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FASLU RAHMAN CK
13-BVP-205
COLLEGE OF VETERINARY AND ANIMAL SCIENCES, POOKODE, WAYANAD
KERALA, INDIA
CRASH CART
 A crash cart is a set of trays on wheels used in hospitals for transportation and
dispensing of emergency medication/equipment at site of surgical emergency
for life support protocols to potentially save someone's life.
 Should be kept in easily accessible position-
central to patient care areas
 Desirable features
 Mobility
 Organisation
 Only emergency drugs
 BASIC LIFE SUPPORTS- ABC
 A- air way
 B-breathing
 C-circulation
FRONT VIEW
Bottom Basket Top Basket
• Large Gloves • BVM with Large & Medium Masks
• Defibrillator Pads
Right Side of Cart
• Multi-function Electrodes
• Surgical Cone Mask
• Sharps Container
SIDE VIEW
 Left side of Cart
Tank & Gauge
Crash Cart Inventory List
Anaphylaxis Treatment Guide
REAR VIEW
Back of Cart
Backboard
Clipboard
Procedures Sheet
Crash Cart Check Off List
Pharmacy Charge Sheet
First Drawer: Medications
• Amiodarone - antiarrythmic
• Bretylium tosilate -ventricular antiarrythmic
• Nitroglycerine -vasodilator
• Atropine –parasympatholytic
• Vasopressin
• Dopamine
• Epinephrine
• Anesthetics- ketamine , xylazin
• Lidocaine
• Antibiotics
• Naloxone -opiate antagonist
• Sodium bicarbonate
• Magnesium chloride
• Sodium Chloride 0.9%
• Calcium Chloride
• Sodium Bicarbonate
• Sterile Water Inj. 20 ml vial
• Dextrose 50%
• Povidone-Iodine Swab stick
• Alcohol Swabs
First Drawer: Medications –ctd.
Drawer 2: Intubation Supplies
• Endotracheal tubes
• Laryngoscope
• Gauze
• Nasopharyngeal Airways
• Tongue Depressor
Drawer 3: IV Start Supplies
• Syringes-3,6,12,20ml -drug administration
• Needles-14,16,18,20,22,25 gauge -drug administration
• IV Catheters-16,18,20 gauge - drug administration
• Intraosseous catheter or bone marrow needles-18,20 gauge
• Canula
• Scalp vein set
• Vacutainers
Drawer 4: IV Supplies and Tubing
• 30 ml or 35 ml Syringe
• Adhesive Tape 1"
• Catheter Tip Syringe
• Betadine solution
Drawer 5: Procedure Trays
• ECG Electrodes
• Surgeon's Gloves- Sizes 6, 6½, 7, 7½, 8
• Sutures
• Needle Holder
• Sterile Field
• Sthethoscope
• Cotton
• Tape
• Razores
• Sissores
• Flash light
• Normal saline
Maintenance of Crash Cart
 It is important that the crash cart be checked regularly and maintained so that
its contents are there when needed.
 Expiration dates on medications should be checked on the first day of the
month
 Expired medications should be promptly removed and replaced
 The defibrillation pads on the defibrillator should be checked for expiration date
 The battery charge on the monitor should be checked and documented
Crash cart – nut shell
Emergency equipment
Medications
Intubation Supplies
IV Start Supplies
Procedure Trays
Reference
• http://www.ucdmc.ucdavis.edu/
Crash cart

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Crash cart

  • 1. FASLU RAHMAN CK 13-BVP-205 COLLEGE OF VETERINARY AND ANIMAL SCIENCES, POOKODE, WAYANAD KERALA, INDIA
  • 2. CRASH CART  A crash cart is a set of trays on wheels used in hospitals for transportation and dispensing of emergency medication/equipment at site of surgical emergency for life support protocols to potentially save someone's life.  Should be kept in easily accessible position- central to patient care areas
  • 3.  Desirable features  Mobility  Organisation  Only emergency drugs  BASIC LIFE SUPPORTS- ABC  A- air way  B-breathing  C-circulation
  • 4. FRONT VIEW Bottom Basket Top Basket • Large Gloves • BVM with Large & Medium Masks • Defibrillator Pads Right Side of Cart • Multi-function Electrodes • Surgical Cone Mask • Sharps Container
  • 5. SIDE VIEW  Left side of Cart Tank & Gauge Crash Cart Inventory List Anaphylaxis Treatment Guide
  • 6. REAR VIEW Back of Cart Backboard Clipboard Procedures Sheet Crash Cart Check Off List Pharmacy Charge Sheet
  • 7. First Drawer: Medications • Amiodarone - antiarrythmic • Bretylium tosilate -ventricular antiarrythmic • Nitroglycerine -vasodilator • Atropine –parasympatholytic • Vasopressin • Dopamine • Epinephrine • Anesthetics- ketamine , xylazin • Lidocaine • Antibiotics • Naloxone -opiate antagonist
  • 8. • Sodium bicarbonate • Magnesium chloride • Sodium Chloride 0.9% • Calcium Chloride • Sodium Bicarbonate • Sterile Water Inj. 20 ml vial • Dextrose 50% • Povidone-Iodine Swab stick • Alcohol Swabs First Drawer: Medications –ctd.
  • 9. Drawer 2: Intubation Supplies • Endotracheal tubes • Laryngoscope • Gauze • Nasopharyngeal Airways • Tongue Depressor
  • 10.
  • 11. Drawer 3: IV Start Supplies • Syringes-3,6,12,20ml -drug administration • Needles-14,16,18,20,22,25 gauge -drug administration • IV Catheters-16,18,20 gauge - drug administration • Intraosseous catheter or bone marrow needles-18,20 gauge • Canula • Scalp vein set • Vacutainers
  • 12.
  • 13. Drawer 4: IV Supplies and Tubing • 30 ml or 35 ml Syringe • Adhesive Tape 1" • Catheter Tip Syringe • Betadine solution
  • 14. Drawer 5: Procedure Trays • ECG Electrodes • Surgeon's Gloves- Sizes 6, 6½, 7, 7½, 8 • Sutures • Needle Holder • Sterile Field
  • 15. • Sthethoscope • Cotton • Tape • Razores • Sissores • Flash light • Normal saline
  • 16. Maintenance of Crash Cart  It is important that the crash cart be checked regularly and maintained so that its contents are there when needed.  Expiration dates on medications should be checked on the first day of the month  Expired medications should be promptly removed and replaced  The defibrillation pads on the defibrillator should be checked for expiration date  The battery charge on the monitor should be checked and documented
  • 17. Crash cart – nut shell Emergency equipment Medications Intubation Supplies IV Start Supplies Procedure Trays

Editor's Notes

  1. set of trays on wheels used in hospitals for transportation and dispensing of emergency medication/equipment at site of surgical emergency for life support protocols
  2. Defibrillation –process in which an elwctronic device gives an electric shock to the heart --helps reestablish normal contraction rythms BVM—bag valve mask or ambu bag---self inflating bag-----positive pressure ventilation sharps container is a container that is filled with used medical needles (and other sharp medical instruments, such as an IVcatheter). Sharing needles is often the cause of AIDS (HIV) and other blood-borne infections spreading among intravenous drug users.
  3. Back board—supporting,fracture patient
  4. group of pharmaceuticals that are used to suppress abnormal rhythms of the heart such as atrial fibrillation, atrial flutter, ventricular tachycardia, and ventricular fibrillation—used in cardiac dysrhyyhmias Bretylium tosilate -chemical defibrillator Lidocaine –local anaesthetic-- numb tissue in a specific area and to treat ventricular tachycardia
  5. Sodium bicarbonate -alkalinizing agent Magnesium chloride – chemical defibrillator
  6. Gauze-tie endotracheal tubes in place
  7. Vacutainer blood collection tube is a sterile glass or plastic tube with a closure that is evacuated to create a vacuum inside the tube 
  8. IV Catheters Scalp vein set Intraosseous catheter or bone marrow needle Vacutainers canula
  9. Razores--shaving Fash light ----power failure
  10. checked regularly and maintained Expiration dates on medications removed and replaced