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crash cart : ウィキペディア英語版
crash cart

A crash cart or code cart (crash trolley in UK medical jargon) is a set of trays/drawers/shelves on wheels used in hospitals for transportation and dispensing of emergency medication/equipment at site of medical/surgical emergency for life support protocols (ACLS/ALS) to potentially save someone's life.
The contents of a crash cart vary from hospital to hospital, but typically contain the tools and drugs needed to treat a person in or near cardiac arrest. These include but are not limited to:
*Monitor/defibrillators, suction devices, and bag valve masks (BVMs) of different sizes
*Advanced cardiac life support (ACLS) drugs such as epinephrine, atropine, amiodarone, lidocaine, sodium bicarbonate, dopamine, and vasopressin
*First line drugs for treatment of common problems such as: adenosine, dextrose, diazepam or midazolam, epinephrine for IM use, naloxone, nitroglycerin, and others
*Drugs for rapid sequence intubation: succinylcholine or another paralytic, and a sedative such as etomidate or midazolam; endotracheal tubes and other intubating equipment
*Drugs for peripheral and central venous access
*Pediatric equipment (common pediatric drugs, intubation equipment, etc.)
*Other drugs and equipment as chosen by the facility
Hospitals typically have internal intercom codes used for situations when someone has suffered a cardiac arrest or a similar potentially fatal condition outside of the emergency room or intensive care unit (where such conditions already happen frequently and do not require special announcements). When such codes are given, hospital staff and volunteers are expected to clear the corridors, and to direct visitors to stand aside as the crash cart and a team of physicians, pharmacists and nurses may come through at any moment. (''See'' Code Blue.)
== History in the United States==
The first cardiac crash cart was created in 1962 at Bethany Medical Center in Kansas City, Kansas, home to the first Cardiac Care Unit in the country.〔Colby, William H. ''Unplugged: Reclaiming Our Right to Die in America''〕 The first crash cart was fabricated by one of the doctor's fathers. It contained an Ambu bag, defibrillator paddles, a bed board and endotracheal tubes.〔

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
ウィキペディアで「crash cart」の詳細全文を読む



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