TABLE 1

Recommended Equipment for Pediatric Office Emergencies

Office Emergency Equipment and SuppliesPrioritya
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 (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 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 and 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 capabilitiesS
    Spot glucose testS
    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.

  • a 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.