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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics

A statement of reaffirmation for this policy was published at

  • 128(3):e748
  • 123(5):1421

This policy is a revision of the policy in

  • 103(5):1048
AMERICAN ACADEMY OF PEDIATRICS

Pediatric Care Recommendations for Freestanding Urgent Care Facilities

; Committee on Pediatric Emergency Medicine
Pediatrics July 2005, 116 (1) 258-260; DOI: https://doi.org/10.1542/peds.2005-0958
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    TABLE 1.

    Office Emergency Equipment and Supplies

    Priority*
    Airway management
        Oxygen-delivery systemE
        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 syringeE
        Nebulizer (or metered-dose inhaler with spacer/mask)E
        Oropharyngeal airways (sizes 00–5)E
        Pulse oximeterE
        Nasopharyngeal airways (sizes 12–30F)S
        Magill forceps (pediatric, adult)S
        Suction catheters (sizes 5–16F) and Yankauer suction tipS
        Nasogastric tubes (sizes 6–14F)S
        Laryngoscope handle (pediatric, adult) with extra batteries, bulbsS
        Laryngoscope blades (straight 0–4; curved 2–3)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 detectorS
    Vascular access and fluid management
        Butterfly needles (19–25 gauge)S
        Catheter-over-needle device (14–24 gauge)S
        Arm boards, tape, tourniquetS
        Intraosseous needles (16, 18 gauge)S
        Intravenous tubing, microdripS
    Miscellaneous equipment and supplies
        Color-coded tape or preprinted drug dosesE
        Cardiac arrest board/backboardE
        Sphygmomanometer (infant, child, adult, thigh cuffs)E
        Splints, sterile dressingsE
        Automated external defibrillator with pediatric capabilitiesE
        Spot glucose testS
        Stiff neck collars (small/large)S
        Heating source (overhead warmer/infrared lamp)S
    • ↵* E indicates essential; S, strongly suggested (essential if emergency medical services 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.

    • View popup
    TABLE 2.

    Office Emergency Drugs

    Priority*
    Drugs
        OxygenE
        Albuterol for inhalation†E
        Epinephrine (1:1000)E
        Activated charcoalS
        AntibioticsS
        Anticonvulsants (diazepam, lorazepam)S
        Corticosteroids (parenteral/oral)S
        Dextrose (25%)S
        Diphenhydramine (parenteral, 50 mg/mL)S
        Epinephrine (1:10 00)S
        Atropine sulfate (0.1 mg/mL)S
        Naloxone (0.4 mg/mL)S
        Sodium bicarbonate (4.2%)S
    Fluids
        Normal saline solution or lactated Ringer's solution (500-mL bags)S
        5% Dextrose, 0.45 normal saline (500-mL bags)S
    • ↵* E indicates essential; S, strongly suggested (essential if emergency medical services response time is >10 minutes).

    • ↵† Metered-dose inhaler with spacer or mask may be substituted.

    • 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.

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Pediatrics
Vol. 116, Issue 1
1 Jul 2005
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Pediatric Care Recommendations for Freestanding Urgent Care Facilities
Pediatrics Jul 2005, 116 (1) 258-260; DOI: 10.1542/peds.2005-0958

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