RESEARCH

Comparison of Two Length-Based Tape Systems for Pediatric Resuscitation

Background: The use of a length/weight-based tape (LBT) for equipment sizing and drug dosing for pediatric patients is recommended in a joint statement by ACS and NAEMSP. The BroselowTM tape is widely used and accepted in hospital and prehospital settings. A new system, known as HandtevyTM, allows rapid determination of critical drug doses without performing calculations… Conclusion: Handtevy™ LBT system is more accurate for dextrose administration compared to the Broselow™, preserving time to administration and accuracy of epinephrine in simulated prehospital scenarios. After comparison of both systems, the majority of PHPs indicate preference for the Handtevy™ system.| Lara Rappaport, Maria Mandt, Timothy Givens, Ashley Balakas, Kevin Waters, Kelley Roswell, Roxanna Lefort, Kathleen Adelgais, University of Colorado & Aurora Fire Department | NAEMSP Abstract 1/17/2014

Comparison of a hybrid pediatric weight estimation method (Handtevy™) to the Broselow™ length based tape-

Predicted weights from the Handtevy™ age-based weight estimation method accurately predict pediatric normal weights. A comparison of two length-based tapes demonstrates increased accuracy of the Handtevy™ LBT over the Broselow™ LBT. The Handtevy age-based system outperforms the Broselow™ LBT for underweight, normal weight, and obese children.Peter Antevy M.D., Patrick Hardigan PhD, Robert Levy B.A. Joe DiMaggio Children’s Hospital, Nova Southeastern University, University of South Florida College of Medicine | ClinCon 2014

 

Handtevy v. Broselow-

Abstract: Study Objectives: The 2010 Pediatric Advanced Life Support (PALS) guidelines state that length-based tapes (LBT) are more accurate than age-based methods in the prediction of body weight (Class IIa, LOE C). A novel hybrid pediatric age and length-based weight estimation method (Handtevy™) has been described to significantly improve accuracy in a pre-hospital pediatric simulation trial compared to the Broselow™ system… Conclusion: Predicted weights from the Handtevy™ age-based weight estimation method accurately predict pediatric normal weights. A comparison of two length-based tapes demonstrates increased accuracy of the Handtevy™ LBT over the Broselow™ LBT. The Handtevy™ age-based system outperforms the Broselow™ LBT for underweight, normal weight, and obese children.| By Peter Antevy, Patrick Hardigan, Robert Levy. Joe DiMaggio Children's Hospital, Weston, FL, Nova SouthEastern University, Davie, FL, University of South Florida Morsani College of Medicine, Tampa, FL | American College of Emergency Physicians® 2014