Crash Cart
A crash cart, also known as a code cart (referred to as a crash trolley in
UK medical terminology), is a mobile set of trays, drawers, or shelves
utilized in hospitals for the prompt transportation and dispensation of
emergency medication and equipment during medical or surgical emergencies,
aiming to implement life support protocols such as ACLS/ALS in an effort to
potentially save a patient's life.
The specific contents of a crash cart can vary among hospitals, but
typically encompass the necessary tools and medications required to address
individuals in or near cardiac arrest.
Hospitals commonly employ internal intercom codes for situations involving a
cardiac arrest or similar life-threatening condition occurring outside of
the emergency room or intensive care unit, where such incidents are more
frequent and do not necessitate special announcements. These codes encompass
various items, including but not limited to:
• Monitor/defibrillators and suction devices
• Advanced Cardiac Life Support (ACLS) medications like epinephrine,
atropine, amiodarone, lidocaine, sodium bicarbonate, dopamine, and
vasopressin;
• First-line medications for addressing common issues such as adenosine,
dextrose, diazepam or midazolam, epinephrine for IM use, naloxone,
nitroglycerin, and others;
• Medications for rapid sequence intubation: Succinylcholine or another
paralytic agent, along with a sedative such as etomidate or midazolam;
endotracheal tubes and additional intubation equipment;
• Medications for peripheral and central venous access;
• Pediatric-specific equipment (comprising common pediatric drugs,
intubation equipment, etc.);
• Additional medications and equipment tailored to the preferences of the
healthcare facility.
When such codes are activated, hospital staff and volunteers are instructed
to clear the corridors and direct visitors to step aside, as the crash cart
and a team of physicians and nurses may urgently pass through at any moment.
undo Medical Equipment