Resuscitation equipment

The Resuscitation Council UK (2001a) provides a list of recommended equipment for the management of adult cardiopulmonary arrest, as follows.

Airway and breathing equipment (see Figures 3.1 and 3.2)

• Pocket masks with oxygen port

• Self-inflating bag-valve with oxygen reservoir and tubing

• Oropharyngeal airways sizes 2, 3 and 4

• Yankaeur suckers

• Endotracheal suction catheters x 10

• Laryngeal mask airway (size 4) or Combitube (small)

• Magill forceps

• Endotracheal tubes - oral, cuffed, sizes 6, 7 and 8

• Nasopharyngeal airways, sizes 6, 7 and 8

• Catheter mount

• Gum elastic bougie

• Lubricating jelly

• Laryngoscopes (ideally two, with normal and long blades)

• Spare laryngoscope bulbs and batteries

• Clear oxygen mask with reservoir bag, such as Hudson mask

• Oxygen supply

It is also suggested that the following are included:

• nasogastric tube;

• suction machine or manual device.

Index of equipment

1. Guedel airways

2. Nasopharyngeal airways

4. Endotracheal tubes (oral and cuffed)

5. McGill forceps

6. Catheter mount with swivel connector

7. Gum elastic bougie

8. Laryngoscope with curved blade (spare laryngoscope with blades should also be available)

10. Lubricant

12. Micropore

Fig. 3.1 Airway drawer of a cardiac arrest trolley (adult).

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Index of equipment

1. Self-inflating resuscitation bag with oxygen reservoir and oxygen tubing

2. Clear oxygen facemask with reservoir bag

3. Clear facemask to be attached to (1)

4. Pocket mask used to deliver assisted breaths in the unconscious patient Fig. 3.2 Breathing drawer of a cardiac arrest trolley (adult).

Circulation equipment

• Intravenous cannulae 18 gauge x 3, 14 gauge x 3

• Hypodermic needles 21 gauge x 10

• Syringes 2 ml x 6, 5 ml x 6, 10 ml x 6, 20 ml x 6

• Cannulae fixing dressings and tapes x 4

• Seldinger wire central line kits x 2

• 12-gauge central venous cannulae x 2

• Intravenous giving sets x 3

It is also suggested that the following are included:

• defibrillator.

Drugs

Immediately available pre-filled syringes:

Other readily available drugs:

• lidocaine/lignocaine 100mg x 2

• normal saline 10ml ampoules x 10

• adrenaline/epinephrine 1: 1000 x 2

• potassium chloride 40 mmol x 1

• hydrocortisone 200 mg x 1

Additional items

• ECG electrodes

• Defibrillation gel pads

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