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The “Crash Trolley” - the stalwart of every hospital emergency . Ergonomic, organised, all-in-one…
Or are they hiding in plain sight in the hunt for better human factors?!
Would a multi-modular, A/B/C break-apart unit be a no-brainer🧠 ?
A 🧵:
#MedTwitter
Or are they hiding in plain sight in the hunt for better human factors?!
Would a multi-modular, A/B/C break-apart unit be a no-brainer🧠 ?
A 🧵:
#MedTwitter
2. Space - it’s critically limited during emergencies. This is [rightly] blamed on too many personnel.
But crash trolleys are massive, and obstruct all movement around the bed, congesting the space.
But crash trolleys are massive, and obstruct all movement around the bed, congesting the space.
3. Provision for A,B & C management are all in one trolley. The person doing IV access is about 6 feet from the airway person (and trolley too big to be in between them).
And IO? >10 feet apart!
And IO? >10 feet apart!
4. Having one hub for all ABC kit necessitates humans buzzing around to pass / obtain kit & manoeuvre around the trolley. Exponentially increases congestion at the bedspace.
Dipping to & fro to get more kit is distracting, delays intervention & bad for infection control
Dipping to & fro to get more kit is distracting, delays intervention & bad for infection control
5. Drugs: Time for adrenaline or amio?💉
When someone is looking for something (O2 mask / ETCO2 etc) there’s competition for drawers (can only open 1 🙄). More congestion.
Conventional drawers also require substantial horizontal space to open (pop-up better?)
When someone is looking for something (O2 mask / ETCO2 etc) there’s competition for drawers (can only open 1 🙄). More congestion.
Conventional drawers also require substantial horizontal space to open (pop-up better?)
6. Rubbish & sharps: Nightmare. Trolley never has a rubbish bin attached, and you need one (+!) each side of the bed. 🗑️
The bed & top of the resus trolley always becomes a huge, de facto bin.
“Sharp on the bed!” only option for ABG/cannula on opposite side from trolley.
The bed & top of the resus trolley always becomes a huge, de facto bin.
“Sharp on the bed!” only option for ABG/cannula on opposite side from trolley.
7. Blood pressure and sats monitoring is pretty important during these emergencies, and post-ROSC
Unfortunately that’s rarely included, and another trolley must now be wheeled into the space. Surely this can be incorporated smartly?!
Unfortunately that’s rarely included, and another trolley must now be wheeled into the space. Surely this can be incorporated smartly?!
8. De-escalating / rationalising kit: Airway is secure. Lines are in, team in a steady pattern now. Only need drugs & defib now, but the defib is bolted to the massive trolley. Consequently, you can’t buy yourself more space and organisation.
9. Have we become enamoured to their flaws like you might with an old friend? They’re “good enough”.
Time for a unit which separates into slim, functional modules with AB, C (with defib)etc? It could be very nice👌.
@DistinctiveMedi @intersurgical @quirumed
#patientsafety
Time for a unit which separates into slim, functional modules with AB, C (with defib)etc? It could be very nice👌.
@DistinctiveMedi @intersurgical @quirumed
#patientsafety
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