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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
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)
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CONTENTS OF THE TROLLEY
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)
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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
Scalpels with blades (knife)
Dressings
sutures
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
Syringe
Butterfly
Tourniquet
Tourniquet
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CONTENTS OF THE TROLLEY
Sample supplies
masks
Tongue blades
Kidney bowel
Scissors
Protective gowns
Thermometer
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ASSIGNMENT (1)
First assignment
 Write about the principles of drug administration
(The golden rules of drug administration)
 Total marks = 5
 Email: [email protected]
 maximum time
= 2 weeks

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THE END
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