(2)Emergency+trolly+lecture+2.ppt

Define the emergency trolley its purpose in the radiology departmentIdentify the external contents of the emergency trolley and state the purpose of each content.Classify the different drawers of the emergency trolley List the various emergency drugs and state their action

*LEARNING OBJECTIVESBy the end of this Lecture the student will be able to:

Lecture .2ReferencesM.A.Seraj, The new manual ofbasic emergency procedures, first aid and updated CPR.http://www.wisegeek.com/what-is-a-crash-cart.htmUseful websites

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

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

A/ Top of emergency trolley (External Contents)Oxygen supply Defibrillator with Monitor Portable suction apparatusLaryngoscope Shuttle forcepsSphygmomanometerStethoscope Emergency Crash Cart Check SheetCheck List of cart contents.Emergency drug information sheet

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External ContentsOxygen supply:To arise alveolar oxygen tension.To relieve hypoxemia or hypoxia.Oxygen regulator with flow metera valve to adjust the rate of oxygen flow Oxygen cylinder*

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

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.External Contents* Tissue forceps

B/ Drawer contents:Drawer 1- MedicationsDrawer 2- Breathing and AirwayDrawer 3- Circulation: IV suppliesDrawer 4- Circulation: I.V. solutions and tubingDrawer 5- Cardiac, Chest ProceduresDrawer 6- Special Procedure Trays

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Drawer contents:Drawer 1- Medications

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Emergency medication List *

Emergency medication List *

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.*

Drawer contents:Drawer 2- Breathing and Airway

Oropharyngeal Airways Nasopharyngeal Airways Endotracheal tubes Tracheostomy tubes Face mask Pocket mask Suction tube Tracheostomy mask Nasal cannula Laryngoscope Tongue blades Suction catheterExamples:-*

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

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 patients 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

Breathing and Airway*

Ventilation Devices:Pocket maskDesigned for mouth-to-mask ventilation of a non-breathing person. It is an alternative to a bag-valve mask device for providing ventilation.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. Breathing and Airway*

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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Drawer contents:Drawer 3- Circulation: IV supplies

Examples:-

Needles different sizesSyringes different sizes Butterflies Sterile water vialsIV cannulasTourniquet Alcohol swabsCotton balls Blood tubes Tape*

Drawer contents:Drawer 4- I.V. solutions and tubing

0.9% sodium chloride 500ml)5%Dextrose (500ml)10% dextrose (500ml)Hase-steril 6% (500ml)Ringer lactate (500ml) Blood pump tubing I.V. Tubing

Examples:-*

Drawer contents:Drawer 5- Cardiac, Chest Procedures

ECG electrodesSterile glovesSutures Cardiac needle Sterile towelsCut down trayCatheter kitChest tubes Scalpels with blades Dressings

Examples:-* sutures Scalpels(knife)

Drawer contents:Drawer 6- Special Procedure Trays

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I.V CannulaButterflySyringeTourniquetSample supplies*Tourniquet

Sample suppliesTongue bladesScissorsThermometerProtective gownsmasksKidney bowel *

First assignment Write about the principles of drug administration (The golden rules of drug administration)Total marks = 5Email: [email protected] time = 2 weeks *

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