Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS
Appendix L - Pediatric Equipment Requirements for Emergency Departments

EDAP

SEDP

Monitoring Devices

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

E (ED)

E (ED)

Continuous end-tidal PCO2 monitor and pediatric CO2 colorimetric detector (disposable units may be substituted)

E (ED)

E (ED)

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

E (ED)

E (ED)

ECG monitor-defibrillator/cardioverter with pediatric and adult sized paddles, or pads, with pediatric dosage settings and pediatric and adult pacing electrodes

E (ED)

E (ED)

Hypothermia thermometer (Note: with a range of 28-42°C)

E (ED)

E (ED)

Pediatric monitor electrodes

E (ED)

E (ED)

Otoscope/ophthalmoscope/stethoscope

E (ED)

E (ED)

Pulse oximeter with pediatric and adult probes

E (ED)

E (ED)

Sphygmomanometer with cuffs (neonatal-adult thigh)

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-type needles (19-25 g)*

E (ED)

E (ED)

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

E (ED)

E (ED)

Central venous catheters (stock one small and one large size)

E (ED)

E (ED)

Infusion pumps, syringe pumps, or devices with microinfusion capability using appropriate tubing & connectors

E (ED)

E (ED)

Intraosseous needles or bone marrow needles (13-18 g size range; stock one large/one small bore) or IO device (pediatric and adult sizes)

E (ED)

E (ED)

IV extension tubing, stopcocks, and T-connectors

E (ED)

E (ED)

IV fluid/blood warmer

E (ED)

E (ED)

IV solutions: standard crystalloid solutions (D10W, D5/.2 NS, D5/.45 NS, D5/.9 NS and 0.9 NS)

E (ED)

E (ED)

Syringes (1 mL through 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)

Respiratory Equipment and Supplies

Bag-valve-mask device, self-inflating infant/child and adult (1000 ml) with O2 reservoir and clear masks (neonatal through large adult sizes)*; PEEP valve

E (ED)

E (ED)

Manometer

E (ED)

E (ED)

Bulb syringe

E (ED)

E (ED)

Endotracheal tubes:*

Cuffed or Uncuffed (sizes 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5 and 8.0)

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)

Meconium aspirator

E (ED)

E (ED)

Nasopharyngeal airways (sizes 14, 16, 20, 24, 28, 30 Fr)*

E (ED)

E (ED)

Nebulized medication, administration set with pediatric and adult masks

E (ED)

E (ED)

Oral airways (sizes 0, 1, 2, 3, 4, 5 or size 50 mm, 60 mm, 70 mm, 80 mm, 90 mm, 100 mm)*

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)

Standard masks, clear (pediatric and adult sizes)

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

E (ED)

E (ED)

E (ED)

E (ED)

Nasal cannula (infant, pediatric and adult)

E (ED)

E (ED)

Peak flow meter

E (ED)

E (ED)

Supplies/kit for patients with difficult air way conditions (must have one of the following):

* Supraglottic airway devices (sizes 1, 1.5, 2, 2.5, 3, 4 and 5; or sizes appropriate for a neonate through adult);

* Cricothyrotomy kit (pediatric size); or

* Cricothyrotomy capabilities (i.e., 10 g needle and 3.5 mm ET tube adapter or 14 g needle and 3.0 mm ET tube adapter)

E (ED)

E (ED)

Suction capability (wall)

E (ED)

E (ED)

Suction capability (portable)

E (ED)

E (ED)

Suction catheters (sizes 5/6, 8, 10, 12, 14, 16, 18 Fr and Yankauer-tip catheter)*

E (ED)

E (ED)

Tracheostomy tubes (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 12-32 Fr)*

E (ED)

---

Medications (unit dose, prepackaged)

Access to the Illinois Poison Center 1-800-222-1222 through posting of phone number in ED

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)

Antiemetics

E (ED)

E (ED)

Antimicrobial agents (parenteral and oral)

E (ED)

E (ED)

Antipyretics

E (ED)

E (ED)

Atropine

E (ED)

E (ED)

Barbiturates, e.g., Phenobarbital, Pentobarbital

E (ED)

E (ED)

Benzodiazepines, e.g., Lorazepam, Midazolam, Diazepam

E (ED)

E (ED)

Beta agonist for inhalation (Albuterol, Levalbuterol)

E (ED)

E (ED)

Beta blockers, e.g., Propranolol, Metoprolol

E (ED)

E (ED)

Calcium (chloride or gluconate)

E (ED)

E (ED)

Corticosteroids, e.g., Dexamethasone, Hydrocortisone, Methylprednisolone

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 mg/mL and 0.1 mg/mL)

E (ED)

E (ED)

Epinephrine (Racemic)

E (ED)

E (ED)

Fosphenytoin or Phenytoin

E (ED)

E (ED)

Furosemide

E (ED)

E (ED)

Glucagon or Glucose Paste

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)

Narcotics

E (ED)

E (ED)

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

E (ED)

E (ED)

Ocular anesthetics

E (ED)

E (ED)

Poison Specific Antidotes

Acetylcysteine

E (ED)

E (ED)

Cyanide antidote (Sodium Thiosulfate with or without Sodium Nitrite therapy; or Hydroxocobalamin single agent therapy)

E (ED)

E (ED)

Flumazenil

E (ED)

E (ED)

Naloxone

E (ED)

E (ED)

Sodium bicarbonate - 8.4 % and 4.2 %

E (ED)

E (ED)

Sedative/Hypnotic (e.g., Ketamine, Etomidate)

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)

Topical Anesthetics

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)

Fluorescein (eye strips)

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 8 through-18 Fr* (may substitute feeding tubes 5F and 8F)

E (ED)

E (ED)

Oral rehydrating solution

E (ED)

E (ED)

Pain scale assessment tools appropriate for age

E (ED)

E (ED)

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

E (ED)

E (ED)

Restraining device/methods (e.g., papoose, distraction devices, comfort hold, swaddling)

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 (in kilograms only) for infants and children

E (ED)

E (ED)

Woods lamp (blue light)

E (ED)

E (ED)

Specialized Pediatric Trays

Lumbar puncture tray, including a selection of needle sizes (size 18-22 g, 11/2-3 inch needle)

E (ED)

E (ED)

Minor surgical instruments and sutures

E (ED)

E (ED)

Newborn kit/OB kit (including umbilical clamp, bulb syringe, towel). Maintain newborn resuscitation equipment/supplies together for easy access (as outlined in this equipment list: warming device, feeding tubes, neonatal mask, 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

E (ED)

E (ED)