kg
50 mg
Ketamine
IV: 0.5 mg/kg
5 mg
IV: 1 mg/kg
10 mg
IV: 2 mg/kg
20 mg
Standard Induction17 / 24
Propofol
IV: 2 mg/kg
20 mg
IV: 4 mg/kg
40 mg
Rocuronium
IV: 0.6 mg/kg
6 mg
IV: 1 mg/kg
10 mg
Raised ICP18 / 24
Mannitol 20% = 20 g / 100 mL = 1 g / 5 mL = 0.2 g/mL
IV: 0.5 g/kg = 2.5 mL/kg
25 mL
IV: 1 g/kg = 5 mL/kg
50 mL
3% NaCl = Hypertonic Saline
IV: 3 mL/kg
30 mL
Thiopentone
IV: 10 mg/kg (Max)
100 mg
IV: 1.25 mg/kg (1/8 Max)
12.5 mg
Propofol
IV: 4 mg/kg (Max)
40 mg
IV: 0.5 mg/kg (1/8 Max)
5 mg
IV Fluids19 / 24
Bolus
IV: 10 mL/kg
100 mL
IV: 20 mL/kg
200 mL
Maintenance
4:2:1
40 mL/hr
Local Anaesthetics20 / 24
0.25% bupivacaine / Ad 1:400,000 = 2.5 mg/mL = 1 mL/kg
Max: 2.5 mg/kg = 25 mg
10 mL
1% lignocaine = 10 mg/mL = 0.1 mL/kg
Max: 3 mg/kg = 30 mg
3 mL
Max: 4.5 mg/kg = 45 mg
4.5 mL
Max: 7 mg/kg = 70 mg
7 mL
NMBA21 / 24
Suxamethonium
IV: 2 mg/kg
20 mg
IM: 4 mg/kg
40 mg
(neat: 100 mg / 2 mL
0.8 mL)
Rocuronium
IV: 0.6 mg/kg
6 mg
IV: 1 mg/kg
10 mg
Vecuronium
IV: 0.1 mg/kg
1 mg
Premedication22 / 24
Midazolam
PO: 0.5 mg/kg
5 mg
IV: 0.1 mg/kg
1 mg
Ketamine
PO: 2 mg/kg
20 mg
PO: 3 mg/kg
30 mg
IM: 5 mg/kg
50 mg
Clonidine
PO: 3 mcg/kg
30 mcg
Reversal23 / 24
Sugammadex
IV: 2 mg/kg
20 mg
IV: 4 mg/kg
40 mg
IV: 16 mg/kg
160 mg
Neostigmine
IV: 50 mcg/kg
500 mcg
Glycopyrrolate
IV: 10 mcg/kg
100 mcg
Atropine
IV: 20 mcg/kg
200 mcg
Vasopressor24 / 24
Metaraminol
IV: 5 mcg/kg
50 mcg
IV: 10 mcg/kg
100 mcg