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HLT0073Cardiac DiagnosticsInstrumentation  Class 9 Instructor: Joanne Lambley, MSc (Kin) Agenda Emergency Management Components of Emergency Management Plan Equipment on the Crash Cart Medications on the Crash Cart Defibrillators AEDs Manual Medications in the Testing Room Emergency Management Plan From ACSM, 2006 All personnel should be trained in CPR Preferably ACLS Should be at least 1 ACLS trained staff and a physician immediately available Communication: Phone numbers for emergency assistance should be posted on all phones Emergency communication devices must be available and working properly ie. Physician call button, Code Blue button Emergency plans should be: Posted Rehearsed quarterly Specific person should be assigned to regular maintenance of emergency equipment and inventory of drugs RT department maintains crash carts Cardiology technologists inventory emergency drugs in testing rooms Stock (all necessary meds are present) Expiry dates Equipment and drugs should be in all areas where maximal ETT is performed Only personnel authorized by law to use certain equipment can do so (equipment must be immediately available) Equipment on the Crash Cart Portable, battery-operated defibrillator monitor Hardcopy printout or memory Cardioversion capability AC power source in case of battery failure Capable of monitoring Blood pressure equipment Airway supplies Oxygen Equipment on the Crash Cart AMBU bag Suction equipment IV fluids and stand IV access equipment Syringes and needles (multiple sizes) Adhesive tape, alcohol wipes, gauze pads Emergency documentation forms Medications on the Crash Cart(not responsible for meds on test 3) Drugs are in IV form VF/pulseless VT Epinephrine Vasopressin Antiarrhythmics Amiodarone Lidocaine Magnesium Procainamide Medications on the Crash Cart PEA (pulseless electrical activity), asystole Epinephrine Atropine Acute coronary syndromes: ischemia and chest pain, including: Oxygen Aspirin (oral) Nitroglycerine (oral or IV) M