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Advancing Emergency Care for Kids: Emergency Physicians Do It Again
Date:4/29/2013

investigation is needed to determine whether so many admissions are warranted and if patient safety and cost-effectiveness might both be satisfied by discharging more children with skull fractures home."

In another study, researchers compared the accuracy of two new weight estimation devices called the 2D-Mercy TAPE and the 3D-Mercy TAPE against the Broselow method, which is currently the best available tool for estimating children's' weights.  (TAPE stands for TAking the guesswork out of Pediatric weight Estimation.) The proportion of children predicted within 10 percent and 20 percent of their actual weight was 76 percent and 98 percent for the 2D TAPE and 65 percent and 93 percent for the 3D TAPE. Excluding the one-third of children who were too tall to be measured, the Broselow tape predictions were within 10 percent and 20 percent of actual weight in 59 percent and 91 percent of children.

"The Mercy TAPEs outperformed the Broselow tape for pediatric weight estimation and can be used in a wider range of children, without the height restrictions of the Broselow tape that limit its use in approximately one-third of the pediatric population" said lead study author Susan Abdel-Rahman , Pharm.D, of the Children's Mercy Hospitals and Clinics in Kansas City, Mo. "It may prove useful for emergency care with perhaps an even bigger impact on the care of children in limited-resource settings."

The Mercy TAPE study was funded by a grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

Annals of Emergency Medicine is the peer-reviewed scientific journal for the American College of Emergency Physicians, the national medical society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research, and public education. Headquartered in Dallas, Texas, ACEP has 53 ch
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SOURCE American College of Emergency Physicians (ACEP)
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