Pediatric Emergency Doses

Weight-based, ready-to-use doses for resuscitation, RSI, and code situations.

Always confirm with a second clinician before administration.

Weight

Resuscitation

Epinephrine

0.15 mg IV/IO

(0.01 mg/kg of 1:10,000)

Atropine

0.3 mg IV

(0.02 mg/kg; min 0.1, max 0.5 mg)

Fluid bolus

300 mL

(20 mL/kg LR/NS)

Defibrillation

30 J

(2 J/kg initial, then 4 J/kg)

Synch cardioversion

7.5 J

(0.5–1 J/kg)

RSI / Induction

Succinylcholine

30 mg IV

(2 mg/kg in infants, 1.5 mg/kg children)

Rocuronium (RSI)

18 mg IV

(1.2 mg/kg)

Propofol

38 mg IV

(2.5 mg/kg induction)

Ketamine

30 mg IV

(2 mg/kg IV or 4–6 mg/kg IM)

Fentanyl

30 mcg IV

(1–2 mcg/kg)

References & Further Reading

1
GuidelineOpen source
Panchal AR, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for CPR and ECC. Circulation. 2020;142(16_suppl_2):S366-S468.
2
Textbook
Gropper MA, Miller RD, Cohen NH, et al., eds. Miller's Anesthesia. 9th ed. Philadelphia: Elsevier; 2020.
3
WebOpen source
Stanford Anesthesia Cognitive Aid Group. Stanford Anesthesia Emergency Manual. emergencymanual.stanford.edu.

Citations are provided to direct further study. Always check the most current edition of guidelines and society recommendations — the information in this chapter is a teaching summary, not primary source material.