The Emergency Trolley

RAD 1303

1. Define the emergency trolley its purpose in the radiology

department

2. Identify the external contents of the emergency trolley and

state the purpose of each content.

3. Classify the different drawers of the emergency trolley

4. List the various emergency drugs and state their action

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LEARNING OBJECTIVES

By the end of Lecture the student will be able to:

ReferencesM.A.Seraj, The new manual of basic emergency

procedures, first aid and updated CPR.

http://www.wisegeek.com/what-is-a-crash-cart.htm

Useful websites

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The emergency trolley

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It is a multi drawer cabinet that is kept in in the imaging department. with the essential medication and tools that need for emergency cases

Other names: Emergency cart/Emergency response cart/Code cart/Crash cart.

Goal of emergency trolley

NOTE: At the beginning of each shift the in charge Technologist should check with the radiology department nurse the equipment and medication to ensure if they are prepared for use in critical situation .

each cart to begin addressing the emergency conditions while waiting the emergency team to arrive:o Compromised Airwayo Respiratory Distress /Respiratory Arresto Cardiac Arresto Drug Overdoseo Hypoglycemiao Anaphylactic Reaction

A/ Top of emergency trolley (External Contents)•Oxygen supply•Defibrillator with Monitor• Portable monitor/defibrillator unit • Portable suction apparatus•Laryngoscope •Shuttle forceps•Sphygmomanometer•Stethoscope•Emergency Crash Cart Check Sheet•Check List of cart contents.•Emergency drug information sheet

The emergency trolley

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CONTENTS OF THE TROLLEY

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External Contents

Oxygen supply:

� To arise alveolar oxygen tension.

� To relieve hypoxemia or hypoxia.

Oxygen regulator with flow metera valve to adjust the rate of oxygen flow

Oxygen cylinder

Contents of the trolley

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Defibrillator:

� Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmias ventricular fibrillation

External Contents

Contents of the trolley

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Suction apparatus:

Mechanical suction is used when a

patient is unable to clear mouth or

throat of secretions, blood, or vomits.

Sphygmomanometer:

It is an Instrument used to measure

blood pressure.

Stethoscope:It is an instrument used in auscultation

of heart sounds and also it is used in

measuring blood pressure.

External Contents

Contents of the trolley

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B/ Drawer contents:

� Drawer 1- Medications

� Drawer 2- Breathing and Airway

� Drawer 3- Circulation: IV supplies

� Drawer 4- Circulation: I.V. solutions and tubing

� Drawer 5- Cardiac, Chest Procedures

� Drawer 6- Special Procedure Trays

Contents of the trolley

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Drawer contents:

Drawer 1- Medications

Contents of the trolley

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ActionDrug

Increase cardiac output, constricts blood vessels, raises blood pressure, relaxes bronchioles, aids respiration

Adrenalin (epinephrine )

Reverses bronchospasm (Prevention of bronchial asthma )Aminophylline

Dries secretions, Dilate the bronchiAtropine

Antihistamine drug used in the prevention of the symptoms of allergic conditions such as rhinitis and urticaria

Chlorpheniramine ,

Respiratory stimulantCaffeine sodium benzoate

Increases cardiac output, for the treatment of various heart conditions, such as atrial fibrillation

Dioxin (Lanoxin)

an anti-epileptic (anticonvulsant)Dilantin

For maintaining normal concentrations of glucose in blood, (having the opposite effect of insulin)

Glucagon

Emergency medication List Emergency medication List Emergency medication List Emergency medication List

Contents of the trolley

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Emergency medication List Emergency medication List Emergency medication List Emergency medication List

ActionDrug

Diuretic,Lasix

anti angina drug(nitroglycerin)

anti angina drugIsorbide Dinitrate

For sever bronchospasmHydrocortisone

Anti arrhythmic drug For ventricular fibrillationLignocaine2%

anticonvulsant, sedativeDiazepam

Anti Acid, Treat of hypertensionCalcium gluconate

Correct hemodynamic imbalanceDopamine

Prevent & treat cardiac arrhythmiapotassium chloride

Anticoagulant (Inhibits blood coagulation)Heparin

Contents of the trolley

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Drawer contents:

Drawer 2- Breathing and Airway

•Oropharyngeal Airways•Nasopharyngeal Airways•Endotracheal tubes•Tracheostomy tubes•Tracheostomy mask•Face mask•Pocket mask•Suction catheter•Suction tube•Nasal cannula• Laryngoscope •Tongue blades•

Examples:-

Contents of the trolley

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Laryngoscope:

� It is used to obtain a view of

the glottis.

� It is also used in intubation.

Bag valve mask (Ambo bag)

Is a hand- held device used to

provide ventilation to a patient

who is not breathing or who is

breathing inadequately

Breathing and Airway

Contents of the trolley

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Tracheostomy set :� Tracheostomy is a surgicalprocedure on the neck to open a direct airway through an incision in the trachea.

� Patients who must have a higher continues rate of oxygen flow, require a Tracheostomy that is connected to the oxygen supply.

Breathing and Airway

Contents of the trolley

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Ventilation Devices:Pocket mask designed for mouth-to-mask ventilation of a

non-breathing person. It is an alternative to a bag-valve

mask device for providing ventilation.

Breathing and Airway

Contents of the trolley

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Airway adjuncts:

Oropharyngeal Airways:

� known as an oral airway, or

OPA. It is used to maintain a

(open) airway It does this by

preventing the tongue from

(either partially or completely)

covering the epiglottis, which

could prevent the patient from

breathing.

Breathing and Airway

Contents of the trolley

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� Airway adjuncts:

Nasopharyngeal Airways:

Also known as an NPA or a

nasal trumpet. It is a tube that

is designed to be inserted into

the nasal passageway to

secure an open airway.

Breathing and Airway

Contents of the trolley

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Endotracheal tubes:

The Endotracheal tube serves as an open passage through

the upper airway. The purpose of Endotracheal intubation is

to permit air to pass freely to and from the lungs in order to

ventilate the lungs.

Contents of the trolley

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Drawer contents:

Drawer 3- Circulation: IV supplies

Examples:-Needles different sizes

Syringes different sizes

Butterflies

Sterile water vials

IV cannulas

Tourniquet

Alcohol swabs

Cotton balls

Blood tubes

Tape

Contents of the trolley

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Drawer contents:

Drawer 4- I.V. solutions and tubing

0.9% sodium chloride 500ml)5%

Dextrose (500ml)

10% dextrose (500ml)

Hase-steril 6% (500ml)

Ringer lactate (500ml)

Blood pump tubing

I.V. Tubing

Examples:-

Contents of the trolley

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Drawer contents:

� Drawer 5- Cardiac, Chest Procedures

ECG electrodes

Sterile gloves

Sutures

Cardiac needle

Sterile towels

Cut down tray

Catheter kit

Chest tubes

Dressings

Examples:-

Contents of the trolley

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Drawer contents:

Drawer 6- Special Procedure Trays

Contents of the trolley

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I.V Cannula

Butterfly

Syringe

Tourniquet

Sample Sample Sample Sample of suppliesof suppliesof suppliesof supplies

Contents of the trolley

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Sample suppliesSample suppliesSample suppliesSample supplies

Tongue bladesTongue bladesTongue bladesTongue blades

ScissorsScissorsScissorsScissors ThermometerThermometerThermometerThermometer

Protective gownsmasks

Kidney bowel

Contents of the trolley

Assignment.1

Emergency Trolley quiz At

http://faculty.ksu.edu.sa/74344/default.aspx

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The End