PRACTICE GUIDELINE EM004 EMERGENCY CENTRE EQUIPMENT
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1 PRACTICE GUIDELINE EM004 EMERGENCY CENTRE EQUIPMENT
2 This Practice Guideline sets out the minimum recommended equipment for an Emergency Centre. It should be read in conjunction with Practice Guideline EM005: Recommended Drugs for Emergency Centres. Excluding the cover page, this Practice Guideline is 4 pages. Date of publication: August 2008 Date of review: July 2010 Responsible committee member: Prof Lee A Wallis
3 DEVICES TO OPEN AND PROTECT AIRWAY handle with adult & paediatric blades, Laryngoscope set spare bulbs & spare batteries uncuffed (sizes mm) Tracheal tubes cuffed (sizes mm) Water-soluble lubricant / KY jelly 10 ml syringe Tape or equivalent to tie tube in place Meconium adaptor / aspirator Oropharyngeal airways sizes Nasopharyngeal airways sizes 3 7 Tracheostomy tubes sizes 00 6 DEVICES TO CONFIRM TRACHEAL INTUBATION Oesophageal detector device End tidal CO 2 monitoring include single use colorimetric devices EQUIPMENT FOR DIFFICULT INTUBATION Introducers for ET tubes adult & paediatric stylets Magill s forceps adult & paediatric Laryngeal masks sizes 1 5 Cricothyroidotomy set Gum elastic bougie adult & paediatric DEVICES TO DELIVER OXYGEN AND TO VENTILATE PATIENTS with oxygen reservoir & adult, Bag valve ventilation devices paediatric & neonatal masks partial rebreather masks, nebulizer Oxygen delivery devices masks, nasal prongs and T-piece Oxygen supply with flow regulator and oxygen tubing Portable ventilator PEEP valve with adaptor for bag valve device EQUIPMENT FOR DECOMPRESSION OF THE THORAX Chest decompression sets minimum of a 14G Jelco sizes Intercostal drains with scalpel, dissecting forceps, bottles
4 EQUIPMENT TO DIAGNOSE AND TREAT CARDIAC DYSRHYTHMIAS with conductive paste or pads, ECG monitor defibrillator paddles, electrodes & razor 12 lead ECG monitor Cardiac arrest board Transcutaneous pacing ability DEVICES TO GAIN INTRAVASCULAR ACCESS I.V. cannulae 14-24G and appropriate strapping Packs and lines for central venous access Needles and syringes 1-50ml Sharps container Paediatric intraosseous needles Adult intraosseous needles or bone marrow needles High flow infusion catheters 8.5F EQUIPMENT FOR THE SAFE INFUSION OF FLUIDS AND BLOOD including blood administration sets, I.V. administration sets high flow sets & buretrol Fluid warmer Umbilical vein catheters EQUIPMENT FOR MONITORING AIRWAY, BREATHING AND CIRCULATION Stethoscope Pulse oximeter with adult & paediatric probes Non invasive blood pressure monitoring including paediatric & large adult cuff device sizes Thermometer including low reading capability Blood glucose testing Collection tubes for investigations Automatic blood pressure device with battery back-up Doppler
5 APPROPRIATE HARDWARE Heavy duty scissors to cut clothing Drip stand or equivalent hanging device Suction devices and suction catheters Paediatric Broselow tape Therapeutic heating source Fixation devices Universal precautions Maternity delivery pack Cord clamps Suture material Resuscitation trolley rigid & flexible tips adult & paediatric semi-rigid cervical collars head blocks, spine boards restraining devices blankets & towel rolls gloves, goggles, gowns & face masks capable of high Fowlers and Trendelenberg Limb traction device Wire cutters Vacuum mattress, Scoop stretcher Thoracotomy set APPROPRIATE TUBES AND CATHETERS Urinary catheters sizes 8-18 Nasogastric tubes sizes 5-18 Drainage bags Lumbar puncture set Medication stickers Resus Council Algorithms Resuscitation documentation record
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