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Children’s emergency ruler: safety in seconds

The detector goes. The routine for emergency physicians usually starts already: With flashing blue lights, they go out onto the street. In 4 out of 100 cases, the emergency is a child – perhaps even an infant. And then the tension rises, because suddenly everything is different! Hardly any rescuer has experience with young patients. Their resuscitation is far less successful than in adults¹. Incorrect doses of adrenaline make survival impossible². If you want to be on the safe side when it comes to dosing life-saving medications, use the pediatric emergency ruler.

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The PaedER is the only tool in the world that has already been proven in two studies^{3, 4} to help prevent life-threatening errors in paediatric emergencies. It has been shown to prevent nine out of ten life-threatening paediatric dosing errors in seconds³. Therefore, it is recommended in the S2k guideline, “Medication safety in pediatric emergencies”⁵. The medical device

… enables length-based – scientifically recognized as the best method – weight estimation. The normal weight thus determined is ideal for dosing emergency medication (even in obese ^children6).
… provides a listing of age-appropriate physiological norm values, weight-related dosage recommendations and the overview of suitable sizes of equipment based on weight. Everything is read directly, nothing has to be looked up in accompanying booklets.

Who is the PaedER for?

RESCUE-
SERVICE

PRACTICE /
AMBULANCE

EMERGENCY CALL/
INTENSIVE CARE UNIT

OP/
ANESTHESIA

When estimate
is vital

When it comes to the correct dosage of emergency medication, children’s their weight plays the decisive role. If the parents cannot give the exact weight, the emergency physician has to estimate in seconds – and at the same time choose the appropriate equipment under stress, know the standard values and also calculate the dosage of the medication: What is the correct dosage of Suprarenin and how many ml of the 1:10 dilution must I give? In this situation, the emergency ruler is a reliable helper and immediately helps with all the above requirements and questions …

> in rescue service

> in the practice/outpatient clinic

> in the emergency room

> in the operating room/anesthesia

For the little ones
large in use

Prof. Jost Kaufmann knows all pediatric emergency rescue situations from his own experience: He is the senior physician in charge of pediatric anesthesia and endoscopy at the Children’s Hospital of the Clinics of the City of Cologne. To date, he has completed more than 6,000 emergency medical missions as part-time ground-based emergency physician and on the intensive care transport helicopter Christoph Rheinland on behalf of the professional fire department of the city of Cologne and the ADAC. From this practice and his own studies, Prof. Kaufmann knows that numerous incorrect doses in children occur not only in preclinical rescue , but even in paediatric clinics an incidence of 10% is found. This prompted the Cologne resident to develop the pediatric emergency ruler, initiate the guideline for medication safety in pediatric emergencies, as well as take the lead in coordinating it. For his work, Prof. Kaufmann has been awarded several times. He has held the professorship of pediatric anesthesiology at Witten/Herdecke University since 2022.

> About the concept

> About Prof. Jost Kaufmann

> Efficacy study and guidelines

From practice
for practice

At the symposium “Paediatric Anesthesia Up to Date 2023”, the focus will be on 24. and March 25 around the daily practice of physicians, nurses and paramedics in clinical pediatric anesthesia, emergency medicine, critical care and pain management. Internationally renowned experts as well as speakers from related fields will provide insight into new developments. During the workshops, participants can enhance their practical skills, especially in the area of ultrasound-assisted caudal anesthesia as well as video-assisted intubation methods. At the workshop on “Resuscitation of the Newborn”, the most important measures immediately after birth are discussed and practiced on the phantom.

> Event page

I WANT TO SAVE CHILDREN’S LIVES WITH THE RULER

“A few years ago, this tool helped me a lot when a little girl aspirated heavily during a seizure, became hypoxic and bradycardic. Never would I have been able to use formulas to calculate tube size/depth/med dosage so quickly in this situation.”

Christina RotheEmergency physician, Werder

“In an emergency situation, you need simple and clear recommendations for action – all the more so when children are involved! The ped emergency ruler is there when you need it most. Even when the cell phone battery is dead.”

Dr. Julius WermeltHead of the Clinic for Anesthesia and Pediatric Anesthesia, Bürgerhospital Frankfurt am Main - Clementine Kinderhospital

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Sources

Atkins et al. Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Circulation 2009; 119: 1484-1491
Perondi et al. A comparison of high-dose and standard-dose epinephrine in children with cardiac arrest. N Engl J Med 2004; 350: 1722-1730.
Kaufmann et al. Development and Prospective Federal State-Wide Evaluation of a Device for Height-Based Dose Recommendations in Prehospital Pediatric Emergencies: A Simple Tool to Prevent Most Severe Drug Errors. Prehosp Emerg Care 2018; 22: 252-259.
Kaufmann et al. Improving Pediatric Drug Safety in Prehospital Emergency Care-10 Years on. J Patient Saf 2021; 17: e1241-e1246.
Kaufmann et al. S2k Guideline 027/071: “Medication safety in pediatric emergencies.” org 2021;</id_”literatur5″>
Anderson et al. Getting the dose right for obese children. Arch Dis Child 2017; 102: 54-55