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Clinical guidelines and drug calculators

For healthcare professionals

Our policy

These clinical guidelines have been produced by South Thames Retrieval Service (STRS) at Evelina London for nurses, doctors and ambulance technicians to refer to in the emergency care of critically ill children.

These guidelines represent the views of STRS which were produced after careful consideration of available evidence in conjunction with clinical expertise and experience. The guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient. 

Drug calculators, clinical guidelines and drug doses

Drug doses and calculators

 

Due for review

MM/YYYY

Emergency drug dose calculator (PDF 186Kb) - please make sure you download the PDF to your desktop. MAXIMUM WEIGHT = 50KG 

03/2020

Age based norms and infusion calculator (PDF 321Kb) - please make sure you download the PDF to your desktop

03/2020

Corrected sodium calculator (PDF 222Kb) - please make sure you download the PDF to your desktop 03/2020
Reference doses for IV infusions (PDF Kb) 03/2020
Paediatric drug formulary (web link)  
Muscle relaxation (PDF 319Kb) 03/2018
Hypertonic saline (PDF 358Kb) 03/2018

Clinical guidelines

 
 

Due for review

Paediatric emergencies (A-Z)  
Arrythmias - SVT, Atrial Flutter, Ventricular tachycardia (PDF Kb) 12/2018

Asthma (PDF 383Kb)

04/2021
Bronchiolitis (PDF 84Kb) 12/2018
Burns (PDF 202Kb) 08/2018
Diabetic Ketoacidosis (DKA) (PDF 432Kb) 01/2021

Diabetic Ketoacidosis: Two bag technique (PDF 119Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

03/2018*
DKA corrected sodium calculator download the PDF and save on desktop before use. (PDF 222Kb) 03/2020

Drowning (PDF 316Kb)

03/2021

Electrolyte emergencies (PDF 392Kb)

04/2021
Liver failure (PDF 365Kb) 11/2021

Malaria (PDF 220Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

03/2018*
Metabolic disorders (PDF 423Kb) 01/2021
Neonatal collapse (PDF 305Kb) 11/2020
Neurosurgical emergency (PDF 450Kb) 03/2021

Oncologic emergencies - includes febrile neturopaenia, tumour lysis syndrome and airway obstruction due to mediatsinal masses (PDF 139 Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

08/2017*
Pertussis (PDF 158Kb) 08/2018

Sepsis (PDF 194Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

03/2018*

Status Epilepticus - seizures (PDF 332Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

03/2018*

Stroke
*Please be aware that this is an external guideline, written by the Royal College of Paediatrics and Child Health.

 
General management and theory  

Patient stabilisation (PDF 135Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

03/2018*
Securing endotracheal tubes (ETT) (PDF 577Kb) 03/2021

Management of the paediatric patient in adult ITU (PDF 356Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

03/2018*
End of life care at referral hospitals (PDF 127Kb) 11/2020

Drug extravasation (PDF 221Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

12/2017*

Acid base interpretation (PDF 340 Kb)

*Please be aware that this guideline has passed its review date and is currently in the process of being reviewed and updated.

03/2018*
Transport  

Aeromedical transfer (PDF 393Kb)

09/2020
Neurosurgical emergency (PDF 450Kb) 20/2021
The logo for the South Thames Retrieval Service (STRS).

Paediatric emergency drugs app

Download the app from the iTunes store to access:

  • drug calculations based on a child's age and weight
  • calculated cardiac arrest drugs
  • calculated induction agents, muscle relaxants and anticonvulsants
  • over 80 additional infusion and bolus drugs
  • calculated physiological parameters (reference ranges for heart rate, blood pressure)
  • calculated paediatric endotracheal tube sizes and other equipment
  • infusion rate and glucose calculator.
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