- Donald Jones
- Spring 2026
Abstract
Pediatric Emergency Protocol “C.A.L.M.” Background Pediatric emergency care requires quick, sharp interventions adapted to a mixed population, where physical assessment can mean life or death. Recent literature by April et al. (2024) suggests that the Broselow Tape is the preferred tool in emergency medicine. Still, it may not accurately reflect the physiological standards of pediatric populations across towns, cities, and regions. Furthermore, studies showed that the use of the tape resulted in under- or overestimation of patients’ weight. Placing individuals at great harm due to overdosing or underdosing on medications. While also from personal experience, the tape can be difficult to interpret under high-stress conditions, creating increased risk of significant medication errors and dosing inaccuracies.
Purpose
This project aims to reduce medical confusion and the risk of medication errors in the Emergency Department (ED). By improving the current pediatric protocol, improving care response times, and increasing patient safety during pediatric encounters.
Methods
A literature review was conducted using peer-reviewed articles to identify challenges with Broselow Tape use and to identify evidence-based alternatives. To align the research with other clinical research, interviews were conducted with Emergency Department management and Pediatric Specialty Nurses. It focused on identifying workflow issues and the tools needed for accurate weight assessment, as well as alternative reference tools within the ED.
Discussion
The risks identified in the current pediatric protocol require adjustment and a more standard system. The recommendation is for the ED to implement an updated pediatric protocol for accurate weight verification, appropriate color-coded banding, and the use of corresponding full-page forms attached directly to the patient’s chart or bedside. Additionally, include staff training and continued evaluation of the protocol to reduce sentinel events.
Reference
April, M. D., Givens, M. L., Welter, K. J. ., Gale, H. L., Henderson, J., Schauer, S. G., McCullough, I. S., & Sam, A. E. (2025). A Descriptive Analysis of the Reliability of the Broselow Tape for Use in the US Pediatric Trauma Population: A Trauma Quality Improvement Program Study. Pediatric Emergency Care, 41(8), 587–591. https://doi.org/10.1097/PEC.0000000000003362
