What is the pediatric fluid bolus according to the pediatric trauma assessment protocol?

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The correct amount for a pediatric fluid bolus, as indicated by guidelines in the pediatric trauma assessment protocol, is 20 ml/kg. This dosage is based on the need to quickly administer an appropriate volume of fluid to address hypovolemia or shock in children due to trauma.

In pediatric patients, especially in cases of trauma, maintaining adequate perfusion is critical. The decision for a 20 ml/kg bolus is supported by evidence suggesting this volume is effective in restoring circulating blood volume without overwhelming a child's cardiovascular system. It allows for close monitoring and reassessment of the patient’s response, ensuring that any further fluid needs can be addressed promptly while minimizing the risk of complications, such as fluid overload.

A bolus of 10 ml/kg may be too small to effectively treat significant hypovolemic shock, and options like 15 ml/kg or 30 ml/kg may either be inadequate for severe cases or risk overloading the circulatory system, respectively. Therefore, 20 ml/kg strikes an important balance within the pediatric trauma management protocol, allowing for effective and safe fluid resuscitation.

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