Emergency Cart Definition of an Emergency Cart An emergency cart or most commonly known as “cra “crash sh cart cart” ” is a whee wheele led d cabi cabine nett or chest chest of drawers which contains all of the equipment ent necess necessar ary y for emerg emergenc ency y resusc resuscita itatio tion, n, from from latex latex gloves to a defibrillator. defibrillator. Crash carts are conveniently posi positi tion oned ed thro throug ugho hout ut hosp hospit ital als s and and some some othe otherr medical facilities so that they can be quickly accessed in an emergency. It includes medication as well as the equipmen equipmentt for defibrillation, defibrillation, intubation, intubation, intravenous medication, and passage of central of central lines. lines .
Purposes of Emergency Cart To ensure availability availability of all drugs, equipment, equipment, and supplies supplies necessary necessary to initiate advanced life-support measures. To have the emergency cart and Defibrillator constantly constantly ready for use in case of life threatening condition such as cardiopulmonary 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 Support (ACLS), ACLS), a medical prot protoc ocol ol whic which h dict dictat ates es whic which h medi medica call inte interv rven enti tion ons s shou should ld be used used in an emergency, and when.
Uses of Emergency Cart It is used in hospital emergency rooms for transportation and dispensing of emergenc emergency y medicatio medication/equ n/equipmen ipmentt at site of medical/s medical/surgi urgical cal emergency emergency for life support protocols (ACLS ( ACLS//ALS ALS)) to potentially save someone's life.
Contents of Emergency Cart
1.
Top of trolley : Defibrill Defibrillator ator & cardi cardiac ac monit monitor or
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. 2. 3. 4.
Portable suction machine Suction machine Pediatric & adult yankauer sucker 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. 2. 3. 4.
Adult & pediatric algorhythms Cardiac board Crash cart checklist 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 contact 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
