© 2003 BMJ Publishing Group & Royal College of Paediatrics and Child Health
SHORT REPORT
A comparison of two commonly used methods of weight estimation
Manchester Royal Infirmary, Manchester, UK
Correspondence to:
Correspondence to:
Dr J A W Argall, Oxford Road, Manchester M13 9WL, UK;
judith@fperryman.fsnet.co.uk
Accepted 1 December 2002
Keywords: weight estimation
| The first 150 words of the full text of this article appear below. |
In the practice of emergency medicine, it is often necessary to know a childs weight when planning therapeutic interventions. The majority of drug dosages are calculated on a per kilogram basis, as are resuscitative measures such as equipment sizing and fluid boluses. The most accurate method of determining a childs weight is to weigh the child on scales. This "gold standard" should be obtained in all cases when possible. Unfortunately when resuscitating a critically ill child this is not always practicable. It is often more straightforward to use an estimation of their weight in these circumstances. However, staff members may be relatively inexperienced in which method of estimation to use, because of a lack of knowledge and confidence.
A number of methods have been developed to estimate the childs weight in these circumstances. When "guesstimation" is used the accuracy is poor.1 An alternative is to use a parental estimate. Several
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