Section 11 - Equipment Recommendations
Minimal Pediatric Equipment Recommendations for Emergency Departments*
The following table (Table 11.1) has been modified from the New York State 911 Hospital Receiving Guidelines.1 The amounts given are the minimal recommended number of items per one expected critical patient in an Emergency Department. Each institution must determine its expected surge capacity for pediatric critical patients and should adjust inventory according to the number of patients for which it will plan. For example, if Hospital A decides to prepare for an influx of 4 critical pediatric patients, then the numbers in the amounts column should be multiplied by 4.
Additionally, many hospitals are creating and stocking disaster carts to be used in designated areas. It is recommended that hospitals also consider stocking a cart specifically for the Emergency Department for a Pediatric Critical Care Area.
*Amounts based on needs expected per one critical pediatric patient of unknown age or size.
| Equipment Type | Size | Amount | Importance |
|---|---|---|---|
| Ambu Bags | Infant | 2 | Essential |
| Child | 2 | Essential | |
| Arm Board | - | 2 | Desirable |
| Blood Pressure Cuffs | Infant/Small Child | 1 | Essential |
| Chest Tubes | Sizes 12F, 16F, 20F, 24F, 28F | 2 each size | Essential |
| Dosing Chart, Pediatric | - | 1 | Essential |
| ETCO2 Detectors (pediatric, disposable) | - | 2 | Essential |
| ET Tubes | 2.5-6.5 | 6 each size | Essential |
| Foley Catheters | Sizes 8F, 10F, 12F | 6 each size | Essential |
| Gastrostomy tubes | Sizes 12F, 14F, 16F | 2 each size | Desirable |
| Infant Scale | - | 1 for any # patients | Essential |
| Intraosseous Needles | - | 8 | Essential |
| Intravenous Infusion Pumps (with pediatric dosing capability) | - | 1 | Desirable |
| Laryngoscope Blades | Macintosh 0,1,2 | 2 each size | Essential |
| Miller 0,1,2 | 2 each size | Essential | |
| Laryngoscope Handles | Pediatric | 2 | Essential |
| Masks - Face masks, clear self-inflating bag (500cc) | Infant | 10 | Essential |
| Child | 10 | Essential | |
| Masks - Non Rebreather | Infant | 10 | Essential |
| Child | 2 | Essential | |
| Nasal Cannula | Infant | 2 | Desirable |
| Child | 2 | Desirable | |
| Nasogastric Tubes | Sizes 6F, 8F, 10F, 12F, 14F, 16F | 10 each size | Essential |
| Nasopharyngeal Airways | All pediatric sizes | 1 each size | Desirable |
| Newborn Kit / Obstetric/Delivery Kit | - | 1 | Essential |
| Oral Airways | All pediatric sizes 00, 01 | 2 each size | Essential |
| Over the Needle Intravenous Catheters | Sizes 20, 22, 24 | 5 each size | Essential |
| Restraining Board | Pediatric | 1 | Desirable |
| Resuscitation Tape, length based (Broselow) Reference | - | 2 | Essential |
| Seldinger Technique Vascular Access Kit | Sizes 4F, 5F | 3 each size | Desirable |
| Catheters 15cm length | 3 each size | Desirable | |
| Semi Rigid Cervical Spine Collars | Infant | 2 | Essential |
| Small Child | 2 | Essential | |
| Child | 2 | Essential | |
| Suction Catheters | 5F, 8F | 5 each size | Essential |
| Syringes, 60cc, catheter tip (for use with G/T tube) | - | 2 | Essential |
| Tracheostomy Tubes | Sizes 00 to 6 | 2 each size | Essential |
| Warming Device (overhead warmer for newborns) | - | 1 | Desirable |
Reference
1 New York City Fire Department. Emergency Department Standards. 6th ed. New York, NY; 1997.
