RAD422

LECTURE(2)

THE EMERGENCY TROLLEY

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

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 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
 THE EMERGENCY
TROLLEY
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
.

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:NOTE

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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THE EMERGENCY TROLLEY
CONTENTS OF THE TROLLEY
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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CONTENTS OF THE TROLLEY
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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 CONTENTS OF THE TROLLEY
External Contents

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

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CONTENTS OF THE TROLLEY
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
 

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CONTENTS OF THE TROLLEY
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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CONTENTS OF THE TROLLEY
Drawer contents:
 Drawer 1- Medications

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 CONTENTS OF THE TROLLEY
Emergency medication List
Action Drug

Increase cardiac output, constricts blood vessels, raises blood Adrenalin

pressure, relaxes bronchioles, aids respiration
Bronchodilator (Prevention of bronchial asthma ) Aminophylline
Reduce secretions, Dilate the bronchi Atropine
Antihistamine drug used in the prevention of the symptoms of Benadryl
allergic conditions such as rhinitis and urticaria
Respiratory stimulant (increase activity) treat hypotension Intropin
Increases cardiac output, for the treatment of various heart Dioxin (Lanoxin)
conditions, such as atrial fibrillation
an anti-epileptic (anticonvulsant) Dilantin
For maintaining normal concentrations of glucose in blood, Glucagon
(having the opposite effect of insulin)
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CONTENTS OF THE TROLLEY
Emergency medication List

Action Drug

Diuretic , increase amount of urine Lasix

Emetics (produce vomiting) Apomorphine
Fluid replacement . Sodium bicarbonate
For sever bronchospasm Hydrocortisone
Anti arrhythmic drug For ventricular arrhythmias Bretylol
sedative ,used in treatment of anxiety Valium (Diazepam )
Anti Acid, Treat of hypertension Calcium gluconate
Correct hemodynamic imbalance Dopamine
Prevent & treat cardiac arrhythmia potassium chloride
Anticoagulant (Inhibits blood coagulation) Heparin

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 LEGAL CONSIDERATION

 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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CONTENTS OF THE TROLLEY
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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CONTENTS OF THE TROLLEY
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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 CONTENTS OF THE TROLLEY
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 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

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CONTENTS OF THE TROLLEY
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.
 

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CONTENTS OF THE TROLLEY
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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CONTENTS OF THE TROLLEY
: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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CONTENTS OF THE TROLLEY
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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CONTENTS OF THE TROLLEY
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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CONTENTS OF THE TROLLEY
Drawer contents:
 Drawer 5- Cardiac, Chest Procedures

Examples:-
ECG electrodes
Sterile gloves
Sutures
Cardiac needle
Sterile towels
Cut down tray
Catheter kit
Chest tubes sutures
Scalpels with blades (knife)
Dressings
Scalpels
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CONTENTS OF THE TROLLEY
Drawer contents:
 Drawer 6- Special Procedure Trays

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 CONTENTS OF THE TROLLEY
Sample supplies

I.V Cannula Butterfly

Syringe Tourniquet
Tourniquet

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 CONTENTS OF THE TROLLEY
Sample supplies

masks Protective gowns

Tongue blades

Kidney bowel Scissors Thermometer

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THE END

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