Guidelines for Minimum Equipment and Supplies for Care of Pediatric Patients in
April 1, 1998
Guidelines for Minimum Equipment and Supplies for Care of Pediatric Patients in Emergency Departments
ESSENTIAL EQUIPMENT AND SUPPLIES
Monitoring
Cardiorespiratory monitor with strip recorder
Defibrillator (0-4000 J capability) with pediatric and adult paddles (4.5 cm and 8 cm)
Pediatric and adult monitor electrodes
Pulse oximeter with sensors in sizes newborn through adult
Thermometer/rectal probe (suitable for hypothermic and hyperthermic measurements with temperature capability from 25-44° C)
Sphygmomanometer
Doppler blood pressure device
Blood pressure cuffs (neonatal, infant, child, adult, and thigh sizes)
Method to monitor endotracheal tube and placement (may be satisfied by a disposable EtCO2 detector, bulb, or feeding tube methods for endotracheal tube replacement)
Vascular Access
Butterfly needles (19- to 25-gauge)
Catheter-over-needle devices (14- to 24-gauge)
Infusion device (to regulate rate and volume)
Tubing for above
Intraosseous needles (16- and 18-gauge) [may be satisfied by standard bone marrow aspiration needles, 13- or 15-gauge]
Arm boards (infant, child, and adult sizes)
Intravenous fluid/blood warmers
Umbilical vein catheters (sizes 3.5 Fr and 5 Fr) [available within the hospital]
Seldinger technique vascular access kit (with pediatric sizes 3, 4, 5 Fr catheters)
Airway management
Clear oxygen masks (preterm, infant, child, and adult sizes)
Non-rebreathing masks (infant, child, and adult sizes)
Oral airways (sizes 00-5)
Nasopharyngeal airways (12 to 30 Fr)
Bag-valve-mask resuscitator, self-inflating (450 and 1000 mL sizes)
Nasal cannulae (infant, child, and adult sizes)
Endotracheal tubes: uncuffed (sizes 2.5 to 8.5) and cuffed (sizes 5.5 to 9)
Stylets (pediatric and adult sizes)
Laryngoscope handle (pediatric and adult)
Nasogastric tubes (sizes 6 to 14 Fr)
Suction catheters: flexible (sizes 5 to 16 Fr) and Yankauer suction tip
Chest tubes (sizes 8 to 40 Fr)
Tracheostomy tubes (sizes 00 to 6) [ensure availability of pediatric sizes within the hospital]
Resuscitation medications (see table, p. 45)
Medication chart, tape, or other system to ensure ready access to information on proper per kilogram dose for resuscitation drugs and equipment sizes. [System for estimating medication doses and supplies may use the length-based method with color codes, or other predetermined weight (kg)/dose method.]