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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

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References
M.A.Seraj, The new manual of basic emergency
procedures, first aid and updated CPR.

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 .
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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

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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
Oxygen cylinder
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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.

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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
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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 passageway to
secure an open airway.

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Contents of the trolley
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.

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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
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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
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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
masks Protective gowns

Kidney bowel Scissors Thermometer

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The End
Assignment.1
Emergency Trolley quiz At

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

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