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1. Emergency
Trolley

2. Objectives
At the end of this session, each student should
be able to:
 1. Identify the emergency trolley
 2. Goals and use emergency trolley.
 3. Explain the emergency trolley medication
 ( classification , Indication , Contraindication )
 4. Emergency trolley equipment (name ,uses )
 5. Explain the use of D-C shock
 6. Nursing role ( policy)

3. The EmergencyTrolley
(Also Called: Crash
Trolley)
Is one equipped trolley with essential
medication and tool that need for
emergency and urgent cases.
It is a multi drawer cabinet that contains
essential medications and tools needed for
emergency cases.

4. 1.Saving the time .
2. Saving life of patient
.

6. **Emergency trolley: Is one
equipped trolley with [the
essential medication and tools
that need for emergency and
urgent cases.

7. Common use of
emergency trolley:
oCompromised Airway
oVentricular fibrillation
oVentricular tachycardia
oRespiratory Distress
oRespiratory Arrest
oCardiac Arrest
oAnaphylactic Reaction

8. Common Contents of Emergency
Trolley
1.Oxygen Supply and portable O2
cylindar
2.Defibrillator with Monitor.
3.Portable Suction Apparatus
4.Forceps
5.Sphygmomanometer
6.Stethoscope 7.Emergency Drugs

9. 8.ABGs syringe.
9.Ambu bag-adult and pediatric
10.Face mask size 3-4-5,face mask infant size: 0-1-2
11.Laryngoscope with medium and small blade
attached.
12.Stylit for adult and pediatric and elastic bougie.
13.Cardiac board“Chest compression “
14.I.V stand
15.Sharp container.
16.Gloves ( sterile and clean ).
17.Checklist of Trolley/Cart Contents.

10. Contents of the
Emergency Trolley
External Contents: Oxygen supply.
Oxygen Regulator with flowmeter and a
valve to adjust the rate of oxygen flow
Oxygen
Cylinder

11. Contents of the Emergency
Trolley
External Contents: Defibrillator
with Monitor
Electrical machine that give DC
current to the patient in several
arrthymia.
-Consist of : monitor,ECG strip
,two
badels.

12. -Purposes :
*To establish effective circulation and
respiration.
*To provide oxygen to the vital organs
.
*To prevent irreversible cerebral
anoxic damage .
- Indication :
For all patients with “ Cardiac arrest
“ Ventricular fibrillation , ventricular
tachycardia , respiratory arrest ,
suffocation , coma ………..etc

13. Contents of the
Emergency Trolley

14. Contents of the
Emergency Trolley
Stethoscope
Sphygmomanometer
An instrument to measureblood pressure.

15. Contents of the Emergency
Trolley
 Laryngoscope
 Bag ValveMask

16. Contents of the
Emergency Trolley
Pocket Mask

17. Contents of the
Emergency Trolley
Tracheostomy Set

18. Contents of the
Emergency Trolley
Oropharyngeal Airways
Nasopharyngeal Airway
s

19. Contents of the Emergency
Trolley
Intravenous Supplies (IV Supplies)

20. I.V
Cannula
Butterfl
y
Syringes Tourniquet

21. Contents of the Emergency
Trolley
Tongue blades
Scissors
‫ﺕﺎﺼﻘﻣ‬
Thermometer
‫ﺓﺭﺍﺮﺣ‬ ‫ﻥﺍﺰﻴﻣ‬
Protective gownsM asks
Kidney bowel
‫ﻱﻮﻠﻛ‬ ‫ﺀﺎﻋﻭ‬

22. 1. Saving time.
2. Keep life of patient.
3. Saving effort of medication.
Uses of emergency trolley :
1. Ventricular fibrillation
2. Respiratory paralysis
3. Ventricular tachycardia

23. The emergency
trolley
consist of 5 drawers

24. 1.Adrenaline 1mg /ml 
2. Atropine 600mcg/ml.
3. Isosorbide Dinitrate 10mg/10ml (isoket)
4. nitroglycerine 10 mg/5 ml (nicotine)
5. Lignocaine 1%, without adrenaline.
6. Lignocaine 2%, with adrenaline
7. Dopamine 200 mg/5 ml
8. Calcium Gluconate 10%
9. Digoxin 0.5/2ml (Lanoxin)
10.10 ml potassium chloride 7.45%
11.Aminophyillin 250 mg / 10 ml
12.Hydrocortisone 100mg /2 ml 1.V /1.M
13.proranolol 1 mg / 1 ml (Inderal)
14.Dexamethasone 8 mg / 2 ml (Decadron)
15.Frusemide 20mg / 2ml (Lasix) I.V /I.M
16.suprel
17.clopramide 10mg/ 2ml (zantac).
18.sodium bicarbonate I.V push CPR/I.V
infusions
19.Tavaggle (or Avial if available)
20. Cordarone 150 m

26. Action:1--Increase myocardial contraction.
2-Vasoconstriction
3Increase H.R
4Bronchodilator.
Side effect: 1-Cardiac arrhythmias.
2-Pulmonary edema. 3-Anginal pain

27. Hydrocortisone
Classification: - Adrenal
corticosteroid Indication: -
inflammation
Blood disorder
Organ transplant rejection Contra-
indication:
1infants
2systemic fungal infection

28. Indication: - asthma and Reversal of
bronco spasm associated with COPD.
Side effect: - irritability, nauseas

29. Indication: - Lessening the degree of A V node.
Restoration of cardiac rate and arterial pressure.
Side effect: - Nausea Vomiting. Constipation.

30. Indication:- acute angina attack
Side effect: - nausea, vomiting
incontinence, sweating
Hypotension .

31. Calcium Gluconate
Indication: - Treat of hypertension.
Supply dietary when decrease Ca .
Side effect: - decrease slow H.R ,
Local irritation.

32. Indication: - correction & •
hemodynamic imbalance.
Side effect: - surfeiting, tremor,
headache &palpitation.

33. Indication: - Atrial Fibrillation. Atrial tachycardia
Side effect: - Vomiting, nausea

34. Dexamethasone Indication: -
Relieve comfort.
Give the body a chance to heal from
the effect of inflammation.

35. Indication: - increase Bp. Angina pectoris
Arrhythmia
Side effect: - Brady cardiac ,Congestive heart failure
Cardiac Arrhythmia

36. Indication: - inflammation
Blood disorder ,Organ transplant
rejection
Side effect: Depression , Peptic ulcer

37. Indication: Antiemetic to
prevent nausea and
vomiting.

38. Indication: bolic acidosis.
Side effect: Hypokalemia.
Gastric rupture

40. 1. I.V cannula different size (G18, G20, G22).
2. Spinal needle size G20.
3. Triple lumen cavafix cath 30 cms size 7F.
4. Scalp vein I.V set size G21.
5. Needle size (G20, G21, G23).
6. 3 way stopcock.
7. Injectable cannula covers (yellow).
8. Cannula covers (Red).
9. Oxygen connector (with nipple adapter).
10. Disposable razor.
11. Scalpel blades .
12. Transpore tape (1 inch) size 2.5cm.
13. Micropore tape (Scalp vein I.V set size G21.
14. Needle size (G20, G21, G23).
15. I.V cannula dressing (IV300

41. 16. I.V set IVAC 590 (vented).
17. Suture, silk write code (size:3.0).
18. Pressure tubes/extension set 15cm.
19. I.V set IVAC 560 (withfilter).
20. Annie pump set.
21. Annie syringe set.
22. Syringe 50cc w/leur lock.
23. Suture, silk write code (size:2.0).
24. Soluset, Abbott 150/60 (micro).
25. Suture, silk write code (size:2.0).
26. Suture, silk write code (size:3.0).

43. Third drawer
. Air way
. N.G.tube
. T-connection
. Surgical
blade
. Adult face
mask
. ECG
electrodes
. Urine bag
. Sterile gauze
. Endotracheal

44. Third drawer

45. *Latex gloves
*I.V tag
*Drip set
*Surgical gloves

46. 5. Ringer lactate (500ml). "Isotonic" Uses:
Electro cellular fluid deficit, such as fluid loss
with burins and bleeding and dehydration from
loss of bile or diarrhea.
1* 10% dextrose (500ml).
Uses: Hypoglycemia and hypertension.
1* 4.3% dextrose 1/5 N/S (500ml).
Uses:
1.Hypotension no D.M.
2.Hypoglycemia no HTN.
3.Abdominal pain.
4.Post operative.

48. 1. 0.9% sodium chloride (500ml). "Isotonic"
Uses: Extra cellular fluid deficits in patient with low serum level of
sodium or chloride.
2. 5% dextrose (500ml). "Hypotonic" Uses:
1. Replace deficit of total body water.
2. Not use alone to expand extra cellular fluid (ECF) volume
because dilution of electrolytes can occur.
3. 5% dextrose and N/S (500ml)."Hypertonic" Uses:
4. Extra cellular fluid deficit in patient with low serum level of Na
or Cl with .
2. provides modest calories (170 Kcal).
4. Massive bleeding.

50. • Check up the trolley:
AT the beginning of each shift the in
charge nurse should check the
equipment and medication if they are
prepared for use in critical situation
and ensure that drug is in good statues
(check the expiration date)as this
paper & the quantity of each
medication

51. https://malvestio.it/en/prodotti/icu/emergency-trolleys/medical-
trolley-linkar-329504/69
https://en.wikipedia.org/wiki/Crash_cart
https://www.medicalexpo.com/medical-
manufacturer/emergency-trolley-28019.html
https://www.gimaitaly.com/prodotti.asp?sku=27482&dept_
selected=347&dept_id=3470