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Chapter 2 Index
A. Evaluation by system B. Other categories of illnesses:
1. Metabolic and Endocrine
2. Collagen-Vascular Illnesses
3. Chromosomal Abnormalities
4. Generalized
5. Sexual Abuse
6. Hematology 7.
Trauma and Surgery
--Surgery in
Pediatrics: Timing and Indications for Procedures
--Fractures in Children
--Evaluation of Ankle Injuries
--Splinting and Casting |
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Emergency
Equipment to Have in an Office
(Pediatric
News, September 1998)
Introduction: What emergency
equipment should you have in your private office? Emergencies
preferentially go to the ER now - not the office. You will need to decide
how prepared you want your office to be to handle the rare emergency that
shows up there. Regular instruction of nursing staff should be an integral
part of having your office “emergency-ready.”
Description of
Basic Equipment needed to treat Emergencies in the Office:
|
Presenting
Problem |
Basic
Equipment |
|
Status
Asthmaticus |
Oxygen and
oxygen delivery device
Nebulizer
Syringes
Inhaled
beta 2 agonist or 1:1000 epinephrine
|
|
Upper
Airway Obstruction |
Oxygen and
oxygen delivery device
Bag-valve-mask device
|
|
Shock |
Oxygen and
oxygen delivery device
Blood
Pressure cuffs of appropriate sizes
IV
catheter or IO needle with IV tubing,
Volume
expander with isotonic fluid
|
|
Trauma |
IV
catheter or IO needle, IV tubing
4x4
bandages
|
|
Status
Epilepticus |
Oxygen and
oxygen delivery device
Bag-valve-mask device
IV cather
or IO needle; IV tubing
Syringes
Anticonvulsant medications; glucose
|
|
Endocrine
Emergency |
IV cather
or IO needle; IV tubing;
Parenteral
steroid, glucose, volume expander with isotonic fluid
|
|
Cardiac
Arrest |
Oxygen,
oxygen delivery service;
bag-valve-mask device
IV
catheter or IO needle; IV tubing and syringes
1:10,000
epinephrine
|
High-Level
Readiness to Treat Most Emergencies that Come to the Office:
|
Status
Asthmaticus |
pulse
oximeter, IV or inhaled steroid, aminophylline, isuprel |
|
Upper
Airway Obstruction |
endo.
tube, laryngoscope, airways, 1:1000 epi; trach set, pulse ox |
|
Shock |
antibiotic, vasoactive med such as dopamine, epi, norepi |
|
Trauma |
sutures,
clamp, mannitol |
|
Status
Epilepticus |
oral and
nasal airway, blood glucose test |
|
Endocrine
Emergency |
blood
glucose test, insulin, calcium chloride |
|
Cardiac
Arrest |
endotracheal tube; laryngoscope; resuscitation board, EKG;
defibrillator, atropine, lidocaine, sodium bicarbonate |
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