TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER f: EMERGENCY SERVICES AND HIGHWAY SAFETY
PART 515 EMERGENCY MEDICAL SERVICES AND TRAUMA CENTER CODE
SECTION 515.APPENDIX L PEDIATRIC EQUIPMENT RECOMMENDATIONS FOR EMERGENCY DEPARTMENTS


 

Section 515.APPENDIX L   Pediatric Equipment Recommendations for Emergency Departments

 

The following list identifies pediatric equipment items that are recommended for the 2 emergency department facility recognition levels.  Equipment items are classified as "essential" (E) and "need to be stocked in the emergency department" (ED).

 

 

EDAP

SEDP

Monitoring Devices

 

 

 

 

 

Blood glucose measurement device (i.e., chemistry strip or glucometer)

E (ED)

E (ED)

 

 

 

Doppler ultrasound blood pressure device (neonatal-adult thigh cuffs)

E (ED)

E (ED)

 

 

 

ECG monitor-defribillator/cardioverter with pediatric and adult sized paddles, with pediatric dosage settings (0-400 joules) and pediatric-adult packing electrodes

E (ED)

E (ED)

 

 

 

Pediatric monitor electrodes

E (ED)

E (ED)

 

 

 

End-tidal pediatric CO2 monitor and/or pediatric CO2 detector (disposable units may be substituted)

E (ED)

E (ED)

 

 

 

Otoscope/opthalmoscope/stethoscope

E (ED)

E (ED)

 

 

 

Pulse oximeter with pediatric adapter

E (ED)

E (ED)

 

 

 

Sphygmomanometer with cuffs (neonatal-adult thigh)

E (ED)

E (ED)

 

 

 

Thermometer (hypothermia), rectal probe (28-42°C)

E (ED)

E (ED)

 

 

 

 

 

 

Vascular Access Supplies and Equipment

 

 

Arm boards (sized infant through adult)

E (ED)

E (ED)

 

 

 

Blood gas kits

E (ED)

E (ED)

 

 

 

Butterfly needles (19-25 g)*

E (ED)

E (ED)

 

 

 

Catheter-over-needle devices (16-24 g)*

E (ED)

E (ED)

 

 

 

Infusion pumps, drip or volumetric, with microinfusion capability, appropriate tubing & connectors

E (ED)

E (ED)

 

 

 

Intraosseous needles or bone marrow needles (13-18 g size range) – stock one large/one small bore

E (ED)

E (ED)

 

 

 

IV administration sets with calibrated chambers, extension tubing, stopcocks, and T-connectors

E (ED)

E (ED)

 

 

 

IV fluid/blood warmer

E (ED)

E (ED)

 

 

 

IV solutions: standard crystalloid and colloid solutions (D10W, D5/.2 NS, D5/.45 NS and 0.9 NS)

E (ED)

E (ED)

 

 

 

Syringes (TB, Insulin U100, 1-20 ml)

E (ED)

E (ED)

 

 

 

Tourniquets

E (ED)

E (ED)

 

 

 

Umbilical vein catheters (3.5 and 5 Fr; the same size feeding tube may be used for 5 Fr)*

E (ED)

E (ED)

 

 

 

Single lumen vascular access supplies utilizing

the Seldinger technique (5 and 8 Fr)*

E (ED)

E (ED)

 

 

 

 

 

 

Respiratory Equipment and Supplies

 

 

 

 

 

Bag-valve-mask device, self-inflating pediatric (250 & 450 ml) and adult (1000 ml) with O2 reservoir and without pop-off valve and clear masks (neonatal through large adult sizes)*; PEEP valve and manometer

E (ED)

E (ED)

 

 

 

Bulb syringe

E (ED)

E (ED)

 

 

 

Cricothyrotomy capabilities (i.e., 10 g needle and 3 mm ET tube adapter or 14 g needle and 3.5 mm ET tube adapter) or cricothyrotomy kit

E (ED)

E (ED)

 

 

 

Endrotracheal tubes:*

 

 

Uncuffed (sizes 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5)

E (ED)

E (ED)

Cuffed (sizes 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 9.0)

E (ED)

E (ED)

Stylets for endotracheal tubes (pediatric and adult)

E (ED)

E (ED)

 

 

 

Laryngoscope handle (pediatric and adult)

E (ED)

E (ED)

 

 

 

Laryngoscope blades (curved 2, 3; straight or

Miller 0, 1, 2, 3)*

E (ED)

E (ED)

 

 

 

Magill forceps (pediatric and adult)

E (ED)

E (ED)

 

 

 

Nasopharyngeal airways (sizes 12, 16, 20, 24, 28, 30 Fr)*

E (ED)

E (ED)

 

 

 

Nebulized medication, administration set

E (ED)

E (ED)

 

 

 

Oral airways (sizes 0, 1, 2, 3, 4, 5)*

E (ED)

E (ED)

 

 

 

Oxygen delivery device with flow meter and tubing

E (ED)

E (ED)

 

 

 

Oxygen delivery adjuncts:

 

 

Tracheostomy collar

E (ED)

E (ED)

Partial non-rebreather masks, clear (pediatric and adult sizes)

E (ED)

E (ED)

Nasal canula (pediatric and adult)

E (ED)

E (ED)

Nasal canula (infant)

E (ED)

E (ED)

 

 

 

Peak flow meter

E (ED)

E (ED)

 

 

 

Suction capability (wall)

E (ED)

E (ED)

 

 

 

Suction capability (portable)

E (ED)

E (ED)

 

 

 

Suction catheters (sizes 6, 8, 10, 12, 14, 16 Fr and Yankauer-tip catheter)*

E (ED)

E (ED)

 

 

 

Tracheostomy tubes, Shiley (sizes PED* 3.0, 3.5, 4.0, 4.5, 5.0, 5.5)* (correspond to PT 00, 0, 1, 2, 3, 4, in old schematization)

E (ED)

---

 

 

 

Tube thoracostomy tray and water seal drainage capacity with chest tubes (sizes 8-40 Fr)*

E (ED)

---

 

 

 

 

 

 

Medications (unit dose, prepackaged)

 

 

 

 

 

Access to the Illinois Poison Center 1-800-222-1222

E (ED)

E (ED)

 

 

 

Activated charcoal (consider with and without Sorbitol)

E (ED)

E (ED)

 

 

 

Adenosine

E (ED)

E (ED)

 

 

 

Amiodarone

E (ED)

E (ED)

 

 

 

Antipyretics

E (ED)

E (ED)

 

 

 

Atropine

E (ED)

E (ED)

 

 

 

Barbiturates

E (ED)

E (ED)

 

 

 

Bensodiazepines

E (ED)

E (ED)

 

 

 

Beta agonist for inhalation (Albuterol)

E (ED)

E (ED)

 

 

 

Beta blockers

E (ED)

E (ED)

 

 

 

Calcium (chloride or gluconate)

E (ED)

E (ED)

 

 

 

Dexamethasone

E (ED)

E (ED)

 

 

 

Dextrose (25% and 50%)

E (ED)

E (ED)

 

 

 

Diphenhydramine

E (ED)

E (ED)

 

 

 

Dobutamine

E (ED)

---

 

 

 

Dopamine

E (ED)

---

 

 

 

Epinephrine (1:1,000 and 1:10,000)

E (ED)

E (ED)

 

 

 

Epinephrine (Racemic)

E (ED)

E (ED)

 

 

 

Furosemide

E (ED)

E (ED)

 

 

 

Glucagon or Glucose Paste

E (ED)

E (ED)

 

 

 

Hydrocortisone

E (ED)

E (ED)

 

 

 

Insulin, regular

E (ED)

E (ED)

 

 

 

Lidocaine 1%

E (ED)

E (ED)

 

 

 

Magnesium Sulfate

E (ED)

E (ED)

 

 

 

Mannitol

E (ED)

E (ED)

 

 

 

Methylprednisolone

E (ED)

E (ED)

 

 

 

Narcotics

E (ED)

E (ED)

 

 

 

Neuromuscular blocking agents (i.e., succinylcholine, pancuronium vecuronium)

E (ED)

E (ED)

 

 

 

Ocular anesthetics

E (ED)

E (ED)

 

 

 

Phenytoin and/or Phosphenytoin

E (ED)

E (ED)

 

 

 

Poison Specific Antidotes

 

 

Cyanide kit (amyl nitrate, sodium nitrate and sodium thiosulfate)

E (ED)

E (ED)

Flumazenil

E (ED)

E (ED)

Naloxone

E (ED)

E (ED)

 

 

 

Procainamide

E (ED)

E (ED)

 

 

 

Sodium bicarbonate – 8.4% and 4.2%

E (ED)

E (ED)

 

 

 

Sedative/Hypnotic (i.e., Thiopental, Ketamine, Etomidate, Midazolam)

E (ED)

E (ED)

 

 

 

Tetanus Immune Globulin (human)

E (ED)

E (ED)

 

 

 

Tetanus Vaccines – (single or in combination with other vaccines)

E (ED)

E (ED)

 

 

 

 

 

 

Miscellaneous Equipment

 

 

 

 

 

Dosing device – length or weight based system for dosing and equipment

E (ED)

E (ED)

 

 

 

 

 

Dosing/equipment chart by weight

E (ED)

E (ED)

 

 

 

EMS communication equipment (i.e., telemetry, MERCI, cellular or dedicated phone)

E (ED)

E (ED)

 

 

 

Examination gloves, disposable

E (ED)

E (ED)

 

 

 

Feeding tubes (5-8)*

E (ED)

E (ED)

 

 

 

Fluorescein (eye strips)

E (ED)

E (ED)

 

 

 

Gastric lavage equipment

E (ED)

E (ED)

 

 

 

Infant formulas, dextrose in water with various nipple sizes

E (ED)

E (ED)

 

 

 

Lubricant, water soluble

E (ED)

E (ED)

 

 

 

Nasogastric tubes (6-18 Fr)*

E (ED)

E (ED)

 

 

 

Oral rehydrating solution

E (ED)

E (ED)

 

 

 

Pediatric emergency cart or bag with defined list of contents attached to bag/cart

E (ED)

E (ED)

 

 

 

Restraining device, pediatric (papoose)

E (ED)

E (ED)

 

 

 

Resuscitation board

E (ED)

E (ED)

 

 

 

Urinary catheters (8-22 Fr)*

E (ED)

E (ED)

 

 

 

Warming devices, age appropriate

E (ED)

E (ED)

 

 

 

Weighing scales for infant and adult

E (ED)

E (ED)

 

 

 

Woods lamp (blue light)

E (ED)

E (ED)

 

 

 

 

 

 

Specialized Pediatric Trays

 

 

 

 

 

Lumbar puncture capability (20-25 g, 1½ inch needle)

E (ED)

E (ED)

 

 

 

Minor surgical instruments and sutures

E (ED)

E (ED)

 

 

 

Newborn kit/OB kit with umbilical vessel cannulation supplies and meconium aspirator

E (ED)

E (ED)

 

 

 

 

 

 

Fracture Management Devices

 

 

 

 

 

Extremity splints

E (ED)

E (ED)

 

 

 

Femur splint (child and adult)

E (ED)

E (ED)

 

 

 

Semi-rigid neck collars (child through adult) or cervical immobilization equipment suitable for children

E (ED)

E (ED)

 

 

 

Spinal immobilization board (child and adult)

E (ED)

E (ED)

 

*  Must minimally stock the full range of each commonly available size noted.

 

(Source:  Added at 26 Ill. Reg. 18367, effective December 20, 2002)