An emergency trolley is a chest of multiple drawers on wheels, containing all the equipment, medication and other medical supplies, which may be required during a medical emergency in emergency departments to treat someone with a life threatening disease or condition. Also known as crash carts, these mostly contain life-saving drugs. They are either placed in emergency rooms or in intensive care units or some other place where they can be accessed easily by doctors at times of emergency. These carts are built in such way, which allows their mobility very easy. Doctors and nurses are specially trained in handling an emergency trolley to find the right equipment in a hurry.. They need to know the different kind of ways of using life supporting equipment and the like.
Though the contents of an emergency trolley vary from one hospital to the other, yet they are almost the same. Below mentioned are the basic guidelines which will help you to understand its various functions:
Medical emergencies such as cardiac arrests and heart attacks are situations when these emergency trolleys are needed the most because these are situations when even the slightest time difference matters a lot. Thus, a defibrillator is placed right at the top of the trolley. This machine sends an electric shock of certain strength to the heart in an attempt to restore the normal rhythm of the organ. It is used during a cardiac arrest. Other equipments such as bag valve masks, suction devices, stethoscope, oxygen, sharps container, latex gloves, containers and inventory lists are also placed on the topmost counter of trolley.
The first drawer of the trolley is where you are likely to find ACLS first-line or emergency products such as rapid-sequence drugs, some of which are atropine, nitroglycerin, epinephrine, amiodarone, naloxone, lidocaine, sodium bicarbonate, vasopressin and dopamine.
In the second drawer, you will find pediatric medicine and IV solutions.
The next drawer is usually reserved for adult intubation supplies. These comprise of tracheostomy tube, oral airways, endotracheal tubes, ambu bag, carbon dioxide detector, laryngoscope, nasal cannulas, forceps, bulbs, guide wire, batteries, and blades of different kinds such as curved and straight, syringe, adhesive tape, lubricant, exam gloves, disposable syringes, IV cannulas and more.
You will find that the fourth drawer contains pediatric and infant intubation supplies such as doses of emergency drugs, blood pressure cuffs, small-sized endotracheal tubes, cannulas and oxygen masks among many others.
IV and raw blood supplies are stored in the fifth drawer such as fluids, drip sets and cannulas. There are syringes, tubes, catheters, tourniquets and tapes.
The last drawer is reserved for items such as surgical kits of different kinds, tubes, etc. Some hospitals also keep IV solutions in this drawer.
Some hospitals keep drugs for central venous and peripheral access and other drugs chosen by their doctors in the emergency trolley.
Once you start working in a hospital as a medical professional, you will be automatically trained about the intercom and internal codes used by workers to indicate situations of emergency. As a professional, you must be well-versed with the ways to respond to each of these emergencies. In case of emergency announcements nurses and other linked staff moves with rush carrying a trolley towards the emergency ward.
These trolleys are often locked with security codes known only to those in charge of handling the trolleys. Thus, you must become acquainted with the ways of handling these locks well in advance of an emergency situation when you might be called to bring such a trolley.
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