While it's entirely possible the picture was staged, it's also possible (and, IMO, more likely) that the mask was the only one they had.
Let's not forget that not only was this taken in a third world shithole, but also in a war zone. Supplies are scarce. I have little doubt they reuse needles too since it's either clean needles for reuse or don't use any at all.
They should have peadiatric supplies that they can reuse if needed, the way it was shown that child was at greater risk of dying than if they had done nothing. Far too many pictures are posed because the press cant get access to ICU/ITU departments in hospitals without risking patients lives. Nebulisers dont work with the patient laid down the atomisation cant take place. The forced air has to pass over the top of the liquid to lift it as droplets ( seen as a mist) lay down and the liquid is no longer on contact with the air. Look at the one in the picture above held upright so the bronchiodilator medicine becomes a mist and not a liquid.
