🚨 WETFLAG

Paediatric resuscitation card - APLS weight-based doses at a glance

Patient

Enter age to estimate weight using APLS age-banded formula. Enter an actual weight to override.

WETFLAG Resuscitation Summary
Awaiting age…
W
Weight
-
APLS formula by age band
E
Energy
-
Defib / pVT & VF: 4 J/kg
T
Tube (ETT)
-
Internal diameter (mm) & length at lip (cm)
F
Fluids
-
10 mL/kg crystalloid bolus (5 mL/kg in trauma)
L
Lorazepam
-
0.1 mg/kg IV (max 4 mg). Buccal midazolam 0.3 mg/kg if no IV.
A
Adrenaline
-
10 mcg/kg = 0.1 mL/kg of 1:10,000. Every 3-5 min in arrest.
G
Glucose
-
2 mL/kg 10% dextrose IV for documented hypoglycaemia
Airway & Cardioversion Detail
ETT uncuffed
-
age/4 + 4 (>2 yr)
ETT cuffed
-
age/4 + 3.5
ETT length (oral)
-
age/2 + 12 cm
ETT length (nasal)
-
age/2 + 15 cm
LMA size
-
weight-based
DC cardioversion
-
1 J/kg then 2 J/kg (synchronised)
Emergency Drug Doses
Drug Dose Calculated Notes

Always cross-check against BNFc and local protocols. Doses rounded to a sensible figure; do not exceed adult maxima.

Quick Reference

APLS weight formulas

  • 0–12 months: (0.5 × months) + 4
  • 1–5 years: (2 × age) + 8
  • 6–12 years: (3 × age) + 7

Compressions

  • Rate: 100–120/min
  • Depth: ⅓ AP diameter (~4 cm infant, ~5 cm child)
  • Ratio: 15:2 with airway, 30:2 lay rescuer

Reversible causes - 4 Hs & 4 Ts

  • Hypoxia · Hypovolaemia · Hypo/Hyperkalaemia · Hypothermia
  • Tension pneumothorax · Tamponade · Toxins · Thromboembolism