Crash cart
Crash Cart
A crash cart, also known as a code cart, is a set of trays, drawers, or shelves on wheels used in hospitals for transportation and dispensing of emergency medication and equipment at the site of a medical or surgical emergency for life support protocols to potentially save someone's life. The crash cart is a critical component in emergency medicine and is designed to be easily accessible and quickly transportable to the location of a medical emergency.
Components
A crash cart typically contains the following components:
- Medications: Emergency medications such as epinephrine, atropine, and amiodarone are commonly found in a crash cart. These medications are used to treat cardiac arrest, arrhythmias, and other life-threatening conditions.
- Defibrillator: A defibrillator is an essential piece of equipment on a crash cart. It is used to deliver an electrical shock to the heart in cases of ventricular fibrillation or pulseless ventricular tachycardia.
- Airway Management Tools: Equipment such as endotracheal tubes, laryngoscopes, and bag valve masks are included for securing and maintaining a patient's airway.
- Intravenous (IV) Supplies: IV catheters, fluids, and tubing are available for establishing and maintaining intravenous access.
- Monitoring Equipment: Devices such as blood pressure cuffs, stethoscopes, and pulse oximeters are used to monitor the patient's vital signs.
- Miscellaneous Supplies: Items such as syringes, needles, gloves, and adhesive tape are also included.
Organization and Maintenance
Crash carts are organized in a standardized manner to ensure that medical personnel can quickly find and use the necessary equipment and medications during an emergency. The layout of a crash cart is often consistent across different departments within a hospital to facilitate ease of use by staff who may work in multiple areas.
Regular maintenance and checks are performed on crash carts to ensure that all equipment is functional and that medications are within their expiration dates. This is crucial to ensure readiness in the event of an emergency.
Usage in Medical Emergencies
During a medical emergency, such as a cardiac arrest, the crash cart is brought to the patient's location. A team of healthcare professionals, often referred to as a code team, will use the contents of the crash cart to perform advanced cardiac life support (ACLS) or other emergency procedures.
The crash cart allows for rapid response and treatment, which is vital in improving patient outcomes in critical situations. The presence of a well-stocked and organized crash cart can make a significant difference in the success of resuscitation efforts.
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Contributors: Prab R. Tumpati, MD
