Emergency Cart 3h155j

Emergency Cart Definition of an Emergency Cart An emergency cart or most commonly known as “crash cart” is a wheeled cabinet or chest of drawers which contains all of the equipment necessary for emergency resuscitation, from latex gloves to a defibrillator. Crash carts are conveniently positioned throughout hospitals and some other medical facilities so that they can be quickly accessed in an emergency. It includes medication as well as the equipment for defibrillation, intubation, intravenous medication, and age of central lines. Purposes of Emergency Cart To ensure availability of all drugs, equipment, and supplies necessary to initiate advanced life- measures. To have the emergency cart and Defibrillator constantly ready for use in case of life threatening condition such as cardiopulmonary arrest. Indications of Emergency Cart This emergency equipment is used only if the patient's heart or lungs stop working. The cart is brought to the patient's bedside when the patient'sheart or lungs are failing or have failed. Using the tools on a crash cart requires advanced medical skills and certification in Advanced Cardiac Life (ACLS), a medical protocol which dictates which medical interventions should be used in an emergency, and when. Uses of Emergency Cart It is used in hospital emergency rooms for transportation and dispensing of emergency medication/equipment at site of medical/surgical emergency for life protocols (ACLS/ALS) to potentially save someone's life.

Contents of Emergency Cart  Top of trolley : 1.

Defibrillator & cardiac monitor

2. Adult paddles 3. Pedi-paddles 4. Conducting Gel 5. ECG cable 6. ECG paper 7. ECG electrode 8. Sphygmomanometer 9. Clock 10. Pediatric & adult stethoscope 11. Resuscitation bag with O2 tubing & reservoir (Infant, Pediatric, Adult) 12.Resuscitation mask (sizes: 0,1,2,3,4 & 5) 13. Drip stand 14. Sharps container 15. Tape of securing EET 16.Razor

 Side of cart : 1. Portable suction machine 2. Suction machine 3. Pediatric & adult yankauer sucker 4. Oxygen cylinder with:  Pressure reducing valve  Pressure gauge  Nipple adaptor  Cylinder key  Flow meter 5. Oxygen tubing connected to the flow meter 6. Code blue performance quality sheet 7. Code blue attendance sheet  Back of cart : 1. Adult & pediatric algorhythms 2. Cardiac board 3. Crash cart checklist 4. Resuscitation form

 Drawer 1 - Medications : Drugs: 1. 2. 3. 4. 5. 6. 7. 8. 9.

Adenosine Amiodarone Epinephrine Flumazenil Ketamine Magnesium sulfate Naloxone Norepinephrine Normal saline solution

10.Vasopression 11. Verapamil Pre – mixed medications : 1. Atropine 2. Calcium chloride 10% 3. Dextrose 50% 4. Adrenaline 5. Lidocaine 6. Sodium bicarbonate 7. Dopamine 400mg/250ml  Drawer 2 - Breathing and Airway 1. AMBU BAG 2. Artery forceps 3. Endotracheal tubes, Each size: 6.0, 7.0, 7.5, 8.0, 8.5, 9.0 12 4. Oxygen non-breather mask (infant, pediatric & adult ) 5. Pediatric & adult oxygen nasal canella 6. Oral airway (sizes:0,1,2,3,4&5) 7. Minitrach 8. Pediatric & adult Magill's forceps 9. Scissors 10.Tongue depressors 11.Suction catheter 12.Nasogastric tube 13.Yankauer Suction Catheter 14.Lubricant 15.Tracheostomy tubes, Each size: Adult shiley blue box: #4, #6, #8 16.Inner Cannulas, Each size: Adult shiley blue box: #4, #6, #8  Drawer 3 - IV Supplies 1. 3 ways stop-cocks 2. ABG syringes 3. Alcohol swabs

4. Angiocaths 5. Blood tube (red, blue & pink) 6. Butterflies (sizes: 21G, 23G & 25G) 7. Cardiac needle 20G 8. Needle (sizes: 18G, 21G & 25G) 9. Tourniquet 10.Transparent tape 11.Syringes (sizes : 1,3,5,10,20 & 50ml) 12.Intraosseous needle 18G 13.Scalpel with blade 14.Sterile gauze (size: 10×10) 15.Dressing (size: 10×10) 16.Skin disinfectant spray 17.Sutures (2.0 & 4.0 silk & cutting needle) 18.3 lumen central catheters 19.Chest tubes (sizes : 12, 14, 28 & 32fr) 20.Betadine solution  Drawer 4 - I.V. Solutions & Tubing 1. D5W 500cc 2. D5W 250cc 3. D5W 500cc WITH LIDOCAINE .4% PRE-MIXED 4. LACTATED RINGERS 1000cc 5. NORMAL SALINE 1000cc 6. NORMAL SALINE 250cc 7. MACRODRIP 8. MICRODRIP 9. HORIZON CASSETTES 10.EXTENSION TUBING 11.BURETROL 12.BLOOD TUBING 13.ARMBOARDS  Emergency Solutions / IVF 1. D5W 500cc/250cc (Dextrose in 50% water)- It is used to supply water and calories to the body. It is also used as a mixing solution (diluent) for other IV medications. Dextrose is a natural sugar found in the body and serves as a major energy source. When used as an energy source, dextrose allows the body to preserve its muscle mass. 2. LACTATED RINGERS 1000cc - is often used for fluid resuscitation after a blood loss due to trauma, surgery, or a burn injury. 3. NORMAL SALINE SOLUTION 1000cc/250cc (NSS)- Normal saline can be used to cleanse, irrigate, or moisturize wounds. It is also used in IV fluids for dehydration and in lens solutions.

The Emergency Cart Parts :

University of Baguio Colloge of Nursing

In Partial fulfillment of the Requirements of the subject : Nursing Related Experience (NNCM 103)

A Research on Emergency Cart :  Uses  Indications  Contents  Emergency Drugs

Submitted to : Ms. Dao – Ayen Level IV – Clinical Instructor Submitted by :

Sorio, Milanee C. BSN IV NPF 1 MTW 7-3

May 2010 University of Baguio College of Nursing

In Partial fulfillment of the Requirements of the subject : Nursing Related Experience (NNCM 103)

A Research on Emergency Cart

Submitted to : Ms. Dao – Ayen Level IV – Clinical Instructor Submitted by : Tabbilos, Einstein Schwartz BSN IV NPF 1 MTW 7-3

May 2010