CREDD drug dosage guides and training
Children’s Resuscitation Emergency Drug Dosage (CREDD) is a set of weight based equipment and medication guides for clinicians who care for critically unwell children.
The guides are for use in the initial stages of resuscitation and are available for patient weights from 2 kg to 70 kg. They include dosing, preparation and delivery instructions for drugs administered in a range of paediatric emergency care situations.
CREDD has been designed to improve the accuracy, safety and speed of administering emergency medicines.
The guides have been developed by a multidisciplinary team of clinicians and pharmacists with emergency, paediatric, intensive care and retrieval experience.
Watch our introductory video on Vimeo to learn more.
CREDD resources
Buy printed guides
Your hospital should have a printed copy of the CREDD guides in your resus room. Use our online form to order printed copies. Each guide costs $200 including GST.
Drug preparation videos
Watch all the CREDD education videos on the Optimus Project Vimeo website including:
- IV magnesium sulfate as a loading dose infusion
- IV phenytoin as a loading dose infusion
- IV ketamine push dose
- IM adrenaline in anaphylaxis
- IV adrenaline infusion
- IV push pressor adrenaline
Practical skill guides for preparing drugs using CREDD
- B. Braun pumps guide [PDF 2504.96 KB]
- BD Alaris PCU guide [PDF 2946.96 KB]
- Alaris GH guide [PDF 3068.53 KB]
Email stork@health.qld.gov.au for non-emergency CREDD training or help using the guides. If you have feedback email CREDD@health.qld.gov.au.
CHQ Standardised User Applied Medicine Labels
Standardised user applied medicine labels are available from the Queensland Health Intranet via the Medicine labels page. These align with the standard concentrations used in CREDD.
Refer to the User-applied labelling requirements at QCH including governance of locally developed labels procedure (for Queensland Health staff on the intranet).
Before use in your Emergency Department, these labels must be endorsed via your local medicines advisory committee. Each department is responsible for developing processes to ensure ongoing safety when using these labels.
Please ensure that the medicine labels chosen reflect the concentration in the CREDD to minimise the risk of medication errors.
Printing instructions are available from the User-applied labelling requirements at QCH including governance of locally developed labels procedure (for Queensland Health staff on the intranet).
Children’s Intensive Care Drug Directory (CIDD)
The Children’s Intensive Care Drug Directory (CIDD) is a medicine infusion guide. CIDD is for nurses, doctors and clinicians to use in an intensive care environment for critically unwell children.
Queensland Health staff can access CIDD here. The Queensland Paediatric Critical Care Pathway Project (QPCCP) sponsored the development of CIDD in 2021.
Antimicrobial medicine guides
The antimicrobial stewardship program has guidelines and advice for Queensland clinicians treating infections in paediatric patients with antibiotic medicines.
Read the antimicrobial dosing recommendations or visit the antimicrobial formulary for more information.
Clinicians Knowledge Network (CKN)
Information and access to Queensland Health's corporate medicine guidelines including:
- eMIMSplus
- AMH
- Micromedex
Queensland Health staff can access CKN on the intranet.
External medicine guides
External guidelines for clinicians and nurses to support the administration of medicines in emergency departments. You may need an account with the guideline publishers to access these guidelines.
| Guideline | Purpose | Publisher |
|---|---|---|
| Australian Injectable Drugs Handbook | General handbook on preparation of injectable drugs in Australia. Not paediatric specific. Contains compatibility information where not available in paediatric resources. | The Society of Hospital Pharmacists of Australia |
| Australian Medicines Handbook Children’s Dosing Companion (AMH CDC) | Best practice medicine and dosing information for Australian paediatric practice | Australian Medicines Handbook |
| Australian Therapeutic Guidelines | Best practice therapeutic guidelines for Australia | Therapeutic Guidelines |
| Paediatric Injectable Guidelines | Parenteral medicine administration information for paediatric patients | The Royal Children's Hospital Melbourne |
| Pharmaceutical Benefits Scheme (PBS) | Information on Pharmaceutical Benefits Scheme including subsidised medicines. | Department of Health and Aged Care |
| Lactmed® | Information on drugs and other chemicals brestfeeding mothers may be exposed to, including information on possible adverse effects on the nursing infant. | National Institute of Child Health and Human Development |
| MIMS Online | Australian approved product information and Consumer Medicines Information (CMI) | MIMS Australia |
| NeoMedQ Neonatal Medicines | Includes guideline on neonatal medicines. | Queensland Health |
| Toxinz | Best practice medicine recommendations for suspected poisoning | National Poisons Centre, New Zealand Paediatric Injectable Drugs (Teddy Bear) Book |
| Don’t Rush to Crush | Information on crushing and dispersing oral solid dose medicines | MIMS Australia |
| British National Formulary for Children (BNFC) | Best practice medicines information for paediatrics in Britain. Most useful where information not available in Australian resources/ unusual practice. | Royal Pharmaceutical Society |
| Hale’s Medication and Mother’s Milk | Information on the amount of medicine in breast milk and help to find the best medicine option for a breastfeeding mother | Springer Publishing Micromedex Intravenous Compatibility – Trissel’s |
The Australian Injectable Drugs Handbook
Purpose: General handbook on preparation of injectable drugs in Australia. Not paediatricspecific. Contains compatibility information where not available in paediatric resources.
Disclaimer
The information contained in the guidelines is intended for information purposes only. Read our full disclaimer to learn more.