Emergency Preparedness

Lecture aim

• To decide on a system on DU so can give good emergency care

What is needed on the DU to be prepared for emergencies?

• Nurses trained and refreshed in emergency care• Doctors on-call who can come quickly in

emergency• Communication System to doctors / to ICU / to

anaesthetist• Checklists, protocols• Resus Trolley

– Emergency Drugs – Emergency Equipment

• Training – how to ensure?

• Communication System– To doctors– to ICU / to anaesthetist

CHECK LISTS

• What should be in the Resus Trolley?

A

• Oro-pharyngeal airways• Suction catheters (Suction Machine) • ETT size 6, 7, 8 (paediatric?) • Cuff syringe 10ml• tape

B

• Oxygen masks• Oxygen nasal prongs• (Oxygen cylinder or concentrator)• Bag-and-mask

C

• IV Cannulae• Syringes• Giving Sets• Tape

• Gloves

RL/NSGlucoseAdrenalineAtropineHydralazineDiazepamMorphineSalbutamolNitroglycerineFurosemide NewspaperIntubation drugs?

Drugs

How to ensure the equipment & drugs are always there?

Named person responsible for daily / Every shift?

Summary• To be prepared for emergencies the DU needs a well stocked resus trolley

•The resus trolley needs to be checked systematically

Preparedness saves lives