ABSTRACT
Objectives: This study aimed to evaluate the accuracy of the Broselow[TM] Pediatric Emergency Tape [BT] for estimating weight in an Omani paediatric population at a tertiary care hospital
Methods: This retrospective cross-sectional study was conducted during July 2015. The electronic medical records of Omani outpatients <14 years old attending the Sultan Qaboos University Hospital, Muscat, Oman, between July 2009 and June 2013 were reviewed for recorded height and weight data. The BT Version 2002A was used to predict weight based on actual height measurements. Predicted weight measurements were then compared with actual weight to determine the accuracy of the estimation
Results: A total of 3,339 children were included in the study, of which 43.5% were female and 56.5% were male. The mean age was 6.4 +/- 3.1 years and the mean height was 93.2 +/- 23.5 cm. The mean actual weight was 13.9 +/- 6.7 kg while the mean BT-predicted weight was 14.4 +/- 6.9 kg. The BT-predicted weight estimations correlated significantly with actual weight measurements [intraclass correlation coefficient: 0.97; P <0.001]. A Bland-Altman analysis indicated that the BT performed well when estimating weight among Omani children, with an overestimation of only 0.5 kg for the entire cohort
Conclusion: The BT was found to be an effective tool for estimating weight according to body length in an Omani paediatric population. It should therefore be considered for use in emergency situations when actual weight cannot be determined
ABSTRACT
Deep dermal burns and full thickness burns are generally managed by excision and split thickness skin grafting. The skin graft may lead to unacceptable colour changes and be aesthetically unacceptable. Also, there may be a contour defect and, furthermore, it is followed by varying degrees of contracture. The keystone design sliding flap, first described in 2003, avoids the need for grafting and is not associated with any skin graft problems. We report two cases of the use of this flap as the primary surgery in reconstruction of small full thickness burn defects