Recommended Equipment for Pediatric Office Emergencies
| Office Emergency Equipment and Supplies . | Prioritya . |
|---|---|
| Airway management | |
| Oxygen-delivery system | E |
| Bag-valve-mask (450 and 1000 mL) | E |
| Clear oxygen masks, breather and nonrebreather, with reservoirs (infant, child, adult) | E |
| Suction device, tonsil tip, bulb syringe | E |
| Nebulizer (or metered-dose inhaler with spacer/mask) | E |
| Oropharyngeal airways (sizes 00–5) | E |
| Pulse oximeter | E |
| Nasopharyngeal airways (sizes 12–30F) | S |
| Magill forceps (pediatric, adult) | S |
| Suction catheters (sizes 5–16F) and Yankauer suction tip | S |
| Nasogastric tubes (sizes 6–14F) | S |
| Laryngoscope handle (pediatric, adult) with extra batteries, bulbs | S |
| Laryngoscope blades (0–2 straight and 2–3 curved) | S |
| Endotracheal tubes (uncuffed 2.5–5.5; cuffed 6.0–8.0) | S |
| Stylets (pediatric, adult) | S |
| Esophageal intubation detector or end-tidal carbon dioxide detector | S |
| Vascular access and fluid management | |
| Butterfly needles (19–25 gauge) | S |
| Catheter-over-needle device (14–24 gauge) | S |
| Arm boards, tape, tourniquet | S |
| Intraosseous needles (16 and 18 gauge) | S |
| Intravenous tubing, microdrip | S |
| Miscellaneous equipment and supplies | |
| Color-coded tape or preprinted drug doses | E |
| Cardiac arrest board/backboard | E |
| Sphygmomanometer (infant, child, adult, thigh cuffs) | E |
| Splints, sterile dressings | E |
| Automated external defibrillator with pediatric capabilities | S |
| Spot glucose test | S |
| Stiff neck collars (small/large) | S |
| Heating source (overhead warmer/infrared lamp) | S |
| Office Emergency Equipment and Supplies . | Prioritya . |
|---|---|
| Airway management | |
| Oxygen-delivery system | E |
| Bag-valve-mask (450 and 1000 mL) | E |
| Clear oxygen masks, breather and nonrebreather, with reservoirs (infant, child, adult) | E |
| Suction device, tonsil tip, bulb syringe | E |
| Nebulizer (or metered-dose inhaler with spacer/mask) | E |
| Oropharyngeal airways (sizes 00–5) | E |
| Pulse oximeter | E |
| Nasopharyngeal airways (sizes 12–30F) | S |
| Magill forceps (pediatric, adult) | S |
| Suction catheters (sizes 5–16F) and Yankauer suction tip | S |
| Nasogastric tubes (sizes 6–14F) | S |
| Laryngoscope handle (pediatric, adult) with extra batteries, bulbs | S |
| Laryngoscope blades (0–2 straight and 2–3 curved) | S |
| Endotracheal tubes (uncuffed 2.5–5.5; cuffed 6.0–8.0) | S |
| Stylets (pediatric, adult) | S |
| Esophageal intubation detector or end-tidal carbon dioxide detector | S |
| Vascular access and fluid management | |
| Butterfly needles (19–25 gauge) | S |
| Catheter-over-needle device (14–24 gauge) | S |
| Arm boards, tape, tourniquet | S |
| Intraosseous needles (16 and 18 gauge) | S |
| Intravenous tubing, microdrip | S |
| Miscellaneous equipment and supplies | |
| Color-coded tape or preprinted drug doses | E |
| Cardiac arrest board/backboard | E |
| Sphygmomanometer (infant, child, adult, thigh cuffs) | E |
| Splints, sterile dressings | E |
| Automated external defibrillator with pediatric capabilities | S |
| Spot glucose test | S |
| Stiff neck collars (small/large) | S |
| Heating source (overhead warmer/infrared lamp) | S |
Note that some offices are located at a distance from EMS services. Providers in offices that are located more than 10 minutes away from the nearest EMS service need equipment that may not be required in the initial minutes of a resuscitation but will be required as the resuscitation effort extends past 10 minutes.
E indicates essential; S, strongly suggested (essential if EMS response time is >10 minutes).
Adapted from: American Academy of Pediatrics, Committee on Pediatric Emergency Medicine. Emergency Medical Services for Children: The Role of the Primary Care Provider. Singer J, Ludwig S, eds. Elk Grove Village, IL: American Academy of Pediatrics; 1992.