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    Office preparedness for childhood emergencies

    Many pediatric practices are not prepared for an in-office emergency. These AAP recommendations will help you make your office code-blue ready.



    Develop an organizational plan for emergency response in the office.

    This recommendation recognizes that emergency preparedness and the execution of a rapid response involve the efforts of a coordinated team whose members understand their roles and responsibilities. It emphasizes needs for assigning specific roles to individual staff; having a viable plan for responding during periods when the office is not fully staffed; developing a protocol for accessing an EMS team; and conducting mock codes to maintain readiness.

    More: Why playground injuries are on the rise

    Several of the appendices included in the guideline provide useful resources to assist staff in recognizing and responding to emergencies.


    Maintain recommended emergency equipment.

    The policy statement provides a list of equipment and supplies that offices should have on hand as part of emergency preparedness (Table 2). The items are categorized based on application (airway management; vascular access and fluid management; and other miscellaneous equipment and supplies) and priority (essential versus strongly suggested if EMS response time is greater than 10 minutes).

    To facilitate fast retrieval and use of proper equipment if it is needed, the statement suggests keeping the articles in a designated resuscitation room or in a box that is kept in a location known to all office staff. The policy statement also suggests that the items be organized according to the size of the child. All equipment and supplies should be regularly checked to ensure all are present, functioning, and not expired.

    NEXT: What drugs should you have on hand?


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