This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.
Emergency & intensive care medicine
27 calculators · PEWS, PECARN, trauma, PIM 3, PELOD-2, PRISM III, burns, airway, resuscitation
Here you will find pediatric online calculators and scores for emergency, trauma and intensive care medicine: Glasgow Coma Scale (from and below 2 years, AWMF 024-018), PEWS according to Monaghan 2005, Bedside PEWS according to Parshuram 2009, Pediatric Trauma Score according to Tepas 1987, SIPA according to Acker 2015, pSOFA, PELOD-2, PIM 3 and PRISM III. In addition there are calculators for burn surface area and fluid requirements according to AWMF 006-128, tube and laryngeal mask size, weight estimation and defibrillation energy according to ERC 2025 and AHA 2025. They are intended for rapid assessment and documentation in the daily routine of the emergency department and the pediatric intensive care unit. Each calculator states its formula and its sources, so that you can trace every result.
-
Glasgow Coma Scale (from 2 years)
Eye opening, verbal and motor response – total 3–15, E V M documented individually -
Glasgow Coma Scale (under 2 years)
Modified GCS for infants and young children according to AWMF 024-018 – sum 3–15 -
PEWS – Pediatric Early Warning Score (Brighton)
Behavior, circulation, respiration 0–3 points each plus additional points – early warning score according to Monaghan 2005 -
Bedside PEWS (Parshuram)
Seven items with age-dependent thresholds for heart rate, respiratory rate and blood pressure – 0–26 points, threshold 8 -
Pediatric Trauma Score (PTS)
Weight, airway, blood pressure, consciousness, wound, skeleton – each +2/+1/−1, total −6 to +12 -
Pediatric BIG Score
Base deficit + 2.5 × INR + (15 − GCS) – mortality after trauma (Borgman 2011) -
SIPA – Shock Index Pediatric Age-Adjusted
Heart rate ÷ systolic blood pressure with age-dependent cutoffs 1.22 / 1.0 / 0.9 (Acker 2015) -
Shock Index
Heart rate ÷ systolic blood pressure – with age-adjusted classification (SIPA) in 4–16-year-olds -
GCS-Pupils Score
Glasgow Coma Scale minus number of non-reactive pupils – extended severity index (Brennan 2018) -
pSOFA
Pediatric Sequential Organ Failure Assessment: six organ systems, 0–4 points each, with age-dependent MAP and creatinine thresholds -
PELOD-2
Pediatric Logistic Organ Dysfunction Score 2: ten variables from five organ systems, 0–33 points, with mortality model -
PIM 3 – Paediatric Index of Mortality 3
Probability of death on admission to the pediatric intensive care unit (Straney 2013) -
PRISM III
Pediatric Risk of Mortality III: 17 physiological variables with age-dependent limits, 0–74 points -
Vasoactive-Inotropic Score (VIS)
Dopamine + dobutamine + 100 × epinephrine + 100 × norepinephrine + 10 × milrinone + 10 000 × vasopressin -
Lund-Browder burn area
Burned body surface area in % by region and age (AWMF 006-128, appendix) – with fluid requirement -
Pediatric Burn TBSA
Burned body surface area in % from the palm rule or direct estimate – with classification according to AWMF 006-128 -
Pediatric burn fluid calculation
Modified Parkland formula for children (3–4 ml/kg per % TBSA burned) plus maintenance requirement according to AWMF 006-128 -
ETT size / tube size by age and weight
Tube internal diameter uncuffed (Cole) and cuffed (Khine, Motoyama) with insertion depth -
ETT depth / tube depth
Insertion depth from the lip: 3 × inner diameter, age/2 + 12 and Tochen formula for newborns -
Laryngeal mask size
Laryngeal mask size by body weight and product (LMA Supreme or i-gel, manufacturer's information) -
Weight estimation by body length and age
Weight from length via the median of the WHO/CDC references; APLS age formulas for comparison -
Defibrillation energy by weight
Joules for defibrillation and synchronized cardioversion according to ERC 2025 and AHA 2025 -
TWIST Score
Five findings in acute scrotum – risk of testicular torsion low (0–2), intermediate (3–4) or high (5–7) according to Barbosa 2013 -
TEN-4-FACESp Bruising Clinical Decision Rule
Bruises in children under 4 years: location, age under 5 months and pattern – screening test for possible abuse (Pierce 2021) -
Paracetamol poisoning: nomogram line
Serum paracetamol 4–24 hours after a single ingestion: at or above the treatment line 150 mg/l or the UK line 100 mg/l? -
Iron poisoning: triage by mg/kg
Elemental iron in mg/kg from number of pieces and iron content – from 40 mg/kg have it assessed medically (AAPCC guideline 2005) -
PCPC and POPC: cerebral performance and overall condition after intensive care
Pediatric Cerebral / Overall Performance Category (Fiser 1992): level 1–6 before the illness and at discharge, change (delta)
Frequently asked questions
How do I calculate the Glasgow Coma Scale in infants?
For children below 24 months, the Glasgow Coma Scale (below 2 years) is available, the modified version according to AWMF 024-018. You select eye opening, verbal and motor response, and receive the sum 3–15 with individual values (E V M) and a documentation text.
Which early warning score is available for children on the ward?
The PEWS (Brighton, Monaghan 2005) rates behavior, circulation and respiration with 0–3 points each plus additional points. The Bedside PEWS (Parshuram 2009) uses seven items with age-dependent limits for heart rate, respiratory rate and blood pressure, total 0–26 points.
How do I calculate fluid requirements in burns in childhood?
The pediatric burn fluid calculation uses the modified Parkland formula for children (3–4 ml/kg per % of body surface area burned) plus maintenance requirements according to AWMF 006-128. You determine the affected area beforehand with the Lund-Browder calculator.