Use of Emergency Crash cart for sever condition.pptx

I hope that the content of my ppt will be very good for all of you in which ppt subject is Crash Cart in which we have described how to treat sever condition patient in critical situation

1. Crash cart DR. GOURAV KUMAR Assistant professor Department of Radiation and Imaging Technology NIMS University, Jaipur Rajasthan

2. Introduction A crash cart is a specialized medical equipment trolley or cart that is stocked with various emergency medical supplies and equipment. It is designed to be readily accessible and mobile, allowing healthcare professionals to quickly respond to medical emergencies, especially those involving cardiac arrest or other life-threatening situations. Crash carts are typically equipped with items such as defibrillators, medications, airway management tools, intravenous (IV) supplies, and other critical emergency supplies.

3. These carts are strategically placed in healthcare settings such as hospitals, clinics, and emergency rooms to ensure rapid response and immediate availability of essential tools during emergencies. The contents of a crash cart may vary based on the specific needs and protocols of the healthcare facility, but they are generally standardized to include equipment and medications necessary for initial resuscitation efforts. The goal is to have all the essential tools in one place to increase the chances of successfully managing a medical emergency. “ first crash cart used in 1962 in Bethany medical center in Kansas city.”

4. Purpose of crash cart A crash cart, also known as a code cart or emergency cart, is a specialized medical cart stocked with essential equipment and medications designed for use in emergency situations, particularly in healthcare settings like hospitals and clinics. The purpose of a crash cart is to provide immediate and organized access to life-saving interventions and supplies when a patient experiences a medical emergency, such as cardiac arrest or respiratory failure. The contents of a crash cart may vary, but they typically include: Cardiac Life Support Equipment: This may include a defibrillator for delivering electric shocks to restore normal heart rhythm, as well as tools for airway management and ventilation.

5. Medications: Essential drugs for emergency situations, such as epinephrine, atropine, vasopressors, anti- arrhythmics , and other medications used to treat cardiac arrest or other critical conditions. Airway Management Tools: Items such as endotracheal tubes, laryngoscopes, and suction devices to assist with maintaining a patient's airway. Monitoring Devices: Devices to monitor vital signs such as electrocardiogram (ECG) monitors, pulse oximeters, and blood pressure cuffs. Intravenous (IV) Supplies: Fluids, IV catheters, and other supplies for establishing intravenous access quickly. Emergency Resuscitation Equipment: Items like bag-valve masks (BVMs) for manual ventilation, chest tubes, and chest decompression needles.

6. Diagnostic Tools: Tools such as blood glucose meters, thermometers, and diagnostic tests that can aid in quickly assessing a patient's condition. Miscellaneous Supplies: Additional items like gloves, gauze, syringes, and emergency documentation materials.

7. Content of crash cart D efibrillator/AED (Automated External Defibrillator): Used to deliver an electric shock to the heart in the case of cardiac arrest. Cardiac Medications: Epinephrine: A medication used to treat cardiac arrest and severe allergic reactions. Atropine: Used to treat bradycardia (slow heart rate) and certain types of organophosphate poisoning. Amiodarone: An antiarrhythmic medication used to treat certain types of irregular heartbeats. Airway Management Supplies: Endotracheal tubes: Used for securing the airway in case of respiratory distress. Bag-valve-mask (BVM): Provides manual ventilation for patients who are not breathing adequately.

8. Intubation Supplies: Laryngoscope: Used to visualize the vocal cords during intubation. Endotracheal tubes: Different sizes for various age groups. Medication Administration Supplies: Syringes and needles: For administering medications. Intravenous (IV) access supplies: Catheters, fluids, and tubing for intravenous administration. Monitoring Equipment: EKG monitor: Displays the patient's cardiac rhythm. Blood pressure cuff: Measures blood pressure. Pulse oximeter: Monitors oxygen saturation levels.

9. Emergency Medications: Nitroglycerin: Used to treat chest pain (angina). Aspirin: Administered in case of suspected heart attack. Dextrose: Used for treating hypoglycemia. Resuscitation Equipment: CPR masks and barriers. Suction devices: To clear airways. Chest tubes and drainage systems: For treating certain types of trauma. Miscellaneous Supplies: Gloves, gauze, and dressings. Scissors, tape, and other basic medical supplies.

10. Equipment of crash cart Cardiac equipment: Automated External Defibrillator (AED) Manual defibrillator (with paddles) Cardiac monitor Electrocardiogram (ECG) cables and electrodes Airway management: Endotracheal tubes of various sizes Laryngoscope with blades of different sizes Bag-valve-mask (BVM) resuscitator Oropharyngeal and nasopharyngeal airways

11. Medications: Epinephrine Atropine Lidocaine Adenosine Amiodarone Vasopressors (e.g., dopamine, norepinephrine) Antiarrhythmics and other emergency medications Intravenous (IV) supplies: IV catheters of various sizes IV administration sets Normal saline and other intravenous fluids Syringes and needles

12. Monitoring equipment: Blood pressure cuff Pulse oximeter Capnography equipment Thermometer Resuscitation equipment: CPR masks or shields Tourniquets Chest tubes and drainage systems Thoracostomy trays

13. Miscellaneous supplies: Sterile gloves Gauze, bandages, and dressings Adhesive tape Scissors and forceps Emergency airway cart Emergency drug reference materials Documentation materials: Patient charts or documentation forms Pens, markers, and paper

14. Arrangement for a crash cart Top of the Cart: Emergency protocols and documentation. Defibrillator with pads or paddles. A suction device. Top Drawer: Airway Management: Endotracheal tubes of various sizes. Laryngoscope with extra blades. Stylet for endotracheal tube insertion. Bag-valve-mask (BVM) device.

15. Second Drawer: Medications: Cardiac medications (e.g., epinephrine, atropine). Antidotes (e.g., naloxone, flumazenil). Emergency drugs for various situations. Intravenous (IV) access supplies. Third Drawer: Intravenous (IV) Supplies: IV catheters of various sizes. Fluids (normal saline, dextrose). IV administration sets. Syringes and needles.

16. Fourth Drawer: Equipment and Supplies: Blood pressure cuff and stethoscope. Pulse oximeter. Glucometer. Thermometer. Gauze, bandages, and dressings. Fifth Drawer: Miscellaneous: Emergency airway equipment (e.g., supraglottic airway devices). Chest tubes and insertion kits. Trauma shears and scissors. Tape and securement devices.

17. Bottom Shelf: Additional equipment such as a crash cart manual, gloves, and additional supplies. A sharps container for safe disposal of needles and sharps

18. Maintenance of crash cart Regular Inspection: Conduct regular inspections of the crash cart to ensure that all items are present, in good condition, and within their expiration dates. Check the functionality of equipment such as the defibrillator, suction device, and other electronic components. Check Expiry Dates: Regularly check the expiration dates of medications and supplies. Replace any expired items promptly.

19. Documentation: Keep an inventory list of all items in the crash cart. This list should include the name, quantity, and expiration date of each item. Document any maintenance or inspections performed on the crash cart. Restocking: Restock the crash cart immediately after it has been used or when any item is close to its expiration date. Ensure that there is an adequate supply of commonly used medications, emergency drugs, IV fluids, airway management devices, and other essential items.

20. Battery Maintenance: If the crash cart contains electronic devices such as a defibrillator or monitor, regularly check and replace batteries as needed. Ensure that all devices are charged and ready for use in case of an emergency. Organization: Keep the contents of the crash cart well-organized to facilitate quick access during emergencies. Label all compartments clearly to help healthcare providers locate items easily. Training and Drills: Conduct regular training sessions and drills with healthcare staff to ensure they are familiar with the crash cart's contents and know how to use each item. Simulate emergency scenarios to practice the efficient and effective use of the crash cart during high-stress situations.

21. Compliance: Ensure that the crash cart complies with local and national regulations and standards. Regularly review and update the crash cart based on changes in emergency protocols or guidelines. Temperature and Environment: Store the crash cart in a location with appropriate temperature and humidity levels to prevent damage to medications and equipment. Emergency Information: Keep emergency contact information and protocols readily available on or near the crash cart.

22. Reference Ruth Ann Ehrlich. 2020 Sterilisation in textbook of Patient Care in Radiology Seventh Edition, Elsevier New Delhi, P: 172– 178. Doyle, G. R., McCutcheon, J. A. (2015). Clinical procedures for safer patient care. BCcampus. https://opentextbc.ca/clinicalskills