# Presentation: 442077

## The Broselow-Luten System

- See next slide of the Broselow tape TM and equipment and dosing system.

- The Broselow-Luten System

## The Broselow-Luten SystemEmergency System

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- 3.3mL

- 2.7 mL

- 1.7 mL

- 1.3 mL

- 1 mL

- 0.85 mL

- 0.65 mL

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- 2 mL

- EPINEPHRINE

**Concentration**
**0.1 mg/mL 1:10,000**

## The Broselow-Luten SystemOTC Dosing

- Several authors have examined the dosing of acetaminophen, an over-the-counter (OTC) medication that has been widely used in the home setting. Acetaminophen dosing by parents has been shown to be *inaccurate up to 73% of the time*, causing ineffective fever control and increased emergency department (ED) visits in two thirds of cases 3. Even when parents were given access to appropriate dosing information along with their child's weight, *a correct dose was given only 40% of the time **4**.*
- The following study clinical study and editorial evaluation address the issue of error reduction by parental utilization of the Broselow-Luten system of color coded dosing of over the counter medications.
-  The next slides demonstrate the color coded tools for dosing OTC medications.

- The Broselow-Luten SystemOTC Dosing

## The Broselow-Luten SystemColor Wall Chart-Weight

- The Broselow-Luten SystemColor Wall Chart-Weight

- 3 KG

- 4 KG

- 5 KG

## The Broselow-Luten SystemStudies

- _[Karen S.](http://archpedi.ama-assn.org/cgi/content/full/158/7/620#ACK)__[ Frush](http://archpedi.ama-assn.org/cgi/content/full/158/7/620#ACK)__[, MD;](http://archpedi.ama-assn.org/cgi/content/full/158/7/620#ACK)__[ Xuemei Luo](http://archpedi.ama-assn.org/cgi/content/full/158/7/620#ACK)__[, PhD; Paul Hutchinson, BS; Jennifer N. Higgins, BS ](http://archpedi.ama-assn.org/cgi/content/full/158/7/620#ACK)_
*Arch Pediatr Adolesc Med.* 2004;158:620-624.
**Objectives ** To introduce a simple method of dosing over-the-counter medication in a home setting using a color-coding concept and to compare dosing deviation from recommended dosage using the color-coded method with dosing deviation using conventional package labeling.
**Conclusion ** This study suggests a marked improvement in caregivers' ability to correctly determine and measure an over-the-counter medication for their child using a color-coded method compared with conventional methods.

- The Broselow-Luten SystemStudies

## The Broselow-Luten SystemColor Wall Chart- Height

**RED**

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- The Broselow-Luten SystemColor Wall Chart- Height

## The Broselow-Luten SystemSyringes

**  ****How to use the color coded syringe**

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## The Broselow-Luten SystemDosing Device

**PINK**

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## The Broselow-Luten System MedicationLabel

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- mLs

- 4mL

## The Broselow-Luten SystemStudies

- _Cynthia M. Rand, Kelly M. Conn, Crista N. Crittenden, and Jill S. Halterman  _
*Arch Pediatr Adolesc Med.* 2004;158:625-627.
- THE CLINICAL TRIAL DESCRIBED BY FRUSH ET AL was conducted to assess whether a new color-coding method for measuring acetaminophen doses reduces medication-dosing errors
**MAGNITUDE OF TREATMENT EFFECT AND CLINICALLY IMPORTANT OUTCOMES**

- The study found a _[significantly](http://www.cancerguide.org/significance.html)_ higher dosing deviation (for both determination and measuring) for the conventional group as compared with the color-coded group. The mean deviation from recommended dosing range for dose determination was higher for the group using conventional methods as compared with the group using the color-coded method (25.8% vs 1.7%). Similarly, the mean deviation from recommended dosage for dose measuring was 29% for the conventional group compared with 0.5% for the color-coded group.There are fewer serious errors and thus less risk of toxic overdoses when the colored-coded method was used.

- The Broselow-Luten SystemStudies

## The Broselow-Luten SystemStudies

**CONCLUSION**

- The Broselow-Luten SystemStudies

## The Broselow-Luten SystemReferences

**from length in the pediatric age group **
- _Lubitz DS et al:,_
*Ann Emerg Med *17:576, 1988.

**2-Length-based endotracheal tube and emergency equipment in pediatrics**** **
- _Luten RC et al__** **_
*Ann Emerg Med 21:900, 1992**.*

**4-Over the counter medications: do parents give what they intend to give?** _Simon HK, Weinke DA_
*Arch Pediatr Adolesc Med.* 1997;151:654-656.

**5-Evaluation of a Method to Reduce Over-the-Counter Medication Dosing Error **Karen S. Frush, MD; Xuemei Luo, PhD; Paul Hutchinson, BS; Jennifer N. Higgins, BS
*Arch Pediatr Adolesc Med.* 2004;158:620-624.

- The Broselow-Luten SystemReferences

## The Broselow-Luten SystemReferences

**6-Does a Color-Coded Method for Measuring Acetaminophen Doses Reduce the Likelihood of Dosing Error? **_Cynthia M. Rand, Kelly M. Conn, Crista N. Crittenden, and Jill S. Halterman  _
*Arch Pediatr Adolesc Med.* 2004;158:625-627.