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Pediatric office resuscitation supplies

Pediatric office resuscitation supplies
Essential*
Equipment
Airway
Oxygen delivery system
Oxygen masks
Portable suction device with rigid and flexible cathetersΔ
Nebulizer or metered dose inhaler with spacer/mask
Self-inflating bag-valve-mask
Oropharyngeal airways (sizes 00-5)
Pulse oximeter
Miscellaneous
Sphygmomanometer with infant, child, adult, and thigh cuffs
Resuscitation guide (eg, Broselow® tape or precalculated weight-based equipment and drug sheets)
Backboard/cardiac arrest board
Sterile dressings
Splints
Personal protective equipment
Latex-free gloves
Surgical masks
Eye covers
Gowns
Medications¥
Oxygen
Albuterol (MDI or inhalational)
Epinephrine (1 mg/mL [1:1000])
Strongly suggested*
Equipment
Airway
Suction catheters (5-16F)
Yankauer suction tip
Laryngoscope handle (pediatric, adult)
Laryngoscope blades (sizes 0-2 straight, 2-3 curved)
Endotracheal tubes (uncuffed 2.5-5.5, cuffed 4-8)
Stylets (pediatric, adult)
End-tidal carbon dioxide detector
Vascular access and fluid administration
Latex-free tourniquet
Butterfly needles (19-25 gauge)
Over-needle IV catheters (14-24 gauge)
Intraosseous needles§
Tape and arm boards
IV tubing, microdrip fluid reservoir
Miscellaneous
Automated external defibrillator with pediatric capability
Point of care glucose test
Cervical collars (small/large)
Heating source (overhead warmer/heat lamp)
Medications and fluids¥
Activated charcoal without sorbitol
Antibiotics
Antiseizure medications (lorazepam, diazepam)
Corticosteroids (oral/parenteral)
Dextrose (4 mg/mL [25%])
Dextrose 5% and 0.45 NS solution (500 mL bags)
Diphenhydramine (50 mg/mL, parenteral)
Epinephrine (0.1 mg/mL [1:10,000])
Atropine sulfate (0.1 mg/mL)
Naloxone (0.4 mg/mL)
NS or lactated Ringer's solution (500 mL bags)
Sodium bicarbonate (0.5 mEq/mL [4.2%])
IV: intravenous; NS: normal saline.
* Essential supplies are recommended for all office practices that provide primary pediatric care. Strongly suggested supplies are essential if advanced emergency medical system response time to the practice is greater than 10 minutes.
¶ Venturi and nonrebreather oxygen masks with reservoirs in infant, child, and adult sizes.
Δ Wall or portable suction with tonsil tip suction catheter and bulb syringe.
450 and 1000 mL reservoir self-inflating resuscitation bags with infant, child, and adult masks.
§ Manual intraosseous needles (16 and 18 gauge) or 15 gauge intraosseous needles of varying lengths with driver (eg, EZ-IO®).
¥ Medications and fluids require regular inspection to ensure that they are properly packaged and not expired. Parenteral lorazepam requires refrigeration.
Data from: Committee on Pediatric Emergency Medicine, Frush, K. Policy Statement: preparation for emergencies in the offices of pediatricians and pediatric primary care providers. Pediatrics 2007; 120:200.
Graphic 53154 Version 7.0

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