Having a tidy and organized crash cart could be the deciding factor in a life or death situation. Although the specific layout of a hospital’s emergency department crash cart may differ due to the availability of certain materials or location-specific techniques, the different objects listed below are generally considered to be vital equipment.
Dedicating specific drawers or surfaces for the storage of certain items allows hospital staff to memorize their location and reach for them inside the medical cart with drawers quickly in the time of an emergency. Emergency readiness is paramount for ensuring that patients are provided with the best treatment possible.
Dedicating specific drawers or surfaces for the storage of certain items allows hospital staff to memorize their location and reach for them inside the medical cart with drawers quickly in the time of an emergency.
General Checklist for medical supplies on crash carts
- Defibrillators for sudden cardiac arrest
- Suction device and bag valve masks
- Drugs like epinephrine, atropine, amiodarone, lidocaine, dopamine, and vasopressin
- Drugs for peripheral and central venous access
- Other first-line drugs like not limited to adenosine, dextrose diazepam or midazolam
- At least one sedative as well as intubating equipment and anesthesia
- Pediatric equipment including a patient warming device, restraints, weight scale, measuring tool, blood pressure cuffs, pulse oximeter, needles, femur splints, etc.
- Hospital-specific equipment
- Other emergency medications like Narcan for overdoses
Arrangement of the top of the cart
- Monitor and all related life support equipment
- Defibrillator with leads and paddles
- Sharps disposal container
Arrangement of the side of the cart
- Oxygen tank
- Rigid plastic backboard
- Handheld suction mechanism
Arrangement of Drawer 1 – The Basics
- ECG Gel
- 5 Electrodes for both children and adults
Arrangement of Drawer 2 – Airway Management
- Wooden tongue depressor
- One ET stylet for both children and adults
- Two ET tube in each size ranging from 2.5 to 9
- Maglis forceps for both children and adults
- Disposable airways: 00,0,1,2,3,4 – include one of each
- 2 10 cc syringes
- 10 small pieces of Dyna plaster
- Two Laryngeal masks: No.3 and No.4
Arrangement Drawer 3 – Venipuncture tubes
- 2 Disposable syringes in each of the following sizes: 1 mL, 2 mL, 5 mL, 10 mL, 20 mL, and 50 mL
- One pressure monitoring line with a disk and one without
- 5 Disposable needles with 18 gauze with and without filters
- 5 Disposable needles with 23 gauze
- 5 IV dressing
- 30 spirit swabs and 10 cotton swabs
- Venflon 16G, 18G, 20G, 22G, 24G
- 2 packets of sterile gauze
- 2 IV sets with extensions
- Disposable kidney tray
- Multi-lumen catheter
- 10 posiflush
- Micropore plaster 1-inch
- 2 3-way stopcocks
- Burette set
Arrangement of Drawer 4 – Medication
In drawer 4, store all of the most common medications. Medications should range from simple pain and allergy relief to sedation.
Arrangement of Drawer 5 – IV Fluids
- 1000 mL of D5W, RL, and NS
- 500 mL of D5W and Ns
- 100 mL of NS-2
Arrangement of Drawer 6 – Suction Catheter
In this drawer, you need to store two of each of the catheter sizes to ensure the right fit for your patient.
Arrangement of Drawer 7
- Pediatric emergency tape
- Adult (15 gauze) and pediatric (18 gauze) versions of Intro-osseous needles (bone injection gun)
- Medication additive labels
5 Helpful arrangement tips for medical crash carts
- When arranging medications in your medical cart, make sure all of the labels are clear and easy to locate.
- Clearly distinguish pediatric materials from adult materials.
- Designate one person to restock and manage the medical crash carts.
- Place adult crash carts and pediatric crash carts in an easy to access area. If you can, put the cart in a low traffic area so you don’t have to try and get through a lot of people to reach it. Do not move the cart from this position unless it is in use.
- Educate the appropriate hospital staff on proper patient care how to use, restock, and locate crash carts in the case of an emergency.
Crash carts are vital in all intensive care situations that take place in hospitals. Medical carts not only store all of the necessary equipment for immediate intervention but also all common medications that could come in handy during care.
Scott Clark Medical offers a wide variety of standard medical carts as well as emergency crash carts. Investing in a quality crash cart from Scott Clark Medical which provides more than enough space for all the necessary materials will improve the quality of care in hospitals and ensure emergency care teams can intervene quickly, resulting in a higher chance of survival. Patient safety is the highest priority at Scott Clark Medical and we are proud to be able to serve.