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Pediatric Epinephrine Dosing- Slide the Decimal

Epinephrine dosing for Pediatric Cardiac arrest is complicated. When managing the case, the doses and concentrations are swirling around in your head, and you need a simplified method to make dosing easy.

So here it is, courtesy of the one-and-only Dr. Alson Inaba, a pediatric emergency physician in Hawaii and the creator of the finger-counting method for pediatric weight estimation.


Dr. Inaba’s Pediatric Cardiac arrest Epinephrine dosing technique is called “slide the decimal.”

Here’s how it works: take the child’s weight and slide the decimal to the left once. That’s it. That’s your volume of cardiac arrest epinephrine. This is the most important number to get right because it’s the number that the person giving the epinephrine wants to know.

For documentation purposes, slide the decimal to the left again to get the mg of Epinephrine given.⁣⁣


📹 @thegurneyroom

Disclaimer: This video is for educational purposes and is not intended as medical advice. While we strive for 100% accuracy, errors may occur, and medications or protocols may change over time.



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