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PEDIATRIC EQUIPMENT RECOMMENDATIONS FOR EMERGENCY DEPARTMENTS
The following list identifies pediatric equipment items that are recommended
for the two emergency department facility recognition levels, Emergency
Department Approved for Pediatrics (EDAP) and Standby Emergency Department
for Pediatrics (SEDP). Equipment items are
all classified as ESSENTIAL "E". In
addition, each equipment item should be stocked in the EMERGENCY
DEPARTMENT (ED).
* Must minimally stock the full range of each commonly available size noted.
|
MONITORING DEVICES |
EDAP |
|
SEDP |
|
| Blood glucose measurement device (i.e. chemistry strip or
glucometer) |
E (ED) |
|
E (ED) |
|
| Doppler ultrasound blood pressure device (neonatal –
adult thigh cuffs) |
E (ED) |
|
E (ED) |
|
| ECG monitor-defibrillator/cardioverter with pediatric and
adult sized paddles, with pediatric dosage settings (0-400 joules) and pediatric-adult
packing electrodes |
E (ED) |
|
E (ED) |
|
| Pediatric monitor electrodes |
E (ED) |
|
E (ED) |
|
| End-tidal PCO2 monitor and/or pediatric CO2 detector
(disposable units may be substituted) |
E (ED) |
|
E (ED) |
|
| Otoscope/opthalmoscope/stethoscope |
E (ED) |
|
E (ED) |
|
| Pulse oximeter with pediatric adapter |
E (ED) |
|
E (ED) |
|
| Sphygmomanometer with cuffs (neonatal – adult thigh) |
E (ED) |
|
E(ED) |
|
| Thermometer (hypothermia), rectal probe (28-42° C) |
E (ED) |
|
E (ED) |
|
|
VASCULAR ACCESS
SUPPLIES AND EQUIPMENT |
EDAP |
|
SEDP |
|
| Arm boards (sized infant through adult) |
E (ED) |
|
E (ED) |
|
| Blood gas kits |
E (ED) |
|
E (ED) |
|
| Butterfly needles (19-25 g) * |
E (ED) |
|
E (ED) |
|
| Catheter-over-needle devices (16-24 g)* |
E (ED) |
|
E (ED) |
|
| Infusion pumps, drip or volumetric, with microinfusion
capability, appropriate tubing & connectors |
E (ED) |
|
E (ED) |
|
| Intraosseous needles
or bone marrow needles (13 – 18 g size range - stock one
large and one small bore) |
E (ED) |
|
E (ED) |
|
| IV administration sets with calibrated chambers, extension
tubing, stopcocks, & T-connectors |
E (ED) |
|
E(ED) |
|
| IV fluid/blood warmer |
E (ED) |
|
E (ED) |
|
| IV solutions: standard crystalloid and colloid solutions
(D10W, D5/.2 NS, D5/.45 NS and 0.9 NS) |
E (ED) |
|
E (ED) |
|
| Single lumen
vascular access supplies utilizing the Seldinger technique (5
and 7 or 8.5 Fr)* or comparable sizes |
E (ED) |
|
E (ED) |
|
| Syringes (TB, Insulin U100, 1ml – 20ml) |
E (ED) |
|
E (ED) |
|
| Tourniquets |
E (ED) |
|
E (ED) |
|
| Umbilical vein catheters (3.5 and 5 Fr; The same size feeding
tube may be used for 5 Fr)* |
E (ED) |
|
E (ED) |
|
|
RESPIRATORY
EQUIPMENT AND SUPPLIES |
EDAP |
|
SEDP |
|
| Bag-valve-mask device, self-inflating – pediatric (250
& 450 ml) and adult (1000 ml) with O2 reservoir and without pop-off valve
and clear masks (neonatal through large adult sizes)* ; PEEP valve and
manometer |
E (ED) |
|
E(ED) |
|
| Bulb syringe |
E (ED) |
|
E(ED) |
|
| Cricothyrotomy capabilities (i.e. 10 g needle and 3 mm ET
tube adapter or 14 g needle and 3.5 mm ET tube adapter) or cricothyrotomy kit |
E (ED) |
|
E (ED) |
|
Endotracheal Tubes: *
Uncuffed (sizes 2.5, 3.0, 3.5, 4.0,
4.5, 5.0, 5.5)
Cuffed (sizes 5.5, 6.0, 6.5, 7.0,
7.5, 8.0, 9.0)
Stylets for endotracheal tubes
(pediatric and adult)
|
E (ED)
E (ED)
E (ED) |
|
E (ED)
E (ED)
E (ED) |
|
| Laryngoscope handle (pediatric and adult) |
E (ED) |
|
E (ED) |
|
| Laryngoscope blades (Curved 2,3; Straight or Miller 0, 1, 2,
3)* |
E (ED) |
|
E (ED) |
|
| Magill forceps (pediatric and adult) |
E (ED) |
|
E (ED) |
|
| Nasopharyngeal airways (sizes 12, 16, 20, 24, 28, 30 Fr)* |
E (ED) |
|
E (ED) |
|
| Nebulized medication, administration set |
E (ED) |
|
E (ED) |
|
| Oral airways (sizes 0, 1, 2, 3, 4, 5)* |
E (ED) |
|
E (ED) |
|
| Oxygen delivery device with flow meter and tubing |
E (ED) |
|
E (ED) |
|
Oxygen delivery adjuncts:
Tracheostomy collar
Partial non-rebreather masks, clear (pediatric and adult sizes)
Nasal cannula (pediatric and adult)
Nasal cannula (infant)
|
E (ED)
E (ED)
E (ED)
E (ED) |
|
E (ED)
E (ED)
E (ED)
E (ED) |
|
| Peak flow meter |
E (ED) |
|
E(ED) |
|
| Suction capability (wall) |
E (ED) |
|
E (ED) |
|
| Suction capability (portable) |
E (ED) |
|
E (ED) |
|
| Suction catheters (sizes 6, 8, 10, 12, 14, 16 Fr and
Yankauer-tip catheter)* |
E (ED) |
|
E(ED) |
|
| Tracheostomy tubes, Shiley (sizes PED* 3.0, 3.5, 4.0, 4.5,
5.0, 5.5)* (Correspond to PT 00, 0, 1, 2, 3, 4 in old schematization) |
E (ED) |
|
- - |
|
| Tube thoracostomy tray and water seal drainage capacity with
chest tubes (sizes 8-40 Fr)* |
E (ED) |
|
- - |
|
|
MEDICATIONS (unit
dose, prepackaged) |
EDAP |
|
SEDP |
|
| Access to the Illinois Poison Center 1-800-222-1222
(National Poison Helpline) |
E (ED) |
|
E (ED) |
|
| Activated charcoal (Consider with and without Sorbitol) |
E (ED) |
|
E (ED) |
|
| Adenosine |
E (ED) |
|
E (ED) |
|
|
Amiodarone |
E (ED) |
|
E (ED) |
|
| Antipyretics |
E (ED) |
|
E (ED) |
|
| Atropine |
E (ED) |
|
E (ED) |
|
| Barbiturates |
E (ED) |
|
E (ED) |
|
| Benzodiazepines |
E (ED) |
|
E (ED) |
|
| Beta agonist for inhalation (Albuterol) |
E (ED) |
|
E (ED) |
|
| Beta blockers |
E (ED) |
|
E (ED) |
|
| Calcium (chloride or gluconate) |
E (ED) |
|
E (ED) |
|
| Dexamethasone |
E (ED) |
|
E (ED) |
|
| Dextrose (25% and 50%) |
E (ED) |
|
E (ED) |
|
| Diphenhydramine |
E (ED) |
|
E (ED) |
|
| Dobutamine |
E (ED) |
|
- - - |
|
| Dopamine |
E (ED) |
|
- - - |
|
| Epinephrine (1:1,000 and 1:10,000) |
E (ED) |
|
E (ED) |
|
| Epinephrine (Racemic) |
E (ED) |
|
E (ED) |
|
| Furosemide |
E (ED) |
|
E (ED) |
|
| Glucagon or
Glucose Paste |
E (ED) |
|
E (ED) |
|
| Hydrocortisone |
E (ED) |
|
E (ED) |
|
| Insulin, regular |
E (ED) |
|
E (ED) |
|
| Lidocaine 1% |
E (ED) |
|
E (ED) |
|
| Magnesium Sulfate |
E (ED) |
|
E (ED) |
|
| Mannitol |
E (ED) |
|
E (ED) |
|
| Methylprednisolone |
E (ED) |
|
E (ED) |
|
| Narcotics |
E (ED) |
|
E (ED) |
|
| Neuromuscular blocking agents (i.e. succinylcholine,
pancuronium, vecuronium) |
E (ED) |
|
E (ED) |
|
| Ocular anesthetics |
E (ED) |
|
E (ED) |
|
| Phenytoin and/or Phosphenytoin |
E (ED) |
|
E (ED) |
|
Poison Specific Antidotes
Cyanide kit (amyl nitrate, sodium nitrate and sodium thiosulfate)
Flumazenil
Naloxone
|
E (ED)
E (ED)
E (ED) |
|
E (ED)
E (ED)
E (ED) |
|
| Procainamide |
E (ED) |
|
E (ED) |
|
| Sodium bicarbonate – 8.4% and 4.2% |
E (ED) |
|
E (ED) |
|
| Sedative/Hypnotic (i.e. Thiopental, Ketamine, Etomidate,
Midazolam) |
E (ED) |
|
E (ED) |
|
| Tetanus Immune Globulin (Human) |
E (ED) |
|
E (ED) |
|
| Tetanus Vaccines – (Single or in combination with other
vaccines) |
E (ED) |
|
E (ED) |
|
|
MISCELLANEOUS
EQUIPMENT |
EDAP |
|
SEDP |
|
| Dosing device - length or weight based system for dosing and
equipment |
E (ED) |
|
E(ED) |
|
| Dosing/equipment chart by weight |
E (ED) |
|
E (ED) |
|
| EMS communication equipment (i.e. telemetry, MERCI, cellular
or dedicated phone) |
E (ED) |
|
E (ED) |
|
| Examination gloves, disposable |
E (ED) |
|
E (ED) |
|
| Feeding tubes (5-8) * |
E (ED) |
|
E (ED) |
|
| Fluorescein (Eye strips) |
E (ED) |
|
E (ED) |
|
| Gastric lavage equipment |
E (ED) |
|
E(ED) |
|
| Infant formulas, dextrose in water with various nipple sizes |
E (ED) |
|
E (ED) |
|
| Lubricant, water soluble |
E (ED) |
|
E (ED) |
|
| Nasogastric tubes (6-18 Fr)* |
E (ED) |
|
E (ED) |
|
| Oral rehydrating solution |
E (ED) |
|
E (ED) |
|
| Pediatric
emergency cart or bag with defined list of contents attached to
bag/cart |
E (ED) |
|
E (ED) |
|
| Restraining device, pediatric (papoose) |
E (ED) |
|
E (ED) |
|
| Resuscitation board |
E (ED) |
|
E(ED) |
|
| Urinary catheters (8-22 Fr)* |
E (ED) |
|
E (ED) |
|
| Warming devices, age appropriate |
E (ED) |
|
E (ED) |
|
| Weighing scales for infant and adult |
E (ED) |
|
E (ED) |
|
| Woods lamp (Blue light) |
E (ED) |
|
E (ED) |
|
|
SPECIALIZED
PEDIATRIC TRAYS |
EDAP |
|
SEDP |
|
| Lumbar puncture
capability (20-25 g, 1-1/2 inch needle) |
E (ED) |
|
E (ED) |
|
| Minor surgical instruments and sutures |
E (ED) |
|
E (ED) |
|
| Newborn kit/OB kit with umbilical vessel cannulation supplies
and meconium aspirator |
E (ED) |
|
E (ED) |
|
|
FRACTURE MANAGEMENT
DEVICES |
EDAP |
|
SEDP |
|
| Extremity splints |
E (ED) |
|
E(ED) |
|
| Femur splint (child and adult) |
E (ED) |
|
E (ED) |
|
| Semi-rigid neck collars (child through adult) or cervical
immobilization equipment suitable for children |
E (ED) |
|
E (ED) |
|
| Spinal immobilization board (child and adult) |
E (ED) |
|
E (ED) |
|
NOTE: LATEX-FREE SUPPLIES SHOULD BE AVAILABLE WHENEVER POSSIBLE
(Refer to EMS System
Latex-Free policy)
*Must minimally stock the full range of each commonly available size noted
SOURCES:
- Bernstein, M. Latex Safe Emergency Cart Products List, Journal of Emergency Nursing,
24:1, 58-61.
- "Emergency Medical Services For Children: Development & Integration of
Pediatric Emergency Care into EMS Systems," California EMSC Project, 1991.
- "Guidelines for Pediatric Emergency Care
Facilities," American Academy of Pediatrics, Pediatrics, 1995; 96:3,
526-37.
- "Guidelines for the Care of Children in
the Emergency Department, Pediatrics, 2001; 107: 777-781
-
Poison Antidote
Guidelines, Illinois Poison Center, 2002.
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