BROSELOW RAINBOW TAPE

Description of Event or Problem

THE 2025 BROSELOW TAPE WAS DISCOVERED TO HAVE ERRORS IN THE MEDICATION DOSES, SOME OF THEM SIGNIFICANT WITH POTENTIAL TO CAUSE HARM OR DEATH TO A PATIENT. SPECIFICALLY, -VECURONIUM: IN THE CALCULATION BASIS "RED TO HEAD" REFERENCE SECTION, THE DOSAGE IS SHOWN AS 0.1 MG/ML (CONCENTRATION) INSTEAD OF THE CORRECT 0.1 MG/KG (WEIGHT-BASED DOSE). -FLUMAZENIL: IN THE CALCULATION BASIS "RED TO HEAD" SECTION, THE DOSAGE IS SHOWN AS 0.1 MG/KG INSTEAD OF THE CORRECT 0.01 MG/KG. THE COLOR-CODED SECTIONS OF THE TAPE LIST THE CORRECT FLUMAZENIL DOSE, BUT THE REFERENCE TABLE IS INCORRECT AND REPRESENTS A 10-FOLD OVERDOSE. -KETAMINE (IV/IO FOR PAIN/ANALGESIA): THE TAPE LISTS IV/IO KETAMINE FOR PAIN/ANALGESIA AS 1 MG/KG, WHEREAS THE APPROPRIATE PEDIATRIC ANALGESIC (SUB-DISSOCIATIVE) DOSE IS 0.1 MG/KG. THIS REPRESENTS A 10-FOLD OVERDOSE AND MAY RESULT IN A DISSOCIATIVE SEDATION DOSE BEING ADMINISTERED WHEN ONLY ANALGESIA WAS INTENDED.