CRASH CART TROLLEY USED DURING CPR OR EMERGENCY

CRASH CART AND INSTRUMENTS USED DURING CPR

1. CRASH CARTCRASH CART
A crash cart is the trolley A crash cart is the trolley
for storing life saving for storing life saving
equipment equipment
and drugs in a hospital and drugs in a hospital
emergencyemergency
room, intense room, intense
unit,clinics unit,clinics
and other areas.and other areas.

2. HISTORYHISTORY

The first cardiac crash cart was created The first cardiac crash cart was created
in 1962 at Bethany Medical Center in in 1962 at Bethany Medical Center in 
Kansas City, Kansas, home to the first , home to the first
Cardiac Care Unit in the country. The Cardiac Care Unit in the country. The
first crash cart was fabricated by one of first crash cart was fabricated by one of
the doctor's fathers. It contained an the doctor's fathers. It contained an 
Ambu bag, defibrillator paddles, a bed , defibrillator paddles, a bed
board and endotracheal tubes.board and endotracheal tubes.

3. 
A A crash cartcrash cart or  or code cartcode cart ( (crash crash
trolleytrolley in UK medical jargon) is a set of  in UK medical jargon) is a set of
trays/drawers/shelves on wheels used trays/drawers/shelves on wheels used
in hospitals for transportation and in hospitals for transportation and
dispensing of emergency dispensing of emergency
medication/equipment at site of medication/equipment at site of
medical/surgical emergency for life medical/surgical emergency for life
support protocols (support protocols (ACLS//ALS) to ) to
potentially save someone's life. potentially save someone's life.

4. CHARACTERISTICSCHARACTERISTICS

Easily movable Easily movable

Readily accessibleReadily accessible

Quickly viewingQuickly viewing

Removing equipment & drugsRemoving equipment & drugs

5. 
The contents off a crash cart vary from hospital to The contents off a crash cart vary from hospital to
hospital, but typically contain the tools and drugs hospital, but typically contain the tools and drugs
needed to treat a person in or near needed to treat a person in or near cardiac arrest
. These include but are not limited to:. These include but are not limited to:

Monitor/Monitor/defibrillators and suction devices and suction devices

Advanced Cardiac Life Support (ACLS) drugs such Advanced Cardiac Life Support (ACLS) drugs such
as as epinephrine, , atropine, , amiodarone, , lidocaine, , 
sodium bicarbonate, , dopamine, and , and vasopressin

First line drugs for treatment of common First line drugs for treatment of common
problems such as: problems such as: adenosine, , dextrose, , diazepam
 or  or midazolam, epinephrine for IM , epinephrine for IM
use,naloxone, nitroglycerin, and othersuse,naloxone, nitroglycerin, and others

6. 
Drugs for rapid sequence Drugs for rapid sequence
intubation: Succinylcholine or intubation: Succinylcholine or
another paralytic, and a sedative such another paralytic, and a sedative such
as etomidate or midazolam;endotracheal as etomidate or midazolam;endotracheal
tubes and other intubating equipmenttubes and other intubating equipment

Drugs for peripheral and central venous accessDrugs for peripheral and central venous access

Pediatric equipment (common pediatric drugs, Pediatric equipment (common pediatric drugs,
intubation equipment, etc.)intubation equipment, etc.)

Other drugs and equipment as chosen by the Other drugs and equipment as chosen by the
facilityfacility

7. PURPOSESPURPOSES

1.To enhance the Code Blue team’s response to 1.To enhance the Code Blue team’s response to
patients with emergency medical situations by patients with emergency medical situations by
providing immediate access to supplies and providing immediate access to supplies and
medications.medications.

2.An emergency cart or crash cart is a cart that 2.An emergency cart or crash cart is a cart that
facilitates coordination of emergency facilitates coordination of emergency
equipment.equipment.

3.A specific crash cart type facilitates staff 3.A specific crash cart type facilitates staff
familiarity with equipmentfamiliarity with equipment

8. 
4.It is help to ensure a properly stocked 4.It is help to ensure a properly stocked
emergency cart will be readily availableemergency cart will be readily available

5.It also ensures a properly functioning 5.It also ensures a properly functioning
defibrillator will be readily available.defibrillator will be readily available.

6.It helps to save the valuable time at 6.It helps to save the valuable time at
the time of emergency. the time of emergency. 

9. SET UP OF TROLLEYSET UP OF TROLLEY

10. TOPTOP

11. SIDE OF THE CARTSIDE OF THE CART

12. BACK SIDE OF THE CRASH CARTBACK SIDE OF THE CRASH CART

13. TOP DRAWER - MEDICATIONSTOP DRAWER - MEDICATIONS

14. 2nd DRAWER – ADULT 2nd DRAWER – ADULT
INTUBATION SUPPLIESINTUBATION SUPPLIES

15. 3rd DRAWER – PEDS 3rd DRAWER – PEDS
INTUBATION SUPPLIESINTUBATION SUPPLIES

16. 4th DRAWER – PEDS 4th DRAWER – PEDS
MISCELLANEOUS SUPPLIESMISCELLANEOUS SUPPLIES

17. 5th DRAWER– IV AND BLOOD 5th DRAWER– IV AND BLOOD
DRAW SUPPLIESDRAW SUPPLIES

18. 6th DRAWER – IV SOLUTION 6th DRAWER – IV SOLUTION
AND TUBINGAND TUBING

19. 7th DRAWER – PROCEDURE 7th DRAWER – PROCEDURE
TRAYS AND MISCELLANEOUS TRAYS AND MISCELLANEOUS
SUPPLIESSUPPLIES

20. LARYNGOSCOPELARYNGOSCOPE

22. AMBU BAGAMBU BAG