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Minimum Crash Cart Supplies and Drugs

(Based on 2010 ACLS Protocols)

This list is based on the 2011 American Heart Association Advanced Cardiovascular Life

Support Provider Manual and does notinclude Adult Immediate Post-Cardiac Arrest Care.

This list was created to show the basic supplies and equipment required for emergency treatment

in an ambulatory surgery center while waiting for EMS to arrive and must be reviewed by the

anesthesia and medical staff at your facility and approved by the Medical Executive Committeeand Governing Board.

Disclaimer: This list should be reviewed and modified as required by the anesthesia and

medical staff at your facility and approved by the Medical Executive Committee and

Governing Board.

Defibrillator/EKG monitor with external pacing capabilities

or

AED (automated external defibrillator)Adult Electrode defibrillator pads

Portable suction machine

suction canister

suction tubingSuction Catheters

Yankauer Suction Tip

Clipboard, code worksheets, ACLS algorithms

Electrode pads/ Defibrillator Pads

Trach Tray; Cuffed Tracheostomy Tubes: ShileyAdult Cricothyrotomy Kit

Cardiac backboardAmbu bag with adult mask

Portable 02 tanks

Adult Face Mask non-rebreatherNasal Cannula

Nebulizer Kit

Airway Patency:

Nasopharyngeal Airways, assorted sizes

orOropharyngeal Airways: assorted sizes

Airway Management:

Advanced:

Laryngoscope handle and assorted blades

C-Batteries for laryngoscope

Endotracheal Tubes:Assorted sizes, Cuffed and uncuffed

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Stylet

LMA (laryngeal mask airway) - assorted sizes

or

Esophageal-tracheal tube

orlaryngeal tube

MEDICATIONS

NAME DOSE ROUTE

Adenosine 6 mg/2ml IVAlbuterol Inhaler 3ml INH

Aspirin 325mg PO

Atropine syringe 1mg/10ml IVAtropine 0.4mg/ml IV

Amiodarone 150mg/3ml IV

Calcium Chloride 10% syringe IV

Diphenhydramine 50mg/ml IVDextrose 50%W 25gm/50 ml IV

Dopamine 400 mg/5ml IV

Epinephrine 1:1,000 amp/ autoinjector IVEpinephrine 1:10,000 syringe IV

Furosemide 40mg/4ml IV

Hydrocortisone 100mg/ 2ml IVLidocaine 2%syringe 100 mg IVMag Sulfate 50% syringe IV or IM

Methylprednisolone 125 mg IV

Morphine sulfate Narcotic Cabinet IVNarcan 0.4mg/ml IV

Nitroglycerine 0.4mg SL

Procainamide 100mg/ml IVSodium Bicarb 8.4% 50mEq IV

Sotalol 100mg IV

Sterile Water 10ml IV0.9% Na chloride 10ml IV

Vasopressin 10units/ml IV

Lidocaine 4% 2gm 500ml IV

IV catheters, tape, alcohol wipes, tourniquets, tongue blades

IO NeedlesIV Tubing- primary and piggyback

IV solutions: Lactated Ringers, Normal SalineNeedles, syringes

Revised 06/14/11

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