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).
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EDAP |
SEDP |
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Monitoring Devices |
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Blood glucose measurement device (i.e., chemistry strip or glucometer) |
E (ED) |
E (ED) |
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Doppler ultrasound blood pressure device (neonatal-adult thigh cuffs) |
E (ED) |
E (ED) |
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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) |
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Pediatric monitor electrodes |
E (ED) |
E (ED) |
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End-tidal pediatric CO2 monitor and/or pediatric CO2 detector (disposable units may be substituted) |
E (ED) |
E (ED) |
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Otoscope/opthalmoscope/stethoscope |
E (ED) |
E (ED) |
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Pulse oximeter with pediatric adapter |
E (ED) |
E (ED) |
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Sphygmomanometer with cuffs (neonatal-adult thigh) |
E (ED) |
E (ED) |
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Thermometer (hypothermia), rectal probe (28-42°C) |
E (ED) |
E (ED) |
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Vascular Access Supplies and Equipment |
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Arm boards (sized infant through adult) |
E (ED) |
E (ED) |
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Blood gas kits |
E (ED) |
E (ED) |
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Butterfly needles (19-25 g)* |
E (ED) |
E (ED) |
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Catheter-over-needle devices (16-24 g)* |
E (ED) |
E (ED) |
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Infusion pumps, drip or volumetric, with microinfusion capability, appropriate tubing & connectors |
E (ED) |
E (ED) |
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Intraosseous needles or bone marrow needles (13-18 g size range) – stock one large/one small bore |
E (ED) |
E (ED) |
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IV administration sets with calibrated chambers, extension tubing, stopcocks, and T-connectors |
E (ED) |
E (ED) |
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IV fluid/blood warmer |
E (ED) |
E (ED) |
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IV solutions: standard crystalloid and colloid solutions (D10W, D5/.2 NS, D5/.45 NS and 0.9 NS) |
E (ED) |
E (ED) |
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Syringes (TB, Insulin U100, 1-20 ml) |
E (ED) |
E (ED) |
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Tourniquets |
E (ED) |
E (ED) |
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Umbilical vein catheters (3.5 and 5 Fr; the same size feeding tube may be used for 5 Fr)* |
E (ED) |
E (ED) |
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Single lumen vascular access supplies utilizing the Seldinger technique (5 and 8 Fr)* |
E (ED) |
E (ED) |
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Respiratory Equipment and Supplies |
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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) |
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Bulb syringe |
E (ED) |
E (ED) |
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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) |
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Endrotracheal tubes:* |
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Uncuffed (sizes 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5) |
E (ED) |
E (ED) |
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Cuffed (sizes 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 9.0) |
E (ED) |
E (ED) |
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Stylets for endotracheal tubes (pediatric and adult) |
E (ED) |
E (ED) |
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Laryngoscope handle (pediatric and adult) |
E (ED) |
E (ED) |
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Laryngoscope blades (curved 2, 3; straight or Miller 0, 1, 2, 3)* |
E (ED) |
E (ED) |
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Magill forceps (pediatric and adult) |
E (ED) |
E (ED) |
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Nasopharyngeal airways (sizes 12, 16, 20, 24, 28, 30 Fr)* |
E (ED) |
E (ED) |
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Nebulized medication, administration set |
E (ED) |
E (ED) |
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Oral airways (sizes 0, 1, 2, 3, 4, 5)* |
E (ED) |
E (ED) |
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Oxygen delivery device with flow meter and tubing |
E (ED) |
E (ED) |
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Oxygen delivery adjuncts: |
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Tracheostomy collar |
E (ED) |
E (ED) |
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Partial non-rebreather masks, clear (pediatric and adult sizes) |
E (ED) |
E (ED) |
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Nasal canula (pediatric and adult) |
E (ED) |
E (ED) |
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Nasal canula (infant) |
E (ED) |
E (ED) |
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Peak flow meter |
E (ED) |
E (ED) |
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Suction capability (wall) |
E (ED) |
E (ED) |
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Suction capability (portable) |
E (ED) |
E (ED) |
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Suction catheters (sizes 6, 8, 10, 12, 14, 16 Fr and Yankauer-tip catheter)* |
E (ED) |
E (ED) |
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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) |
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Tube thoracostomy tray and water seal drainage capacity with chest tubes (sizes 8-40 Fr)* |
E (ED) |
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Medications (unit dose, prepackaged) |
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Access to the Illinois Poison Center 1-800-222-1222 |
E (ED) |
E (ED) |
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Activated charcoal (consider with and without Sorbitol) |
E (ED) |
E (ED) |
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Adenosine |
E (ED) |
E (ED) |
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Amiodarone |
E (ED) |
E (ED) |
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Antipyretics |
E (ED) |
E (ED) |
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Atropine |
E (ED) |
E (ED) |
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Barbiturates |
E (ED) |
E (ED) |
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Bensodiazepines |
E (ED) |
E (ED) |
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Beta agonist for inhalation (Albuterol) |
E (ED) |
E (ED) |
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Beta blockers |
E (ED) |
E (ED) |
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Calcium (chloride or gluconate) |
E (ED) |
E (ED) |
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Dexamethasone |
E (ED) |
E (ED) |
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Dextrose (25% and 50%) |
E (ED) |
E (ED) |
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Diphenhydramine |
E (ED) |
E (ED) |
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Dobutamine |
E (ED) |
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Dopamine |
E (ED) |
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Epinephrine (1:1,000 and 1:10,000) |
E (ED) |
E (ED) |
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Epinephrine (Racemic) |
E (ED) |
E (ED) |
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Furosemide |
E (ED) |
E (ED) |
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Glucagon or Glucose Paste |
E (ED) |
E (ED) |
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Hydrocortisone |
E (ED) |
E (ED) |
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Insulin, regular |
E (ED) |