Pediatrics
Pediatric Resuscitation Doses Calculator
Weight-based emergency doses, energy and fluid for a child.
Formula
Epinephrine 0.01 mg/kg (0.1 mL/kg of 0.1 mg/mL) · Defibrillation 2 J/kg then 4 J/kg · Cardioversion 0.5–1 J/kg · Bolus 20 mL/kg · Dextrose 10% 5 mL/kg · Amiodarone 5 mg/kg · Adenosine 0.1 then 0.2 mg/kg · Atropine 0.02 mg/kg · Midazolam 0.2 mg/kg
How it is used
- Maximums applied: epinephrine 1 mg (0.5 mg IM), adenosine 6 then 12 mg, amiodarone 300 mg, atropine 0.5 mg (minimum 0.1 mg), midazolam 10 mg, naloxone 2 mg.
- A length-based tape gives the same doses with less arithmetic under stress; use it whenever available and have a partner confirm every dose.
Key points
- Epinephrine for arrest is the 0.1 mg/mL (1:10,000) concentration; the 1 mg/mL concentration is for intramuscular anaphylaxis doses only.
Related one-pagers
- Pediatric Vital Signs and Drug Doses for EMSNational EMS model guideline and 2025 pediatric resuscitation doses. Verify with your length-based tape and protocol.
- Pediatric Assessment and Emergencies
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For education and exam preparation only. Follow your institution’s protocols. For education and exam preparation only. Verify results independently and follow your local protocols and medical direction. Not a substitute for clinical judgment.