Mike Wells, Lara Nicole Goldstein. The “PAWPER-on-a-page”: Increasing global access to a low-cost weight estimation system[J]. World Journal of Emergency Medicine, 2019, 10(2): 101-108.
A description of the PAWPER tape and how it is used.
Figure 1.
Figure 2.
The “PAWPER-on-a-page” and the “PAWPER XL-on-a-page” images that were used for the study.
Figure 2.
Table 1
Printing scale error rate, assembly time and cost for each system
Variables
“PAWPER-on-a-page” home printed
“PAWPER-on-a-page” commercially printed
“PAWPER XL-on-a-page” commercially printed
Number
31
30
31
Page scale error, n (%)
11 (35.5)
9 (30.0)
11 (35.5)
Assembly time median (IQR) (minutes:seconds)
8:19 (6:55, 10:57)
-
7:31 (5:03, 10:23)
Cost median (IQR) (USD)
-
0.09 (0.08, 0.17)
1.00 (0.75, 1.08)
Table 1
Figure 3.
Error rates of the assembled tapes. The third rectangle indicates the proportion of tapes with an acceptable error. A negative figure indicates tapes in which the scale was too small (i.e. the tapes were too short).
Figure 3.
Table 2
Participant feedback obtained via questionnaire
Questions
Response
Participants who found the process easy
32/32 (100%)
Assessment of final product to be good or excellent
30/32 (93.8%)
Participants who spontaneously identified a problem with printing prior to assembly of tapes
Shrestha K, Subedi P, Pandey O, Shakya L, Chhetri K, House DR. Estimating the weight of children in Nepal by Broselow, PAWPER XL and Mercy method. World J Emerg Med. 2018; 9(4):276-81.
doi: 10.5847/wjem.j.1920-8642.2018.04.007
pmid: 30181796
2
Wells M, Goldstein L, Bentley A. The accuracy of paediatric weight estimation during simulated emergencies: the effects of patient position, patient cooperation and human errors. Afr J Emerg Med. 2018; 8(2):43-50.
pmid: 30456146
3
Wells M, Goldstein LN. Optimising emergency weight estimation in underweight and obese children: the accuracy of estimations of total body weight and ideal body weight. European Journal of Emergency Medicine. 2018; 1.
pmid: 9422151
4
Wells M, Goldstein LN, Bentley A. The accuracy of emergency weight estimation systems in children - a systematic review and meta-analysis. Int J Emerg Med. 2017; 10(1):29.
5
Wells M, Goldstein L, Bentley A. A validation study of the PAWPER XL tape: accurate estimation of both total and ideal body weight in children up to 16 years of age. Trauma and Emergency Care. 2017; 2(5):1-8.
6
Kozer E, Scolnik D, Macpherson A, Keays T, Shi K, Luk T, et al. Variables associated with medication errors in pediatric emergency medicine. Pediatrics. 2002; 110(4):737-42.
7
Wells M, Coovadia A, Kramer E, Goldstein L. The PAWPER tape: A new concept tape-based device that increases the accuracy of weight estimation in children through the inclusion of a modifier based on body habitus. Resuscitation. 2013; 84(2):227-32.
8
Abdel-Rahman SM, Ridge AL. An improved pediatric weight estimation strategy. The Open Medical Devices Journal. 2012; 4(1):87-97.
Open Access 
), Lara Nicole Goldstein
