Crash Cart et Utensilia Medicorum

Crash Cart Contents

• The crash cart is a wheeled medical trolley containing essential equipment and medications for immediate use in critical situations.
• The cart is organized into separate drawers or compartments, each containing different types of supplies.
• The drawers contain medications, equipment, and supplies for various clinical scenarios.

Devices in the Intensive Care Unit

• The crash cart contains crucial devices for life-saving procedures.
• Oxygen tanks (cylinders) are included for administering oxygen.
• Sharps and waste containers are for safe disposal of contaminated needles and fluids.
• An intravenous (I.V) stand is for intravenous (I.V) infusions, delivering fluids and medications directly into the bloodstream.
• The crash cart is equipped with a defibrillator to restart cardiac activity through electrical shocks.

Sedatives and Analgesics

• These medications are used to induce sedation, provide pain relief, and create amnesia.
• Analgesics (e.g., morphine, fentanyl) are used to manage pain in critical care.
• Sedatives (e.g., midazolam, ketamine, etomidate, propofol) cause sedation and amnesia.
• The doses and onset times vary depending on the sedative/analgesic.

Muscle Relaxants (Paralysis)

• Muscle relaxants are used for rapid sequence intubation, during which the patient's airways are opened.
• Medications like succinylcholine, pancuronium, vecuronium, atracurium, and rocuronium are used.
• The IV doses vary for managing skeletal muscle relaxation, adjusting dosage for specific patients (infants and children).

ACLS Medications (Resuscitation Drugs)

• These medications are crucial in cardiovascular emergencies.
• Epinephrine (adrenaline) is a medication to treat cardiac arrest (PEA, asystole, VF, and pulseless VT).
• The dosage varies according to the patient's condition, administration method (IV/IO), and situation (e.g., anaphylaxis).
• Amiodarone, lidocaine, atropine, and adenosine are used in specific cardiac arrhythmias, bradycardia, and supraventricular tachycardia (PSVT/SVT).
• The dosages vary depending on the patient and situation.

Airway Management Equipment

• The second drawer contains multiple airway management equipment, including different sizes of oropharyngeal airways (OPAs) and nasopharyngeal airways (NPAs).
• Suction catheters (multiple sizes) for removing secretions are included.
• Endotracheal tubes (ETTs) - different sizes and types (disposable, cuffed, or un-cuffed reusable) are provided.
• Laryngoscope handles and blades with spare bulbs and batteries.
• Devices for checking O2 saturation, such as pulse oximeters and end-tidal CO2 monitoring device are also in this drawer.
• Additional non-visualized advanced airways such as LMA (Laryngeal Mask Airway) which comes in various sizes to fit the patient's needs

IV Supplies

• The intubation supplies consist of cannulas of different sizes (14G, 16G, 18G, etc.), suited for various body types and situations.
• There are also central venous line supplies (different sizes from 4.0F to 7.0F) for various patients.
• Measurement devices like a three-way stopcock and a manometer are used for CVP measurement.

Intraosseous Needles or Devices

• Intraosseous (IO) access devices for emergency vascular access into the medullary cavity of bone are available.

Infusion Bags/Solutions

• IV solutions like Ringer's Lactated, Normal Saline (DNS), or D5W are available in different volumes (500 ml, 1000 ml, etc).

Defibrillator, Lubricant, Shaver, and Pacemakers

• Defibrillator electrodes and lubricant (gel) are present to manage cardiac issues.
• A shaver along with portable pacemakers are included for additional emergency support, including a bipolar lead wire with sheath catheters.

Chest Tube Drainage Bags and Accessories

• Chest tubes with various sizes (e.g., 10–40 French size), Heimlich valves, underwater seals, and related accessories are included on the third drawer.

Personal Protective Equipment (PPE) for Infection Control

• The sixth drawer is for personal protective equipment, including gloves, masks, and eye protection for safety as well as for isolation purposes.

Sutures/Dressings

• The seventh compartment houses different suture materials for use in closing wounds or tissues. Different types of suture (e.g. absorbable (chromic catgut), non-absorbable (PDS, prolene)) are offered alongside various types of dressings and gauze.

Dressing, Bandages & other Supplies

• The crash cart contains various dressing supplies including bandages, adhesive dressings, sterile gauze, and packing gauze of different size/types for different needs.

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