Way back when - giving atropine for anticholinergic s/e was pretty SOP for most Peds - nowadays its fallen to the wayside.

Personally - I tend to give 5mcg/kg (max .2) to kiddos and dont see much of a bump in HR - but dries them out for emergence + the added benefit of the antichol buffer....

What does everyone else like to do for their peds cases?