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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LEARNING OBJECTIVES

By the end of this Lecture the student will be able to:

Lecture .2ReferencesM.A.Seraj, The new manual of basic emergency procedures, first aid and updated CPR.

http://www.wisegeek.com/what-is-a-crash-cart.htm

Useful websites

It is a multi drawer wheeled cabinet that is kept in in the imaging department. with the essential medication and tools that required in emergency situations.

Other names: Emergency cart/Emergency response cart/Code cart/Crash cart.

Goal of emergency trolley

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To begin addressing the emergency conditions while waiting the emergency team to arrive: Compromised Airway Respiratory Distress /Respiratory Arrest Cardiac Arrest Drug Overdose Hypoglycemia Anaphylactic Reaction

A radiologic Tchnologist should know the location of emergency cart and be familiar with its contents.

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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

A/ Top of emergency trolley (External Contents)•Oxygen supply •Defibrillator with Monitor• 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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External ContentsOxygen supply: To arise alveolar oxygen tension. To relieve hypoxemia or hypoxia.

Oxygen regulator with flow metera valve to adjust the rate of oxygen flow

Oxygen cylinder

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Defibrillator: Defibrillation is the

definitive treatment for the life-threatening cardiac arrhythmia as ventricular fibrillation usually by electrical shock.

External Contents

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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. 

 

External Contents

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Tissue forceps

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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Drawer contents: Drawer 1- Medications

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Drug Action

Adrenalin Increase cardiac output, constricts blood vessels, raises blood pressure, relaxes bronchioles, aids respiration

Aminophylline Bronchodilator (Prevention of bronchial asthma )

Atropine Reduce secretions, Dilate the bronchi

Benadryl Antihistamine drug used in the prevention of the symptoms of allergic conditions such as rhinitis and urticaria

Intropin Respiratory stimulant (increase activity) treat hypotension

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)

Emergency medication List

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Emergency medication List

Drug Action

Lasix Diuretic , increase amount of urine

Apomorphine Emetics (produce vomiting)

Sodium bicarbonate Fluid replacement .

Hydrocortisone For sever bronchospasm

Bretylol Anti arrhythmic drug For ventricular arrhythmias

Valium (Diazepam ) sedative ,used in treatment of anxiety

Calcium gluconate Anti Acid, Treat of hypertension

Dopamine Correct hemodynamic imbalance

potassium chloride Prevent & treat cardiac arrhythmia

Heparin Anticoagulant (Inhibits blood coagulation) 13

It is important to radiologic technologist to

make certain that all information is documented on the patient chart

If patient experiences any adverse side effects to the drug, make certain to document the details of the incident

Errors associated with drug administration are among the most common legal problems in which radiologic technologists are involved.

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Drawer contents: Drawer 2- Breathing and Airway

Oropharyngeal Airways

Nasopharyngeal Airways

Endotracheal tubes Tracheostomy tubes

Face mask Pocket mask Suction tube

Tracheostomy mask Nasal cannula

Laryngoscope Tongue blades Suction catheter

Examples:-

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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 

Breathing and Airway

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Tracheostomy set : Tracheostomy is a surgical procedure on the neck to open a

direct airway through an incision in the trachea to provide immediate relief for a patient’s upper airway obstruction..

Patients who must have a higher continues rate of oxygen flow, require a Tracheostomy that is connected to the oxygen supply.

The set includes Tracheostomy tubes: B- Plain tube E- Cuffed tube

Breathing and Airway

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Ventilation Devices:Pocket maskDesigned for mouth-to-mask ventilation of a non-breathing person. It is an alternative to a bag-valve mask device for providing ventilation. 

Breathing and Airway

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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.

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.  

Breathing and Airway

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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.It s place is confirmed with chest radiography ,the distal end of the tube must be 3-4 cm superior to tracheal bifurcation.

 

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Drawer contents: Drawer 3- Circulation: IV supplies

Examples:-

Needles different sizes

Syringes different sizes Butterflies Sterile water vialsIV cannulasTourniquet Alcohol swabsCotton balls Blood tubes Tape

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Drawer contents: Drawer 4- I.V. solutions and tubing

0.9% sodium chloride 500ml)5%

Dextrose (500ml)10% dextrose (500ml)Hase-steril 6% (500ml)Ringer lactate (500ml) Blood pump tubing I.V. Tubing

Examples:-

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Drawer contents: Drawer 5- Cardiac, Chest Procedures

ECG electrodesSterile glovesSutures Cardiac needle Sterile towelsCut down trayCatheter kitChest tubes Scalpels with blades Dressings

Examples:-

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sutures

Scalpels

(knife)

Drawer contents: Drawer 6- Special Procedure Trays

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I.V Cannula Butterfly

Syringe Tourniquet

Sample supplies

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Tourniquet

Sample supplies

Tongue blades

Scissors Thermometer

Protective gownsmasks

Kidney bowel

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First assignment Write about the principles of drug

administration (The golden rules of drug administration) Total marks = 5 Email: umsaraibrahim@yahoo.com maximum time = 2 weeks

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