Remote Primary Health Care Manuals

Resuscitation reference table ⚠️

Airways

Defibrillation

Fluid resuscitation

Oxygen

Heart medicines

Emergency medicines

Airways

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age
 		 Weight
(kg)		 Airway
LMA size ET tube size ET tube depth of insertion
1. Less than 5kg
2. 5-24kg
3. 25-49kg
4. 50-70kg
5. 71kg and over		 (Age ÷ 4) + 4 OR width of persons fifth fingernail
ID (mm) cm
Under 3 months 2kg 1 2.5 uncuffed 9
3.5kg 1 3 uncuffed 9
3 months 6kg 2 3.5 uncuffed 9
6 months 8kg 2 4 uncuffed 11.5
1 year 10kg 2 4 uncuffed 12
2 years 12kg 2 4 uncuffed 13
3 years 14kg 2 4 uncuffed 13.5
4 years 15kg 2 5 uncuffed 14
6 years 20kg 2 5 uncuffed 15
8 years 25kg 3 6 uncuffed 16
10 years 30kg 3 6 uncuffed 17
12 years 40kg 3 6 cuffed 18
14 years 50kg 4 7 cuffed 18
Adult

65-70kg

 4 7 cuffed 18

71-89kg

 5 7 cuffed 18

90kg and over

 5 8 cuffed 18

Defibrillation

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only 

Age
 		 Weight
(kg)		 Defibrillation
Biphasic
Adult – 200J
Child – 4J/kg and medical consult
Joules
Under 3 months 2kg 8
3.5kg 14
3 months 6kg 24
6 months 8kg 32
1 year 10kg 40
2 years 12kg 48
3 years 14kg 56
4 years 15kg 60
6 years 20kg 80
8 years 25kg 100
10 years 30kg 120
12 years 40kg 160
14 years 50kg 200
Adult 65kg and over 200

Fluid resuscitation

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age
 		 Weight
(kg)		 Fluid
Bolus IV fluid
Normal saline		 Maintenance IV fluid
Saline 0.45% with glucose 2.5%

Newborn – 10mL/kg
Child – 20mL/kg
Adult –1000mL

 0-10kg – give 4mL/kg/hr
Over 10kgs – add 2mL/kg/hr up to 20kg
Over 20kg – add 1mL/kg/hr
mL mL/hr
Under 3 months 2kg 20 8
3.5kg 70 14
3 months 6kg 120 24
6 months 8kg 160 32
1 year 10kg 200 40
2 years 12kg 240 44
3 years 14kg 280 48
4 years 15kg 300 50
6 years 20kg 400 60
8 years 25kg 500 65
10 years 30kg 600 70
12 years 40kg 800 80
14 years 50kg 1000 90
Adult 65kg and over 1000 110

Oxygen

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age
 		 Weight
(kg)		 Oxygen
Bag and mask
L/min
Under 3 months 2kg 8
3.5kg 8
3 months 6kg 8
6 months 8kg 8
1 year 10kg 8
2 years 12kg 10
3 years 14kg 10
4 years 15kg 10
6 years 20kg 10
8 years 25kg 10
10 years 30kg 10
12 years 40kg 10
14 years 50kg 10
Adult 65kg and over 15

Heart medicines 

Adrenaline (epinephrine)

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age Weight
(kg)		 Adrenaline (epinephrine)
IV/intraosseous


1:10,000 (1mg/10mL)
 
  • VF, Pulseless VT, asytole
Child – 0.01mg/kg
Adult – 1mg
Undiluted
Not shockable – immediately
Shockable – after 2nd shock.
Then every 2nd loop
mL
Under 3 months 2kg 0.2
3.5kg 0.4
3 months 6kg 0.6
6 months 8kg 0.8
1 year 10kg 1
2 years 12kg 1.2
3 years 14kg 1.4
4 years 15kg 1.5
6 years 20kg 2
8 years 25kg 2.5
10 years 30kg 3
12 years 40kg 4
14 years 50kg 5
Adult 65kg and over 10

Amiodarone

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age Weight
(kg)		 Amiodarone
IV/intraosseous


150mg/3mL
  • VF, Pulseless VT
  • If conscious – medical consult
Child – 5mg/kg
Adult – 300mg
Undiluted After 3rd shock.
Slow IV push
THEN 20mL normal saline flush.
mL
Under 3 months 2kg 0.2
3.5kg 0.4
3 months 6kg 0.6
6 months 8kg 0.8
1 year 10kg 1
2 years 12kg 1.2
3 years 14kg 1.4
4 years 15kg 1.5
6 years 20kg 2
8 years 25kg 2.5
10 years 30kg 3
12 years 40kg 4
14 years 50kg 5
Adult 65kg and over 6

Atropine

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age Weight
(kg)		 Atropine
IV/intraosseous


0.6mg/mL
  • Symptomatic slow heart rate (bradyarrythmia)
Child – 0.02mg/kg
Adult – 1mg boluses (up to 3mg total)
Undiluted
Give every 5 minutes until desired heart rate
OR max dose
mL
Under 3 months 2kg 0.1
3.5kg 0.1
3 months 6kg 0.2
6 months 8kg 0.3
1 year 10kg 0.3
2 years 12kg 0.4
3 years 14kg 0.5
4 years 15kg 0.5
6 years 20kg 0.7
8 years 25kg 0.8
10 years 30kg 1
12 years 40kg 1.3
14 years 50kg 1.7
Adult 65kg and over 1.7

Emergency medicines

Adrenaline (epinephrine)

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age Weight
(kg)		 Adrenaline
(epinephrine)
IM


Under 1 yr – 1:10,000
(1mg/10mL)
1 yr and over – 1:1,000
(1mg/1mL)
  • Anaphylaxis
Child – 0.01mg/kg
Adult – 0.5mg

Undiluted  Deep IM upper outer thigh.
Give every 5 min until improves
Use different injection sites

mL
Under 3 months 2kg 0.2 (1:10,000)
3.5kg 0.4 (1:10,000)
3 months 6kg 0.6 (1:10,000)
6 months 8kg 0.8 (1:10,000)
1 year 10kg 0.1 (1:1,000)
2 years 12kg 0.12 (1:1,000)
3 years 14kg 0.14 (1:1,000)
4 years 15kg 0.15 (1:1,000)
6 years 20kg 0.2 (1:1,000)
8 years 25kg 0.25 (1:1,000)
10 years 30kg 0.3 (1:1,000)
12 years 40kg 0.4 (1:1,000)
14 years 50kg 0.5 (1:1,000)
Adult 65kg and over 0.5 (1:1,000)

Glucose

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age Weight
(kg)		 Glucose
IV


Under 10 yr – 10%
10 yr and over – 50%
  • Low BGL
Child – 5mL/kg 10%
Over 10 yr – 50mL 50%.
Undiluted Repeat if needed.
mL
Under 3 months 2kg 10 (10%)
3.5kg 20 (10%)
3 months 6kg 30 (10%)
6 months 8kg 40 (10%)
1 year 10kg 50 (10%)
2 years 12kg 60 (10%)
3 years 14kg 70 (10%)
4 years 15kg 75 (10%)
6 years 20kg 100 (10%)
8 years 25kg 125 (10%)
10 years 30kg 50 (50%)
12 years 40kg 50 (50%)
14 years 50kg 50 (50%)
Adult 65kg and over 50 (50%)

Midazolam

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age Weight
(kg)		 Midazolam
IV/intraosseous


5mg/1mL
  • Fits
Child – 0.15mg/kg
Adult – titrate to 5mg
Diluted in normal saline to 1mg/1mL (5mL)
Give slowly over 2 min
Titrate to clinical response
mL at 1mg/mL
Under 3 months 2kg 0.3
3.5kg 0.5
3 months 6kg 1
6 months 8kg 1.2
1 year 10kg 1.5
2 years 12kg 1.8
3 years 14kg 2.1
4 years 15kg 2.25
6 years 20kg 3
8 years 25kg 3.75
10 years 30kg 4.5
12 years 40kg 5
14 years 50kg 5
Adult 65kg and over 5

Morphine

This table must be used with an appropriate protocol from this manual and a medical consult — it is intended as a guide only

Age Weight
(kg)		 Morphine
IV


10mg/1mL
  • Pain relief
Child – 0.1mg/kg
Adult – 0.5–2.5mg
Diluted in normal saline to 1mg/1mL (10mL)
Give every 3–5 min Titrate to clinical response
mL at 1mg/mL
Under 3 months 2kg 0.2
3.5kg 0.4
3 months 6kg 0.6
6 months 8kg 0.8
1 year 10kg 1
2 years 12kg 1.2
3 years 14kg 1.4
4 years 15kg 1.5
6 years 20kg 2
8 years 25kg 2.5
10 years 30kg 3
12 years 40kg 4
14 years 50kg 5
Adult 65kg and over up to 10