Cardiopulmonary Resuscitation

Responsibilities
On your emergency day ( by TYR):
The presence of the resuscitation trolley/tray in every ward is checked.
That on-duty staff and doctors are confirmed to be familiar with the location and contents of the resuscitation tray/trolley.
The contents of the resuscitation tray/trolley are checked routinely by the staff and on-duty registrar at the time of emergency hand-over.
The resuscitation tray/trolley is restocked and checked after use.
Quality Assurance Criteria Are Met Like:
Asepsis.
Contents are correct as per the contents list.
All equipments are functional and ready for use.
The stock is within expiry date. (for medicines- first week of the month)
The area staff member in charge/nursing sister in charge is informed if CPCR trays are unavailable or deficient.
The presence of all required equipments needed for maintaining a patent airway is confirmed, such as-
Pocket mask/ Hudson mask with oxygen port
AMBU bag with oxygen reservoir and tubing
Oropharyngeal airways- size 2,3,4
Endotracheal suction catheters
Portex Endotracheal tube – oral, cuffed size 6, 6.5, 7 with stillete.
Bite block
Laryngoscope- curved blades no. 3, 4.
Spare laryngoscope batteries and bulbs.
Filled Oxygen cylinder (if wall oxygen not available)
Adhesive stretchable sticking plaster.
Working suction machine (if central suction is not functional).
The presence of all required equipments needed for maintaining circulation is confirmed, such as-
Intravenous catheters-14, 18, 20 G
Hypodermic needles- 20, 21 G.
Spirit swabs
Syringes- 2 ml, 5 ml, 10 ml, 20 ml
Central venous line kit
Intravenous fluids- Ringer Lactate, Glucose 5%, 25%, Dextrose normal saline, Normal Saline
Intravenous infusion sets
Blood transfusion sets
The presence of prefilled, labeled syringes of the following drugs is confirmed and ensure that:
Inj. Adrenaline 1ml (0.5 mg) ( 1:1,000)- to be diluted up to 1: 10,000
Inj. Atropine 0.6 mg/ ml- 1 ml
Inj. Amiodarone 150 mg/3ml- 3 ml
Sodium bicarbonate 1 mEq/ ml – 50 ml
Calcium gluconate 100 mg/ ml- 10 ml
Hydrocortisone 100 mg/ ml – 1 ml
Lidocaine 2% 20 mg/ ml- 10 ml vial
Potassium chloride 2 mEq/ ml- 10 ml
Adenosine 3 mg/ ml- 2 ml
The unused syringes are discarded every morning and fresh syringes are restocked.
Immediate access to the following equipment is confirmed.
Stethoscope
Sphygmomanometer
ECG leads
Gloves
Torch
During Emergency
Help is called.
CPCR is started immediately.
Personnel trained in intubation are immediately called.
Consultant on Call (Assistant Professor) is informed.