• NEW Neonatal & Paediatric Calculator: New section Miscellaneous Equipment added
• Neonatal & Paediatric Calculator: Added advice to check sodium for argipressin infusion
• Kids ECMO Referral Service (KERS) Calling Criteria: Some changes in wording.

• Kids ECMO Referral Service (KERS) Calling Criteria: Criteria updated and the tool removed from NCC menu unless user accessing from a NETS computer.

• Kids ECMO Referral Service (KERS) Calling Criteria: Another criterion (peri-arrest) added.
• Neonatal Bilirubin Therapy Calculator: AAP Graphs updated

• NEW Neonatal Hypoglycaemia Song Sheet
• NEW Kids ECMO Referral Service (KERS) Calling Criteria
• Neonatal Calculator: Argipressin (vasopressin) infusion added. ETT Size recommendations adjusted
• Multiple Song Sheets & Calculators: Stylistic adjustments and minor text changes
• References: Updated for new tools

• Paediatric Calculator: Adrenaline routes and indications added, argipressin (vasopressin) infusion added, clarified heparin infusion diluents, weight threshold between lower & higher concentrations of insulin infusions tweaked and duration of vancomycin infusion increased for doses >500mg

• Neonatal Calculator: Added i-gel^® sizes to supraglottic airways under the ETT table

• Menu: Hitting Enter (or Return) when the Calculate button is active will run the selected calculator/tool
• Neonatal & Paediatric Calculator: Changed levetiracetam (Keppra^®) dilution calculation to minimise number of vials used and be consistent accross both calculators
• Paediatric Calculator: GTN infusion limited to 1 mg/mL concentration
• Neonatal Calculator: Increased levetiracetam (Keppra^®) dose range for consistency with Australasian Neonatal Medicines Formulary

• Neonatal Calculator: Alprostadil PGE1 (Prostin VR^®) moved to correct alphabetical order
• Neonatal & Paediatric Calculator: Added dose of adrenaline infusion to give in a cardiac arrest when no separate bolus doses are available
• Paediatric Calculator: Added i-gel^® sizes to supraglottic airways under the ETT table

• General: The estimated weight and normal range for children aged 1-16 is now based on 50th and 10th & 90th centiles of children from the NETS CRS database (>16,000 weight records) as they represent our population better than the Best Guess formula or the CDC weight centiles
• Paediatric Calculator: Dobutamine & dopamine infusions now switch to a neat solution rather than reducing the dose when a 30mg/kg dose fills 50mL syringe

• Neonatal Calculator: Added ampicillin, cefotaxime, clindamycin, metronidazole & piperacillin-tazobactam to antimicrobial drugs
• Paediatric Calculator: Added ampicillin, cefotaxime, clindamycin, metronidazole & piperacillin-tazobactam to antimicrobial drugs
• Paediatric Calculator: Fentanyl infusion preparation changed to 50 μcg/kg in 50 mL allow a dose rate 1 mL/hr = 1 μcg/kg/hr for weights up to 50kg and then neat solution (2500 μcg/50 mL) used

• Neonatal Calculator: Fentanyl added to intubation drugs

• General: Styling & internal link updates
• Neonatal Calculator: Advice added re use of PVC-free lines for amiodarone and in-line filters for amiodaraone & phenytoin
• Paediatric Calculator: Advice added re use of PVC-free lines for amiodarone & insulin and in-line filters for amiodaraone, mannitol & phenytoin. Advice added re IM injection of cefotaxime and ceftriaxone. Fentanyl infusion preparation changed for weights<10kg to allow a dose rate 0.5μcg/kg/hr

• Paediatric Calculator: Midazolam buccal & intranasal doses added. Maximum midazolam doses set to 10 mg
• DKA Song Sheet: Minor change in wording
• General: Tables distributed more evenly across pages when printed

• Neonatal Calculator: Dose volume correction for sildenafil infusion. Heparin dose given in units as well as volume of the 5000 units/5 mL preparation.

• Neonatal Calculator: Midazolam dilution concentration units changed to mg/mL from μg/mL for consistency and clarity.

• Neonatal Calculator: Suggested midazolam bolus dose changed to mid-range. Paracetamol IV bolus dose added
• Paediatric Calculator: Preparation of levetiracetam (Keppra^®) optimised.
• Ad Hoc Fluid Concentrations Calculator: Information concerning standard IV fluid bag overfill added

• Resuscitation at Birth: Cuffed ETT size now included where appropriate
• DKA Song Sheet: Potassium replacement rate added
• General: Minor formatting changes, improved browser/platform check

• Neonatal Calculator: Cuffed ETT size now included. Curosurf^® moved to intubation section and optimal no. of 120 & 240mg vials calculated for dose. Amiodarone, caffeine, vitamin K added
• Paediatric & Neonatal Calculators: Magnesium sulphate bolus infusion times added. Infusions section title changed to Continuous Infusions to differentiate from bolus doses given as a one-off infusion over a set time period
• Antibiotics in Sepsis Calculator: New calculator

• Clinical Calculator Menu: Warning updated when weight is disproportionate for age.

• Clinical Calculator Menu: Warning is now displayed if the browser being used is not Chrome or Edge.
• DKA Song Sheet: Wording change for Insulin dose field.

NB Although the NETS Clinical Calculator works on all major browsers & platforms tested, output has been optimised for browsers that use the Chromium/Blink engines e.g. Google Chrome

• Ad Hoc Fluid Concentrations Calculator: Increased precision of volume to exchange when small volumes involved.

NB Although the NETS Clinical Calculator works on all major browsers & platforms tested, output has been optimised for browsers that use the Chromium/Blink engines e.g. Google Chrome

• Clinical Calculator Menu: Age calculation method fieldset moved above weight entry as more logical if the child's weight is unknown and using the age to estimate it
• Neonatal Calculator: sildenafil added to Infusions section, heparin loading dose as per Children's Hospital at Westmead policy
• Paediatric Calculator: loading dose heparin moved from Bolus Drugs to Infusions section to keep heparin dosing together. Also dosing now fully follows the Children's Hospital at Westmead policy
• Asthma Song Sheet: Corrected typo in dose/kg for azithromycin. The actual calculated dose was always correct
• Paediatric Calculator & Asthma Song Sheet: Clarified that azithromycin may be given PO or IV
• Minor text & formatting changes

NB Although the NETS Clinical Calculator works on all major browsers & platforms tested, output has been optimised for browsers that use the Chromium/Blink engines e.g. Google Chrome

• Status Epilepticus Song Sheet reformated to improve clarity of drug dose timings
• Clinical Calculator Menu: DOB age calculation methods improved to use a date picker to aid input (browser-dependent). Where not available (e.g. Internet Explorer) the number of date formats accepted has been increased
• Clinical Calculator Menu: estimated weight selection simplified - extra text removed and a button to utilise the weight estimated from the DOB or age in years only appears when valid
• Throughout the NETS Clinical Calculator 0.9% Saline has been replaced with 0.9% sodium chloride
• Minor text & formatting changes

NB Although the NETS Clinical Calculator works on all major browsers & platforms tested, output has been optimised for browsers that use the Chromium/Blink engines e.g. Google Chrome

• Version, browser & platform information included by default when email sent to Technical Support

• Neonatal calculator: Curosurf^® added to bolus drugs
• Neonatal calculator: Prostin^® vial contents now listed
• Paediatric calculator: naloxone added to bolus drugs
• Paediatric calculator: Anticonvulsants section moved to first page on printed copy to be consistent with Neonatal Calculator and to allow for future expansion of bolus table
• Disclaimer & Further Information text updated
• Minor formatting updates

• All calculators, song sheets & tools in the NETS Clinical Calculator now come under a common version number and a release date for the version is also now supplied
• The text on the button to use an estimated weight has been updated on the main menu page
• File naming/format updates

• Neonatal Cooling Criteria calculator: Added ability for Encephalopathy criterion to be determined by selecting examination features
• Made styling more uniform between tools

• Neonatal & Paediatric calculators: LMAs added and drug names now conform to TGA naming and 'Tall man lettering' conventions
• Paediatric calculator: Levetiracetam initial dose changed to 40mg/kg, tranexamic acid loading dose & maintenance infusion added
• Neonatal Cooling Criteria calculator: Encepalopathy severity stages table added

• Song sheets (Asthma, DKA & Seizures) and tools (Neonatal Jaundice Therapy, Neonatal Cooling Criteria & Ad Hoc Fluid Concentrations) added to calculator
• Some styling changes

• Neonatal calculator: Standard fluid choices by age added to calculator
• Neonatal & Paediatric calculators: Added the text 'vial contents' to Drug columns to clarify that the text under each drug name is not the dose

• Neonatal & Paediatric calculators: Note added to the key to the effect that all drug doses are calculated for the IV route except where otherwise specified
• Resuscitation at Birth calculator: Set ETT insertion lengths to unknown when no weight is given
• Minor text & formatting changes to improve pagination on some devices

• Paediatric calculator: Infusion units made considtent for clonidine, dexmedetomidine, glyceryl trinitrate & salbutamol

• Paediatric & Burns calculators: Reverted to original maintenance fluid calculation (Holliday & Segar)
• Paediatric calculator: Set maximum dose suxamethonium to 100mg
• Paediatric calculator: Included salbutamol maximum infusion rate and allowed 1 mcg/kg/min for all weights
• Version history available via link on menu page

• Neonatal calculator: Corrected dilution text for anticonvulsant midazolam

• Neonatal calculator: Supplied missing fentanyl units for bolus dose

• Browser compatibility tweaks

• Added instruction to clarify menu use
• Weight entry fields hidden until a calculator tool is selected from the menu
• Technical Support email link updated (calc@nets.org.au)

• First version of web-based calculator
• Neonatal calculator: Heparin infusion added, pancuronium removed, glucagon doses updated, general alignment with the Australasian Neonatal Medicines Formulary
• Paediatric calculator: Clonidine & heparin infusions added, some Antimicrobials and Defibrillation/Cardioversion doses
• Paediatric Burns Fluid calculator: updated
• References for all calculated values included
• Text & formatting changes