Shown in a study to significantly increase the speed, accuracy and confidence of prescribing in a paediatric emergency (Flannigan and McAloon, Resuscitation 2011). This application has been developed by an experienced team of clinicians to provide the user with a wealth of information with a few simple clicks. In a matter of seconds the ‘PICU Calculator’ provides normal values and doses for the following:

1) Normal Physiological Values
•Heart Rate
•Respiratory Rate
•Systolic Blood Pressure (5th Percentile)
•Systolic Blood Pressure (50th Percentile)
•Systolic Blood Pressure (95th Percentile)
•Mean Arterial Pressure (5th Percentile)
•Mean Arterial Pressure (50th Percentile)
•Mean Arterial Pressure (95th Percentile)
•Diastolic Blood Pressure (5th Percentile)
•Diastolic Blood Pressure (50th Percentile)
•Diastolic Blood Pressure (95th Percentile)
•Cerebral Perfusion Pressure
•Minimum Urinary Output
•Estimated Blood Volume
•Tidal Volume
•Body Surface Area

2) Airway
•ET Tube Internal Diameter (Uncuffed)
•ET Tube Internal Diameter (Microcuff)
•ET Tube Length (Oral)
•ET Tube Length (Nasal)
•LMA Size
•Airway Exchange Catheter
•Airtraq
•GlideScope
•Fibreoptic Scope

3) Fluids
•Fluid Bolus
•Fluid Bolus (Trauma/DKA)
•Hypoglycaemia
•Hypertonic Saline 3%
•Maintenance

4) Induction Agents
•Fentanyl
•Ketamine
•Midazolam
•Propofol
•Thiopentone

5) Muscle Relaxants
•Atracurium
•Cisatracurium
•Rocuronium
•Suxamethonium
•Vecuronium

6) Muscle Relaxant Reversal
•Sugammadex (Moderate Blockade)
•Sugammadex (Deep Blockade)
•Sugammadex (Immediate Reversal)
•Glycopyrronium-Neostigmine
•Neostigmine
•Glycopyrronium
•Atropine

7) Resuscitation
•Adrenaline
•Amiodarone
•Atropine
•Calcium Chloride
•Calcium Gluconate
•DC Shock
•Insulin
•Magnesium
•Potassium
•Sodium Bicarbonate

8) Infusions
•Acetylcysteine
•Adrenaline
•Adrenaline (Peripheral)
•Alfentanil
•Alprostadil
•Alteplase
•Aminophylline
•Aminophylline (Peripheral)
•Amiodarone
•Arginine
•Atracurium
•Calcium Chloride
•Carnitine
•Clonazepem
•Clonidine
•Dinoprostone
•Dobutamine
•Dobutamine (Peripheral)
•Dopamine
•Dopamine (Peripheral)
•Enoximone
•Epoprostenol
•Esmolol
•Fentanyl
•Furosemide
•Glucagon
•Glyceryl Trinitrate
•Heparin
•Hydralazine
•Insulin
•Intralipid
•Isoprenaline
•Ketamine
•Labetalol
•Levosimendan
•Liothyronine
•Magnesium
•Midazolam
•Milrinone
•Morphine
•Naloxone
•Nicardipine
•Nimodipine
•Noradrenaline
•Noradrenaline (Peripheral)
•Octreotide
•Phenylephrine
•Phosphate
•Phosphate (Peripheral)
•Potassium Chloride
•Remifentanil
•Rocuronium
•Salbutamol
•Salbutamol (Peripheral)
•Sodium Benzoate
•Sodium Bicarbonate
•Sodium Nitroprusside
•Sodium Phenylbutyrate
•Thiopentone
•Vasopressin
•Vecuronium

9) Antibiotics
•Aciclovir
•Amikacin
•Amoxicillin
•Benzylpenicillin
•Cefotaxime
•Ceftazidime
•Ceftriaxone
•Cefuroxime
•Ciprofloxacin
•Clindamycin
•Co-amoxiclav
•Flucloxacillin
•Gentamicin
•Meropenem
•Metronidazole
•Teicoplanin
•Vancomycin

The easy to use interphase and organisation into the above categories means the user can quickly find the information they need and make this application a real joy to use. Important design features include:

•The option to enter age in ‘Years, Months and Days’ or as ‘Date of Birth’
•If known weight can be entered in ‘Kg’ or ‘Lb/Oz’
•If weight is not known the application will provide an ‘estimated weight’ using your preference of the Advanced Paediatric Life Support (APLS) formulae or the 50th centile for age and sex from World Health Organisation (WHO) growth charts