However, measuring MAC might take longer to produce a weight estimate, which would not be ideal during emergency care. Since MAC has previously been shown to be strongly associated with body habitus and is an objective measurement, as opposed to an observer’s impression of a patient, its use may increase the accuracy of the PAWPER XL-MAC system when compared to the original system. For this reason, the PAWPER extra-long (XL)-MAC system was developed, which makes use of MAC to define body habitus, rather than a gestalt impression. This system is potentially vulnerable to error as different health care workers may have different perceptions of body habitus. The PAWPER tape system makes use of a child’s body length and a general impression (gestalt visual assessment system) or a figural reference image rating scale (using pictures of children at each habitus score ) to assess habitus and provide a weight estimation from the tape. This method has been shown to have good accuracy in populations with a high prevalence of obesity or of underweight children. The Mercy method uses surrogates of the total body length (humeral length) and body habitus (mid-arm circumference, MAC) to estimate weight. Other than parental estimates, the most accurate current methods of weight estimation are the newer two-dimensional dual length- and body habitus-based systems, such as the Mercy method and the pediatric advanced weight prediction in the emergency room (PAWPER) tape system. This can potentially lead to a dangerous degree of drug overdosing or underdosing. Many studies have shown that the Broselow tape overestimates children’s weights in lower socioeconomic settings and underestimates the weight of children from higher income countries. However, it also has significant disadvantages. This tape is commonly used in the emergency setting because of its simplicity and immediate availability of medication dosages and equipment sizes. Various length-based weight prediction methods have been developed for children in the past, the most well-known of which is the Broselow tape. As the estimated body weight determines the efficacy and safety of therapeutic interventions, this estimation needs to be accurate. This is either due to the need for immediate intervention and resuscitation or due to immobilization. The actual body weight of children presenting in emergency settings or receiving critical care is often difficult or impossible to obtain. GREAT product from a GREAT site.The management directed at children is generally quantified by their body weight. When I showed it to some Paramedic instructors, they said it was the best they' d ever seen. I expected to receive a paper tape that wouldn' t last very long but what I got was a well made durable tape that will last for a long time. The Broselow tape I received was even better then I thought. This was the best price I found and the order came quickly. I ordered and received the Broselow tape so I could demonstrate to my nursing students how it is used. Time saved is life saved, and nothing saves time like having doses and treatments already calculated and at your fingertips. If I' m in any clinical setting, I keep one in a pocket next to my light & my trauma shears. If you work in Pediatrics, Emergency Medicine, Intensive Care or anything similar, you already know the Broselow tape. Thus, incorporating a visual estimate of whether the child is over-weight provides a simple method to predict weight that appears to be clinically relevant given the rise of obesity in the United States. Specifically, for application the patient's length-based measurements zone if the child appears overweight. *If the healthcare provider incorporates a visual estimate of body habitus into the prediction, the accuracy of the estimate of actual patient weight is improved as confirmed in multiple studies. PediPro Pediatric Resuscitation System Kit - Z Fold.Broselow Pediatric Resuscitation System.Retractable Pediatric Emergency Tape - Broselow Compatible.
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