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.]
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