Crash Cart: 101

00:08:52
https://www.youtube.com/watch?v=QFww8xECfaA

Zusammenfassung

TLDRThis review provides a detailed guide on the components and usage of a medical crash cart, which is an essential tool in emergency medical situations. On the outside, the crash cart contains a defibrillator and items such as ACLs algorithms and various electrodes necessary for different patient needs. Inside, there are multiple drawers categorically organized for specific medical requirements. The top drawer includes a collection of ACLs drugs which are crucial during cardiac arrest, and predominantly holds medications like pre-mixed epinephrine and sodium bicarb. The crash cart is designed to minimize chaos during emergencies by having almost all necessary elements localized, reducing the need to leave the room for supplies. It also contains IV supplies, IO needles for quick vascular access, and complete lab-draw materials. A special drawer is dedicated for airway management supplies, including an emergency trach kit and nasopharyngeal airways. Another drawer is tailored for pediatric usage, containing Broselow tape to facilitate quick and accurate dosing. Moreover, the bottom of the crash cart acts as a repository for various IV fluids, dopamine, and lidocaine bags, offering resources needed during the first critical minutes of a code. Overall, the crash cart's comprehensive setup is crucial for effective and seamless medical response, ensuring vital resources are immediately available, thus reducing the chaos typically present during critical care codes.

Mitbringsel

  • 🛑 The crash cart is a critical emergency tool.
  • ❤️ The top contains the defibrillator and innovation box.
  • 📚 ACLs algorithms are on the side for quick reference.
  • 🌡️ The top drawer holds essential ACLs medications.
  • 💉 Includes IO needles for fast vascular access.
  • 🛠️ Features an airway drawer with emergency trach kits.
  • 👶 Contains pediatric tools and Broselow tape.
  • 🔧 Unusual items like a strange long upside are included.
  • 💧 Various IV fluids and pre-mixed drugs are at the bottom.
  • 🕒 Ready to keep medical response within the room during a code.

Zeitleiste

  • 00:00:00 - 00:08:52

    The video provides a comprehensive review of a crash cart, highlighting its vital components and organization for efficient use during emergencies. The crash cart, distinguished by its red color, includes a defibrillator and an innovation box on top. It houses crucial tools such as a zipper airway kit, defibrillator paths, and pediatric and adult electrodes. The presence of ACLS algorithms is emphasized for guidance if no physician is available. To access the crash cart, the bottom door must be properly closed. The importance of understanding the contents of the crash cart is stressed to reduce chaos during cardiac arrest codes. It includes ACLS drugs and essential pre-mixed medications like epinephrine and sodium bicarb.

Mind Map

Video-Fragen und Antworten

  • What is on the top of the crash cart?

    On top of the crash cart, you should always find the defibrillator and an innovation box.

  • What are some important items found on the side of the crash cart?

    The side of the crash cart includes ACLs algorithms, defibrillator pads for adults and children, and ECG electrodes.

  • How do you access the inside of the crash cart?

    To access the inside of a crash cart, ensure that the bottom door is fully open and then closed again, which will allow access to the top drawers.

  • What kind of medications are found in the top drawer of the crash cart?

    The top drawer typically contains ACLs drugs, pre-mixed medications like epinephrine, sodium bicarb, and atropine, along with large vials of epinephrine.

  • What procedures can be performed using the items in the second drawer?

    The second drawer contains all necessary items for IV starts and lab draws, and also includes IO needles for vascular access.

  • What can be found in the 'airway drawer' of the crash cart?

    The airway drawer includes gastric tubes, sterile gloves, restraints, emergency trach kits, deep tracheal suctioning kits, and nasopharyngeal airways.

  • What pediatric-focused items are included in the crash cart?

    The crash cart has a pediatric drawer with modified tools like smaller blades and forceps, along with Broselow tape for pediatric dosing.

  • What unusual item is found at the bottom of the crash cart?

    At the bottom of the crash cart, an unusual item is a long upside that is not commonly needed but included.

  • What fluids and medications are available in the bottom of the crash cart?

    The bottom of the crash cart includes various IV fluids, pre-mixed dopamine, and lidocaine bags for emergencies.

  • What is the purpose of the Broselow tape?

    Broselow tape helps provide pediatric dosing based on the size of the child during emergencies.

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Untertitel
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Automatisches Blättern:
  • 00:00:06
    hello ladies and gentlemen and welcome
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    to
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    your crash cart crash course review
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    alright this is the crash cart it's red
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    it's easy to locate on top you should
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    always be the defibrillator and your
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    innovation box then you've got the
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    zipper airway kit on top on the side
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    there's helpful stuff that a lot of
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    times it goes unlooked if you're ever
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    alone and you don't have a physician
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    with you and you're having trouble
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    remember narrates you less stuff every
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    crash cart should have these ACLs
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    algorithms that you can flip through
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    just as a refresher in the moment also
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    on the side you'll have defibrillator
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    paths for when you have to use your
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    manual defibrillator and you should have
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    pediatric electrodes and you should have
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    adult electrodes and the kind that we
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    use up here in MI it'll show the hook-up
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    that would have to make sure that it's
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    compatible with our monitor in addition
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    to that you'll have your ECG electrodes
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    on the cart there's also supposed to be
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    several rolls of extra paper to put in
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    the monitor all right so that's the
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    outside in order to get inside a lot of
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    these crash carts they won't open at
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    first you have to come down to this
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    bottom door you gotta make sure it is
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    put all the way open and push all the
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    way close and then it'll allow you to
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    access it top drawer you've got your
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    ACLs drugs one of the important things
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    about this crash cart and and especially
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    this med drawer is that if you
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    understand what's in your crash cart it
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    decreases a lot of the chaos that we
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    have in these codes we've got people
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    running out of the room across the unit
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    going to supply rooms go into the med
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    room looking for drugs trying to mix
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    drips almost everything 90% of the stuff
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    you're gonna need for a cardiac arrest
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    is gonna be in this crash cart
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    okay an example is that of that is in
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    addition to
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    typical drugs we have like the pre-mixed
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    epinephrine the pre-mixed sodium bicarb
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    atropine all that sort of stuff you've
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    got these large vials of epinephrine so
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    if you run out of these one milligram
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    per 10 mil vials you can pull up one cc
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    of this the one to 1000 and then pull
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    some flushes and mix your own 1 to 10
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    epi and leave it at the bedside you can
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    also use these to mix an epi drip from
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    the bags at the bottom of the crash cart
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    you've got two vials - four milligram
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    vials of Levophed that instead of
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    running to the med room to mix a bag of
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    Levophed when you need it you can use
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    these in a 250 bag from the bottom of
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    crash cart you've got your own pre-made
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    Levophed there at the bedside without
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    them to run out of the room okay that
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    keeps you all your resources in one
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    place
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    like I said decreases of chaos decreases
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    the yelling and screaming and they're
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    running around and that makes for a
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    better quieter code alright next drawer
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    you got everything that you need for IV
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    starts lab drawers stuff like that one
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    important thing that we we miss in a lot
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    of codes that we've been really good up
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    here at medical ICU with is IO needles
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    in the current ACLs they're recommending
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    to go to IO very early if you have
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    trouble getting access and that can
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    still be a problem in our unit though
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    we've got capabilities to do central
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    lines here nice you those can take 10
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    minutes or more sometimes especially in
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    someone in vascular collapse if you grab
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    this IO needle and are able to place it
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    and we can go over that training later
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    you've got immediate non collapsible
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    vascular access that you can push any
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    drug that you need to through the leg
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    downside of these is you can't do lab
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    draws from them because it's bone marrow
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    and not blood we've got two of those in
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    each of these crash carts we've got all
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    of your IVs you've got large syringes
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    you've got medium syringes
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    you've got all your your needles your IV
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    caps extension tubing you even have
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    art-line radial art line gear in here
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    and you even have tubes to collect your
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    blood in and send it off so like I said
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    you got everything for lab blood draws
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    and stuff like that in this drawer right
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    here drawer number three they call it
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    the airway ich drawer you got gastric
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    tube some sterile gloves
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    you've got restraints because you know
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    people in cardiac arrest always need
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    restraints you've got an emergency trach
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    kit inside this kit this one not all of
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    them are seated like this we'll take a
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    moment to look at it you've got two
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    different needles and then you've got
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    the trach with the introducer on there
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    probably not going to see this used up
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    here since we have our own portrayed
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    kits but it is here in case you do help
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    respond to a code on the floor where
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    they need that we've got some deep
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    tracheal suctioning kits four-by-fours
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    bins on a razor I don't know how to use
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    that but maybe somebody else can train
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    you and some suture kits in a dish of
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    that you've got an honor either in case
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    you your patients actually able to
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    breathe you've got some nasopharyngeal
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    Airways
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    fourth Gerard
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    if the PD drawer this has got all the
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    stuff in case you respond to a code and
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    a pediatric floor
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    hopefully we'll never have to use this
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    here but we do have pediatric patients
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    not patients but visitors sometimes and
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    you know strange things happen all the
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    time
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    so anyway it's got all of your smaller
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    modified stuff smaller blades pediatric
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    Magill forceps of their endoscope and
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    everything in there one of the most
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    important things you could probably
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    glean from this drawer is this kind of
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    broselow tape some of you may not know
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    remember what a broselow tape is it's
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    basically a long tape I know you can't
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    see the whole thing on the video that
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    you put and it gives instructions on how
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    to place it on the patient it's used to
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    measure and wherever their body falls is
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    cut your whole list of dosages their
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    weight and the dosages of the drugs and
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    the size of et tubes and everything like
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    that and that keeps you from having to
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    think too much in a code and I can help
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    save lives his adult ICU nurses don't
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    know pediatric doses are out too tough
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    for him very well it's also got a lot of
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    airway stuff traits and things like that
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    all pediatric specific one of the more
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    important places on its crash guard is
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    down the bottom it's kind of a treasure
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    trove down here it's got a lot of extra
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    stuff that we use very frequently okay
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    it's got a central line kit so you don't
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    have to run and get one of those it has
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    the pediatric drug box with PD specific
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    doses and drugs
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    it's got this really strange long upside
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    I'm not really sure why you'd ever need
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    that but it exists in here a couple
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    other things that we have down here
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    you've got premix lidocaine bag in case
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    you need to start a lidocaine drip on
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    someone who's been having a lot of
  • 00:07:50
    ventricular rhythms you've gotten
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    multiple sizes of IV fluids one 1000 250
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    saline another thousand of saline a 250
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    of d5 yeah some 250 s of d5 and saline
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    even more there's some 100 bags of d5
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    you've got suction tubing and a Younker
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    catheter you must have got a pre-mixed
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    dopamine in the bottom for pressors
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    so with all this stuff in this crash
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    cart that should get you through the
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    initial I don't know 30 minutes of a
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    code if it's run properly should be able
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    to keep you in the room keep you focused
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    that is crash cart 101
Tags
  • Crash cart
  • Emergency
  • Defibrillator
  • ACLS drugs
  • Vascular access
  • Airway management
  • Pediatric care
  • Cardiac arrest
  • IV supplies
  • Medical response