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RAD 1303

The Emergency Trolley

LEARNING OBJECTIVES By the end of Lecture the student will be able to: 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 2

References M.A.Seraj, The new manual of basic emergency procedures, first aid and updated R. Useful websites http://www.wisegeek.com/what-is-a-crash-cart.htm

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The emergency trolley 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 each cart to begin addressing the emergency conditions while waiting the emergency team to arrive: o Compromised Airway o Respiratory Distress /Respiratory Arrest o Cardiac Arrest o Drug Overdose o Hypoglycemia o Anaphylactic Reaction 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 . 4

The emergency trolley CONTENTS OF THE TROLLEY 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 5

Contents of the trolley External Contents Oxygen supply:

To arise alveolar oxygen tension.



To relieve hypoxemia or hypoxia.

Oxygen regulator with flow meter a valve to adjust the rate of oxygen flow 6

Oxygen cylinder

Contents of the trolley External Contents Defibrillator: Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmias ventricular fibrillation

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Contents of the trolley External Contents 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. 8

Contents of the trolley 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

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Contents of the trolley Drawer contents: Drawer 1- Medications

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Contents of the trolley Emergency medication List Drug

Action

Adrenalin (epinephrine )

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

Aminophylline

Reverses bronchospasm (Prevention of bronchial asthma )

Atropine

Dries secretions, Dilate the bronchi

Chlorpheniramine ,

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

Caffeine sodium benzoate

Respiratory stimulant

Dioxin (Lanoxin)

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

Dilantin

an anti-epileptic (anticonvulsant)

Glucagon

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

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Contents of the trolley Emergency medication List Drug

Action

Lasix

Diuretic,

(nitroglycerin)

anti angina drug

Isorbide Dinitrate

anti angina drug

Hydrocortisone

For sever bronchospasm

Lignocaine2%

Anti arrhythmic drug For ventricular fibrillation

Diazepam

anticonvulsant, sedative

Calcium gluconate

Anti Acid, Treat of hypertension

Dopamine

Correct hemodynamic imbalance

potassium chloride

Prevent & treat cardiac arrhythmia

Heparin

Anticoagulant (Inhibits blood coagulation)

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Contents of the trolley Drawer contents: Drawer 2- Breathing and Airway Examples:•Oropharyngeal Airways •Nasopharyngeal Airways •Endotracheal tubes •Tracheostomy tubes •Tracheostomy mask •Face mask •Pocket mask •Suction catheter •Suction tube •Nasal cannula • Laryngoscope • Tongue blades • 13

Contents of the trolley Breathing and Airway 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

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Contents of the trolley Breathing and Airway

Tracheostomy set : Tracheostomy is a surgical procedure 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.

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Contents of the trolley Breathing and Airway 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.

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Contents of the trolley Breathing and Airway 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.

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Contents of the trolley Breathing and Airway

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 ageway to secure an open airway.

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Contents of the trolley Endotracheal tubes: The Endotracheal tube serves as an open age through the upper airway. The purpose of Endotracheal intubation is to permit air to freely to and from the lungs in order to ventilate the lungs.

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Contents of the trolley 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 20

Contents of the trolley Drawer contents: Drawer 4- I.V. solutions and tubing

Examples:0.9% sodium chloride 500ml)5% Dextrose (500ml) 10% dextrose (500ml) Hase-steril 6% (500ml) Ringer lactate (500ml) Blood pump tubing I.V. Tubing

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Contents of the trolley Drawer contents: Drawer 5- Cardiac, Chest Procedures

Examples:ECG electrodes Sterile gloves Sutures Cardiac needle Sterile towels Cut down tray Catheter kit Chest tubes Dressings 22

Contents of the trolley Drawer contents: Drawer 6- Special Procedure Trays

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Contents of the trolley Sample of supplies Butterfly

I.V Cannula

Tourniquet

Syringe

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Contents of the trolley Sample supplies

Tongue blades

Kidney bowel 25

masks

Scissors

Protective gowns

Thermometer

The End Assignment.1 Emergency Trolley quiz At http://faculty.ksu.edu.sa/74344/default.aspx

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