Emergency Cart and Code Blue

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4/22/12

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EMERGENCY CART AND

CODE BLUE



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INTRODUCTION

A crash cart is the trolley for storinglifesaving equipment and drugs in ahospital emergency room, intensive careunit, clinics and other areas. The cart is

characterized by being easily movableand readily accessible into all sides of thecart for quickly viewing and removingequipment and drugs during a crisis

situation.

The first cardiac crash cart was createdat Bethany Medical Center in Kansas City,

Kansas. The first crash cart was'



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PURPOSES: 1.To enhance the Code Blue team’s

response to patients with emergencymedical situations by providingimmediate access to supplies and

medications. 2.An emergency cart or crash cart is a

cart that facilitates coordination of emergency equipment.

3.A specific crash cart type facilitatesstaff familiarity with equipment

4.It is help to ensure a properly stocked

emergency cart will be readily available



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CONTENTS

The contents of a crash cart vary fromhospital to hospital, but typically containthe tools and drugs needed to treat aperson in or near cardiac arrest. These

include but are not limited to: •Monitor/defibrillators and suction

devices

•Advanced Cardiac Life Support (ACLS)drugs such as Epinephrine, Atropine,Amiodarone, Lidocaine, Sodiumbicarbonate, Dopamine, and Vasopressin

•First line drugs for treatment of common



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TYPES OF CRASH CART:-

BASED ON AGE OR DEVELOPMENTALVARIATIONS

•Adult Emergency Crash Cart •Pediatric Emergency Crash Cart

•Newborn Intensive Care Crash Cart



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GENERAL INFORMATION:

1.A Licensed Staff member as designatedby the head of the department isresponsible for checking the crash cart,

oxygen cylinder levels, defibrillator, and

documenting compliance on crashcart checklist.

2.Each emergency cart is equipped with alock and kept locked unless in use.

3.If the lock is not intact, the cart is to bechecked and unit personnel will replaceany missing supplies.

4.Crash cart is checked every shift and


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EQUIPMENT (essential):

Drawers are organized and arrangedfrom top to bottom in different order indifferent institutions but it containmedications, IV solutions and tubing,

miscellaneous.

The medicines mainly used in crash cartis Adenosine, Amiodarone,

Atropine,Dextrose, Dobutamine,Dopamine, Epinephrine, Etomidate,Flumazenil, Lidocaine, Magnesium,Naloxone, Norepinephrine, Procainamide,

Sodium bicarbonate, Vasopressin,



CONCLUSION:

Crash cart is a specially designed

trolley, used for transporting anddispensing medicines and equipments atthe emergency site for participating inlife saving measures. Crash carts are

located in areas of patient care in case of a life-threatening occurrence. Physicians,nurses, pharmacists, and respiratorytherapists must become familiar with thecontents of this cart. It containsnecessary equipments to handle anemergency situation. A crash cart isenabling healthcare providers to managemedical emergencies easily and



CODE BLUE

Hospital emergency codes, or codes,are used to alert staff in a myriad of emergency situations. They are designedto convey essential information asquickly and with as little confusion aspossible whilst also remaining discreet in

order to keep both patients and visitorscalm. They may be posted in signsaround the hospital or on the back of employee identification cards for

reference.



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This is hospital emergency code used toindicate that a patient needs immediateresuscitation usually after a cardiacarrest. It can also be called when apatient is en route to the hospital andneeds attention upon arrival. It can be

labeled either adult or paediatric

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Emergency Cart and Code Blue