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Can Undergraduate Paramedic and Nursing Students Accurately Estimate Patient Age and Weight?

Published online by Cambridge University Press:  28 June 2012

Brett Williams ,
Malcolm Boyle  and
Peter O'Meara
Brett Williams*
Affiliation:
Monash University, Department of Community Emergency Health and Paramedic Practice, Frankston, Victoria, Australia
Malcolm Boyle
Affiliation:
Monash University, Department of Community Emergency Health and Paramedic Practice, Frankston, Victoria, Australia
Peter O'Meara
Affiliation:
Charles Sturt University, School of Biomedical Sciences, Bathurst, New South Wales, Australia
*
Department of Community Emergency Health & Paramedic Practice Monash University PO Box 527 Frankston, Victoria, Australia 3199 E-mail: brett.williams@med.monash.edu.au
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Abstract

Introduction:

Accurate estimation of a patient's age and weight are skills expected of all healthcare clinicians, including paramedics and nurses. It is necessary because patients may be unable to communicate such information due to unconsciousness or an altered state of conscious. Age and weight estimation influence calculation for medication dosages, defibrillation, equipment sizing, and other invasive procedures such as intubation. The objective of this study was to identify whether undergraduate paramedic and nursing students were able to accurately estimate a patient's age and weight based on digital patient photos.

Methods:

A prospective, observational study involving undergraduate paramedic and nursing students from two Australian universities was used to estimate the age and weight of seven patients (adult and pediatric). Each patient image appeared in a PowerPointTM presentation for 15 seconds, followed by a short pause, with the next patient image commencing automatically.

Results:

The findings demonstrated variable accuracy in age and weight estimation of the patients. Age estimations of pediatric patients were more accurate than estimations for adult patients. The majority of patient weights were under-estimated, with university undergraduate students in one university displaying similar estimations to the other university counterparts.

Conclusions:

Results from this study identified variations in students' ability to accurately estimate a patient's age and weight. This study shows that consideration should be given to age and weight estimation education, which could be incorporated into undergraduate healthcare curriculum.

Keywords

educationemergency medical servicesemergency medical techniciansestimationnurseparamedic
Type
Research Article
Information
Prehospital and Disaster Medicine , Volume 25 , Issue 2 , April 2010 , pp. 171 - 177
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2010

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References

1. Corbo, J, Corbo, J, Canter, M, Grinberg, D, Bijur, P: Who should be estimating a patient's weight in the emergency department? Acad Emerg Med 2005;12(3):262–266.CrossRefGoogle ScholarPubMed
2. Hall, WL 2nd, Larkin, GL, Trujillo, MJ, et al: Errors in weight estimation in the emergency department: Comparing performance by providers and patients. J Emerg Med 2004;27(3):219–224.10.1016/j.jemermed.2004.04.008CrossRefGoogle ScholarPubMed
3. Sanchez, LD, Imperato, J, Delapena, JE, et al: Accuracy of weight estimation by ED personnel. Am J Emerg Med 2005;23(7):915–916.10.1016/j.ajem.2005.07.002CrossRefGoogle ScholarPubMed
4. Coe, TR, Halkes, M, Houghton, K, Jefferson, D: The accuracy of visual estimation of weight and height in pre-operative supine patients. Anaesthesia 1999;54(6):582–598.10.1046/j.1365-2044.1999.00838.xCrossRefGoogle ScholarPubMed
5. Uesugi, T, Okada, N, Sakai, K, et al: Accuracy of visual estimation of body height and weight in supine paediatric patients. Paediatr Anaesth 2002;12(6):489–494.10.1046/j.1460-9592.2002.00911.xCrossRefGoogle ScholarPubMed
6. Greene, S, Dargan, P, Shin, GY, Jones, AI: Doctors and nurses estimation of the weight of patients: A preventable source of systematic error. J Toxicol Clin Toxicol 2004;42(5):611–615.10.1081/CLT-200026969CrossRefGoogle ScholarPubMed
7. Anglemyer, BL, Hernandez, C, Brice, JH, Zou, B: The accuracy of visual estimation of body weight in the ED. Am J Emerg Med 2004;22(7):526–529.10.1016/j.ajem.2004.09.002CrossRefGoogle ScholarPubMed
8. Burt, DM, Perrett, DI: Perception of age in adult Caucasian male faces: Computer graphic manipulation of shape and colour information. Proc Biol Sci 1995;259(1355):137–143.Google ScholarPubMed
9. George, PA, Hole, GJ: The role of spatial and surface cues in the age-processing of unfamiliar faces. Visual Cognition 2000;7(4):485–509.10.1080/135062800394621CrossRefGoogle Scholar
10. Vilke, G, Marino, A, Fisher, R, Chan, T: Estimation of pediatric patient weight by EMT-PS. The Journal of Emergency Medicine 2001;21(2):125–128. Available at http://www.jem-journal.com/article/S0736-4679(01)00354-7/abstract. Accessed 19 March 2010.10.1016/S0736-4679(01)00354-7CrossRefGoogle Scholar
11. Lanitis, A, Draganova, C, Christodoulou, C: Comparing different classifiers for automatic age estimation. IEEE transactions on systems, man, and cybernetics. Part B, Cybernetics: A publication of the IEEE Systems, Man, and Cybernetics Society 2004;34(1):621–628.10.1109/TSMCB.2003.817091CrossRefGoogle Scholar
12. Axelband, J, Malka, A, Jacoby, J, Reed, J: Can emergency personnel accurately estimate adult patient weights? (Abstract). Ann Emerg Med 2004;44(4):S81.10.1016/j.annemergmed.2004.07.267CrossRefGoogle Scholar
13. Lieb, N, Gluckman, WA: Accuracy of adult patient weight estimation by EMS providers. Prehosp Emerg Care 2004;8(1):96–97.10.1080/312703003472CrossRefGoogle Scholar
14. Martin, DR, Soria, DM, Brown, CG, et al: Agreement between paramedic-estimated weights and subsequent hospital measurements in adults with outof-hospital cardiac arrest. Prehosp Disaster Med 1994;9(1):54–57.CrossRefGoogle Scholar
15. Moore, BR, Hankins, DG, Shimmin, S: Use of the length-based resuscitation tape for estimating pediatric weight in the pre-hospital setting (abstract). Prehosp Emerg Care 2004;8(1):87.10.1080/31270300306XCrossRefGoogle Scholar
16. Bloomfield, R, Steel, E, MacLennan, G, Noble, DW: Accuracy of weight and height estimation in an intensive care unit: Implications for clinical practice and research.[see comment]. Crit Care Med 2006;34(8):2153–2157.10.1097/01.CCM.0000229145.04482.93CrossRefGoogle Scholar
17. Determann, RM, Wolthuis, EK, Spronk, PE, et al: Reliability of height and weight estimates in patients acutely admitted to intensive care units. Crit Care Nurs 2007;27(5):48–56.10.4037/ccn2007.27.5.48CrossRefGoogle ScholarPubMed
18. Menon, S, Kelly, AM: How accurate is weight estimation in the emergency department? Emerg Med Australasia 2005;17(2):113–116.Google ScholarPubMed
19. Zikos, V, Patel, A, Rzechula, K, McQuillen, K: The accuracy of pediatric weight in the emergency department: Do caregiver weight estimates measure up? (abstract). Ann Emerg Med 2007;50(3):S123–S124.Google Scholar
20. Advanced Life Support Group: Advanced Pediatric Life Support. 3rd ed. London: BMJ Publishing Group, 2003.Google Scholar
21. Luscombe, M: Kids aren't like what they used to be: A study of paediatric patient's weights and their relationship to current weight estimation formulae. British Journal of Anaesthesia 2005;95(4):578.Google Scholar
22. Tinning, K, Acworth, JP: Make your best guess: An updated method for paediatric weight estimation in emergencies. Emerg Med Australasia 2007;19(6):528–534.Google ScholarPubMed
23. Sorqvist, P, Eriksson, M: Effects of training on age estimation. Applied Cognitive Psychology 2007;21(1):131–135.10.1002/acp.1271CrossRefGoogle Scholar
24. Kahn, CA, Oman, JA, Rudkin, SE, et al: Can ED staff accurately estimate the weight of adult patients? Am J Emerg Med 2007;25(3):307–312.CrossRefGoogle Scholar
25. Bloomfield, R, Steel, E, MacLennan, G, Noble, DW: Accuracy of weight and height estimation in an intensive care unit: Implications for clinical practice and research. Crit Care Med 2006;34(8):2153–2157.CrossRefGoogle Scholar