SBP floor 1–10 y = 70 + 2×age · a "normal" BP does not rule out shock
ARREST weight-based · IV/IO
Epi 0.1 mg/mL
0.01 mg/kg = 0.1 mL/kgq3–5m· max 1 mg
Defibrillate
2 J/kg → 4 J/kg· max 10 J/kg or adult dose
Cardioversion
0.5–1 J/kg → 2 J/kg· synchronized
Amiodarone
5 mg/kg· max 300 mg · may repeat ×2
Adenosine
0.1 → 0.2 mg/kg rapid· max 6 → 12 mg
Compressions
100–120/min · ⅓ AP depth· 15:2 two-rescuer
FLUIDS
Bolus10–20 mL/kg isotonic
reassess after each bolus
Blood10 mL/kg
Neonate/CHD10 mL/kg
GLUCOSE rule of 50
D105 mL/kg · D252 mL/kg
D501 mL/kg(% × mL/kg = 50)
low: <60 child · <45 neonate
recheck 10–15 min after dose
⚠ NORMAL-LOOKING LOWS — HYPOTENSION IS LATE
Children compensate: tachycardia · cool/mottled skin · cap refill >2 s · narrow pulse pressure with SBP intact. Falling BP = decompensation — act before it.
Tachycardia out of proportion + poor perfusion = shock with a "normal" BP.
FIELD REFERENCE · NOT A PROTOCOLVERIFY LOCALLY
FRONT
AIRWAY cuffed ETT = age/4 + 3.5
AGE
ETT cuffed
DEPTH cm
BLADE
Neonate
3.0
9
Miller 0–1
1 y
3.5–4.0
10.5–12
Miller 1
2 y
4.0
12
Miller 1–2
4 y
4.5
13.5
Miller/Mac 2
6 y
5.0
15
Mac 2
8 y
5.5
16.5
Mac 2
10 y
6.0
18
Mac 2–3
12 y
6.5
19.5
Mac 3
depth at lip = 3 × ETT size · uncuffed = age/4 + 4 · confirm with EtCO2
SEIZURE · ANAPHYLAXIS · RSI
Midazolam
0.1 IV / 0.2 IM/INmg/kg· max 5 IV / 10 IM
Epi IM 1 mg/mL
0.01 mg/kgmax 0.3–0.5 mg· thigh · q5–15m
Ketamine
1–2 mg/kg IV·4 mg/kg IM
Fentanyl
1–2 mcg/kg IV/IN· slow push
Rocuronium
1 mg/kg IV
Atropine
0.02 mg/kg· max 0.5 mg · symptomatic brady
Naloxone
0.1 mg/kg IV/IO/IN· max 2 mg · repeat prn
NEONATE QUICK
warm · dry · stimulate · suction prn
apneic/gasping →PPV40–60/min
HR <60 + poor perfusion →
compressions3:1
epi 0.01–0.03 mg/kg IV (0.1 mg/mL)
no chest rise →MR SOPA corrections
SpO2 target 85–95% by 10 min
FIRST MOVES
estimate kg first — every dose needs it
check glucose in any sick child
brady →oxygenate + ventilate first
IO early if no IV in ≤2 attempts
length-based tape > age formulas
keep warm — cold worsens everything
BRADYCARDIA = HYPOXIA
until proven otherwise — fix airway & oxygenation before drugs
VERIFY AGAINST LOCAL PROTOCOL
BACK
REAL CARD ARTWORK · VECTOR TEXT — ZOOM ALL YOU WANT
CC-PED-01 · ACUTE CARE 05
Pediatric Emergency Reference Badge
Weight and vitals by age band, arrest doses, airway sizing, seizure/anaphylaxis/RSI drugs.
$14First run — ships July 25
Free US shipping
Rigid PVC · water-resistant
2.25 × 3.5 in · badge-reel slot
SKU
CC-PED-01
Series
ACUTE CARE 05
Size
2.25 × 3.5 in (CR80)
Material
Rigid PVC, water-resistant
Finish
Dark ink on field-kit tan
For
Anyone who runs low-frequency, high-stakes peds calls.
Pediatric calls are low-frequency, high-stakes — and every dose depends on a weight you have to estimate under pressure. This field-kit card puts the numbers where your hands already are: weight and vitals by age band, arrest doses, airway sizing, and the drugs for seizure, anaphylaxis, and RSI.
Front
a combined WEIGHT & VITALS table — age band, estimated kg (APLS formula labeled), HR, RR, and SBP floor from neonate to adolescent, with the SBP-floor formula footnoted; an ARREST dose table — epinephrine 0.01 mg/kg, defibrillation 2 → 4 J/kg, cardioversion, amiodarone, adenosine, and compression mechanics; paired FLUIDS and GLUCOSE panels (bolus and blood volumes, the rule of 50, hypoglycemia cutoffs); and an amber strip on compensated shock — normal-looking lows, hypotension is late.
Back
an AIRWAY table — cuffed ETT size, depth-at-lip, and blade for 8 anchor ages, with the sizing formulas footnoted; a SEIZURE · ANAPHYLAXIS · RSI dose table (midazolam, IM epinephrine, ketamine, fentanyl, rocuronium, atropine, naloxone); an amber NEONATE QUICK panel (NRP sequence, 3:1 compressions, neonatal epi, MR SOPA, SpO₂ target) paired with a FIRST MOVES panel; and the boxed rule: BRADYCARDIA = HYPOXIA. Built for nurses, paramedics, ER staff, and tactical medics who work adult-heavy but need pediatric numbers instantly when the exception rolls in. Rigid PVC, water-resistant, standard CR80 badge size in the tan field-kit colorway with dark olive-and-amber print. Punched badge-reel slot at the top — wears behind your ID and survives the shift. Content is clinician-reviewed against current textbook-standard values. Field reference only, not a protocol — always verify against your institution's protocols.