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Medical References

Pediatric airway medication reference

Static educational ranges for clinicians. No age, weight, color zone, total dose, medication volume, shock energy, fluid, equipment, or ventilator calculation is provided.

Pediatric verification required: Use an actual measured weight when available and verify every dose against the current institutional pediatric reference, local concentration, age restrictions, maximum dose, contraindications, and pediatric pharmacy guidance.

Emergency-intubation medication ranges

MedicationWeight-based referenceContext and cautions
Atropine, selected emergency-intubation premedication0.02 mg/kg IV; no minimum doseMay be considered in selected infants and children; not routine for every emergency intubation.
Fentanyl1–2 mcg/kg IVAnalgesia reference. Administer slowly and verify local pediatric maximum and concentration.
Ketamine1–2 mg/kg IVCommon pediatric emergency-intubation induction range. Individualize to physiology and local protocol.
Etomidate0.2–0.3 mg/kg IVCommon pediatric emergency reference; pediatric use may be off-label depending on age and product labeling. Verify local policy.
Rocuronium1–1.2 mg/kg IVCommon pediatric RSI range. Ensure adequate anesthesia, sedation, and ventilatory support.
SuccinylcholineInfants/small children: 2 mg/kg IV; older children/adolescents: 1 mg/kg IVReview the boxed warning, contraindications, and patient-specific risk before use.
Midazolam0.05–0.1 mg/kg IVSedation reference. Do not use as an analgesic; verify age-specific and local maximums.

This page is oriented to infants and children beyond the immediate newborn-resuscitation period. Use NRP/neonatal references for newborns and premature infants.

Selected current source reminders

  • Weight-based pediatric resuscitation dosing remains standard; use the most accurate measured weight available.
  • When atropine is selected as emergency-intubation premedication, 0.02 mg/kg with no minimum dose may be considered.
  • This site intentionally does not provide patient-specific code doses, shock energy, fluid volumes, color-zone assignment, equipment sizing, or medication-volume conversion.

Primary sources and update anchors

AHA/AAP: 2025 Pediatric Advanced Life Support guideline DailyMed: Succinylcholine pediatric emergency-intubation dosing and boxed warning DailyMed: Rocuronium label Children’s Mercy: free PedsGuide information Children’s Minnesota emergency medication manual status
About this resource
Created by: Andrew Pirotte, MD; Kyle Brown, MD; Reba Hodge, MD; Amanda Vanderwerf, PharmD, BCEMP; Morgan Kimball, PharmD, BCEMP; Joshua Mohess Clinical review: Emergency medicine faculty review completed. Medication content reviewed by Amanda Vanderwerf, PharmD, BCEMP, and Morgan Kimball, PharmD, BCEMP. Last reviewed: 2026-07-23 Next scheduled review: 2027-01-23 Designed for: EM residents, emergency physicians, EMS clinicians, airway educators, and simulation faculty Important: Educational resource and cognitive-aid guide only; not a bedside order set or substitute for local protocol, medical direction, or clinical judgment. Website contact: [email protected]