Malignant Hyperthermia Carts with one, two, or three drawers for storing critical medical supplies. All carts come with a high performance medical grade refrigerator, to ensure temperature controls for cold isotonic saline for IV infusion and or gastric peritoneal or rectal irrigation. Carts come with a variety of accessories to customize your cart to meet your specific needs.

1. The Harloff Company
Colorado Springs, CO

2. • MALIGNANT HYPERTHERMIA (MH)
CARTS
MH5100 MH5300K

3. What is MH?
• Malignant hyperthermia (MH) is a potentially fatal, inherited
disorder usually associated with the administration of certain
general anesthetics and/or the drug succinylcholine. The disorder is
due to an acceleration of metabolism in skeletal muscle. The signs of MH
include muscle rigidity, rapid heart rate, high body temperature, muscle
breakdown and increased acid content. Immediate treatment with the drug
dantrolene usually reverses the signs of MH. The underlying defect is
abnormally increased levels of cell calcium in the skeletal muscle.
• There is mounting evidence that some patients will also develop MH with
exercise and/or on exposure to hot environments. Without proper and
prompt treatment with dantrolene sodium, mortality is extremely high. The
best way to protect yourself, your family, your patients and facility, is to be
prepared before it's too late.

4. • MALIGNANT HYPERTHERMIA (MH)
CARTS
▫ MH is a rare but potentially fatal reaction to anesthesia that
causes sudden and drastic INCREASE of body temperature.
▫ Treatment protocol is to quickly apply Cold packs, administer
appropriate drug.
▫ Having Supplies in cart close to surgical area is
recommended best practice. Cart is portable, close at hand,
organized

5. • MALIGNANT HYPERTHERMIA CARTS
• Commonly these carts utilize a dorm-room type refrigerator for the cold
supplies
• Harloff did do this, had various supply and quality problems
• Decided to incorporate a lab-quality refrigerator – Use Follett # 2
• Higher price, higher quality, more consistent temperature control
• Added ability to secure the supplies, visible temperature readout
• We also offer shell of cart for hospital to install separately ordered fridge

6. Dorm “type” systems often fail to meet clinical
standards.

7. • MALIGNANT HYPERTHERMIA CARTS
▫ Call points:
 Anesthesia,
 Anesthesia Tech,
 Safety Committee
 Surgery Center
• Distributor price range (2015): $ 3,936- 4,140

8. MH5100, MH5200B, MH5300

9. Voice of the Customer
Specific to MH, the cart needs to contain items specified by MHAUS http://www.mhaus.org/
The Good:
The three drawers were a better fit than the two drawer carts other units have.
The refrigerator is large enough for IV fluid and Insulin.
Cart handles are great.
What I might change:
• Med drawer could have a divided tray or adjustable dividers (in fact, I had to add this to drawers above).
• The side holders could be changed.
▫ One holder could be made wider as to hold a typical school size binder, typically used as monthly/daily check list.
▫ I have not found a use for the basket.
▫ The sharps container holder is not necessary in our environment.
• All considered, this is a rarely used but high necessary cart. In my mind ‘less is more’. It needs to contain
all necessary items, but be as concise as possible so as to be easily stored.
• Drawers need cinch lock hasps. This is a cart Joint commission will look for and at. Needs daily checks like a crash
cart. Hasps and cinch locks show the cart is kept in ready state. (we added these).
• Key lock x2 unnecessary as a code cart.
• We are wirelessly monitoring temp. I do not know if that is a feature you may want to add, or how it would link to other networks.
•
• Hope this helps. We like the cart.

10. • MH CART STANDARD FEATURES
▫ Steel Construction with high performance #2 Follett® refrigerator or equivalent
▫ Top drawer allows for storage of supplies to actively cool a patient, such as
hypothermia blankets, over and under the patient
▫ High performance refrigerator ensures temperature controls for cold isotonic
saline for IV infusion and or gastric peritoneal or rectal irrigation, as appropriate.
▫ Visible Temperature Read-out
▫ Cart can hold critical MH emergency supplies at the proper temperature in close
proximity to areas where they are most needed
▫ Cart ships with wheels installed
▫ Hospital grade plug and cord

11. Product Family
• MH CART FEATURES
▫ Three heights, one cabinet width
 MH5100 = 1 – 3” Storage drawer
 MH5200 = 2 – 3” Storage drawer
 MH5300 = 3 – 3” Storage drawer
▫ Key lock for drawer(s) and refrigerator is standard
 Option for Breakaway locks on Drawers and refrigerator
 Option for Basic Electronic Lock on Drawers only