TABLE 4

Medications to Be Used in the ED for the Care of Children

Analgesics (oral, intranasal, and parenteral)
Anesthetics and/or topical (eg, eutectic mixture of local anesthetics; lidocaine 2.5% and prilocaine 2.5%; lidocaine, epinephrine, and tetracaine; and LMX 4 [4% lidocaine])
Anticonvulsants (eg, levetiracetam, valproate, carbamazepine, fosphenytoin, and phenobarbital)
Antidotes (common antidotes should be accessible to the ED)a
Antiemetics (eg, ondansetron and prochlorperazine)
Antihypertensives (eg, labetalol, nicardipine, and sodium nitroprusside)
Antimicrobials (parenteral and oral)
Antipsychotics (eg, olanzapine and haloperidol)
Antipyretics (eg, acetaminophen and ibuprofen)
Benzodiazepines (eg, midazolam and lorazepam)
Bronchodilators
Corticosteroids (eg, dexamethasone, methylprednisolone, and hydrocortisone)
Dextrose (D10W)
Diphenhydramine
Furosemide
Glucagon
Insulin
Lidocaine
Magnesium sulfate
Mannitol
Naloxone hydrochloride
Neuromuscular blockers (eg, rocuronium and succinylcholine)
Oral glucose
Sucrose solutions for pain control in infants
Sedation medications (eg, etomidate and ketamine)
Vaccines
3% hypertonic saline
  • D10W, dextrose 10% in water.

  • a For less frequently used antidotes, a procedure for obtaining them should be in place.