Emergency Supply List

Emergency Supplies

Before an emergency arrives at the hospital, emergency supplies should be compiled and available in a crash cart.The items listed are the most commonly used emergency supplies.Clinics will alter this list based on preference, geographic locations and typical emergencies seen.The most important part of the crash cart is familiarity.Each staff member should know the location of the supplies and understand their use and operation.

Crash Cart

The items contained in the crash cart are the first items used in an emergency. These items should be dedicated to emergencies only and should not be used for daily purposes. One person should be designated to maintain the crash cart on a regular basis and alert staff to any changes.
Supplies

Stethoscope
IV catheters of various sizes, caps, T-ports, three-way stopcocks, and tape
Syringes and needles (regular, spinal, intraosseous) of various sizes
Blood collection tubes

Fluid delivery system (IV fluid bags and IV administration tubing)
Clippers and surgical scrub
Masks and gloves
Minor surgical instrument pack (scalpel handle, thumb forceps, needle holders, and three hemostats of various sizes)

Scalpel blades
Suture material of various types
Endotracheal tubes of various sizes, laryngoscope, local anesthetic, ties, cuff syringe, and mouth speculum
Urinary catheters for intratracheal injection

Equipment

Defibrillator

Electrocardiograph

Drugs

Drug dose chart
Atropine
Calcium chloride or gluconate
Dextrose

Diazepam (if lock box is available)
Epinephrine
Lidocaine 2%
IV fluids (lactated Ringer’s solution [LRS], plasmalyte, normosol, dextran 70, hypertonic saline, hetastarch)

Reversal (nalaxone, flumazenil, atipamezole)
Sodium bicarbonate
±Phenobarbital (if lock box is available)

Basic Equipment

These items provide basic support to the patient. These supplies may not necessarily be in the crash cart due to size and multiple hospital uses, but their location is known and easily accessible.
Supplies

Bandaging material
Lubricating jelly
Thermometer
Penlight
Otoscope/ophthalmoscope

Heat support
Blood pressure
Blood gas analyzer
Pressurized fluid infusion cuff
IV fluid warmer

Oxygen delivery system (Ambu bag, line to oxygen source, humidifier, mask)
Pulse oximetry
Nebulizer
Stomach tubes (various sizes)

Specialized Equipment

These items are advanced equipment used in specific, critical situations.These items may not necessarily be in the crash cart due to size and multiple uses, but their location is known and easily accessible.

Respirator
Suction supplies (suction tubing, jar, pump)

Tracheostomy pack
Thoracotomy pack

Pericardiocentesis pack
Abdominocentesis pack

Drugs

This list of drugs includes those often used to treat critical patients.They are typically kept in their regular location except for those listed under crash cart.
Cardiac Drugs
•Antidysrhythmics
•Diltiazem, phosphate, esmolol, lidocaine, procainamide, propranolol, verapamil
•Diuretics
•Furosemide
•Inotropes
•Digoxin, dobutamine, dopamine, isoprenaline, isoproterenol / •Vasodilators
•Acepromazine, hydralazine, nitroglycerin ointment, nitroglycerin patch, captopril, diltiazem, sodium nitroprusside, amlodipine besylate, enalapril
•Sedatives:
•Morphine, butorphanol, buprenorphine / •Other
•Aspirin (antithrombotic therapy)
•Calcium chloride (ventricular asystole)
•Glycopyrrolate
•Heparin (antithrombotic therapy)
•Lovenox (antithrombotic therapy)
•Potassium chloride (chemical defibrillator)
Respiratory Drugs
•Antitussive
•Butorphanol tartrate, hydrocodone bitartrate, codeine, dextromethorphan, Temaril-P
•Anti-inflammatory
•Dexamethasone sodium phosphate / •Bronchodilators
•Cholinergic blockers, antihistamines, beta-2-adrenergic agonists (epinephrine, isoproterenol, albuterol), Methylxanthines (aminophylline) / •Stimulants
•Doxapram hydrochloride, naloxone, yohimbine
Gastrointestinal Drugs
•Antidiarrheals
•Narcotic analgesics
•Antiemetics
•Maropitant citrate, chlorpromazine, prochlorperazine, anticholinergics, metoclopramide / •Antiulcer
•H2 receptor antagonists (cimetidine, famotidine, ranitidine), antacids (magnesium hydroxide), gastromucosal protectants (sucralfate)
•Misoprostol
•Proton pump inhibitors (omeprazole)
•Laxatives
•Enemas, milk of magnesias, and glycerin / •Emetics
•Apomorphine, xylazine, hydrogen peroxide
•Protectants/adsorbents
•Bismuth subsalicylate, kaolin/pectin, activated charcoal
Neurological Drugs
•Antiseizuring
•Diazepam, phenobarbital, propofol
•Diuretic, osmotic
•Mannitol 20% / •Muscle relaxant
•Methocarbamol / •Rapid acting corticosteroids
•Methylprednisolone sodium succinate
Ophthalmic Drugs
•Reduces intraocular pressure (IOP)
•Carbonic anhydrase inhibitors, timolol maleate, mannitol, glycerol / •Topical anesthetics
•Proparacaine hydrochloride, tetracaine / •Stains
•Fluorescein strips
Renal/Urinary Drugs
•ACE inhibitors
•Captopril, enalapril
•Antidiuretics
•Vasopressin / •Calcium channel blockers
•Diltiazem, verapamil
•Diuretics
•Furosemide, mannitol 20%, glucose / •Urinary alkalizers
•Potassium citrate, sodium bicarbonate (oral)
•Vasodilators
•Hydralazine, dopamine, dobutamine
Reproductive Drugs/Hormones
•Oxytocin / •R-insulin / •Percorten (desoxycorticosterone pivalate [DOCP])
Toxicologic Drugs- antidotes
•Antidotes
•Acetylcysteine (against acetaminophen)
•Cyproheptadine (against serotonin syndrome)
•Dimercaprol (against arsenical compounds)
•Ethanol (against ethylene glycol)
•Nalaxone (against opiates) / •Pralidoxime (against organophosphates)
•Fomepizole/Antizol-Vet (against ethylene glycol—dogs only)
•Lipid emulsions (against ivermectin, permethrin, local anesthetics, baclofen)
•Fresh frozen plasma (against rodenticide) / •Hemostatic agent
•Vitamin K1
•Antihistamine
•Diphenhydramine