LEARNING OBJECTIVES

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

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

Lecture .2
References
M.A.Seraj, The new manual of basic emergency
procedures, first aid and updated CPR.
Useful websites
http://www.wisegeek.com/what-is-a-crash-cart.htm

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
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.

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
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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

External Contents
Oxygen supply:

To arise alveolar oxygen tension.

To relieve hypoxemia or hypoxia.

Oxygen regulator with flow meter

a valve to adjust the rate of oxygen flow

Oxygen cylinder
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External Contents

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

External Contents
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.

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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Emergency medication
List
Drug

Adrenalin

Aminophylline

Action

Increase cardiac output, constricts blood vessels,

raises blood pressure, relaxes bronchioles, aids
respiration
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)

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Emergency medication
List
Drug

Lasix
Apomorphine
Sodium bicarbonate
Hydrocortisone
Bretylol
Valium (Diazepam )
Calcium gluconate

Action

Diuretic , increase amount of urine

Emetics (produce vomiting)
Fluid replacement .
For sever bronchospasm
Anti arrhythmic drug For ventricular
arrhythmias
sedative ,used in treatment of anxiety
Anti Acid, Treat of hypertension

Dopamine

Correct hemodynamic imbalance

potassium chloride

Prevent & treat cardiac arrhythmia

Heparin

Anticoagulant (Inhibits blood

coagulation)

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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

Examples:-

Oropharyngeal
Airways
Nasopharyngeal
Airways
Endotracheal tubes
Tracheostomy tubes
Face mask
Pocket mask
Suction tube
Tracheostomy mask
Nasal cannula
Laryngoscope
Tongue blades
Suction catheter

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Breathing and Airway

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

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Breathing and Airway

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 patients 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

17

Breathing and Airway

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

18

Breathing and Airway

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.

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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 vials
IV cannulas
Tourniquet
Alcohol swabs
Cotton balls
Blood tubes
Tape
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Drawer contents:
Drawer 4- I.V. solutions and tubing

Examples:0.9% sodium chloride

500ml)5%

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

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Drawer contents:
Drawer 5- Cardiac, Chest Procedures

Examples:ECG electrodes
Sterile gloves
Sutures
Cardiac needle
Sterile towels
Cut down tray
Catheter kit
Chest tubes
Scalpels with blades (knife)
Dressings

sutures

Scalpels
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Drawer contents:
Drawer 6- Special Procedure Trays

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Sample supplies

I.V Cannula

Syringe

Butterfly

Tourniquet

Tourniquet
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Sample supplies

masks

Tongue blades

Kidney bowel

Scissors

Protective gowns

Thermometer

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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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