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1.Define the emergency trolley its purpose in the radiology department 2.Identify the external contents of the emergency trolley and state the purpose.

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Presentation on theme: "1.Define the emergency trolley its purpose in the radiology department 2.Identify the external contents of the emergency trolley and state the purpose."— Presentation transcript:

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2 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 2 LEARNING OBJECTIVES By the end of this Lecture the student will be able to:

3 Lecture.2 References M.A.Seraj, The new manual of basic emergency procedures, first aid and updated CPR. Useful websites

4 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. 4  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

5  A radiologic Tchnologist should know the location of emergency cart and be familiar with its contents. 5  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

6 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 6

7 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 7

8 Defibrillator:  Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmia as ventricular fibrillation usually by electrical shock. External Contents 8

9 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 9 Tissue forceps

10 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 10

11 Drawer contents: Drawer 1- Medications 11

12 ActionDrug Increase cardiac output, constricts blood vessels, raises blood pressure, relaxes bronchioles, aids respiration Adrenalin Bronchodilator (Prevention of bronchial asthma )Aminophylline Reduce secretions, Dilate the bronchiAtropine Antihistamine drug used in the prevention of the symptoms of allergic conditions such as rhinitis and urticaria Benadryl Respiratory stimulant (increase activity) treat hypotensionIntropin Increases cardiac output, for the treatment of various heart conditions, such as atrial fibrillation Dioxin (Lanoxin) an anti-epileptic (anticonvulsant)Dilantin For maintaining normal concentrations of glucose in blood, (having the opposite effect of insulin) Glucagon Emergency medication List 12

13 Emergency medication List Action Drug Diuretic, increase amount of urineLasix Emetics (produce vomiting) Apomorphine Fluid replacement.Sodium bicarbonate For sever bronchospasmHydrocortisone Anti arrhythmic drug For ventricular arrhythmias Bretylol sedative,used in treatment of anxietyValium (Diazepam ) Anti Acid, Treat of hypertensionCalcium gluconate Correct hemodynamic imbalanceDopamine Prevent & treat cardiac arrhythmiapotassium chloride Anticoagulant (Inhibits blood coagulation)Heparin 13

14  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. 14

15 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 catheter Examples:- 15

16 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 16

17  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..surgicaltrachea  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 17

18 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. Breathing and Airway 18

19  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 19

20 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. 20

21 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 21

22 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:- 22

23 Drawer contents:  Drawer 5- Cardiac, Chest Procedures ECG electrodes Sterile gloves Sutures Cardiac needle Sterile towels Cut down tray Catheter kit Chest tubes Scalpels with blades Dressings Examples:- 23 sutures Scalpels (knife)

24 Drawer contents: Drawer 6- Special Procedure Trays 24

25 I.V CannulaButterfly SyringeTourniquet Sample supplies 25 Tourniquet

26 Sample supplies Tongue blades ScissorsThermometer Protective gowns masks Kidney bowel 26

27  First assignment  Write about the principles of drug administration (The golden rules of drug administration)  Total marks = 5   maximum time = 2 weeks 27

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