ADULT STANDART EMERGENCY TROLLEY CHECKLIST

TOP SHELF/ IV POLE/ SIDE OF TROLLEY

1) 1 x Defibrilator with 2 packets of hands-free defib pads and 3 red dot electrodes attached to
lead.
2) 1x disposable Ambubag with facemask attached
3) 1x paediatric facemask (for use with laryngectomy / tracheostomy patient to bag over neck
stoma)
4) 1x Oxygen cylinder
5) 1x 24/28% oxygen mask and set
6) 1x suction unit (side of trolley replacemaent liners initially available from Tony Miller
RO).
7) 1x 100ml Sodium Bicarbonate 8.4% with air inlet
8) 1x Sharps Box

TOP DRAWER

1) Endotracheal Tubes size 8.0 x 2, Size 9.0 x 2

2) Naso-Pharyngeal Airways -1 x Size 6, 1x Size 7
3) Size 2 Guedel Airway x1, size 3 Guedel Airway x1
4) 2x Laryngoscope handles, 2x MacIntosh 3 blades (standard), 2 x Macintosh 4 blades (long-
blade).
5) 2x spare laryngoscope batteries, 1x spare laryngoscope bulb
6) 1 size 4 I-Gel Laryngeal Mask Airway (LMA) (replacement stock from Tony Miller, RO)
7) 2x catheter mounts
8) 1x Magill Forceps
9) 1x 10 ml syringe
10) 1x pair of Artery Forceps
11) 1x pair of Scissors, 1x tube of K-Y jelly, 1x roll of E.T. tape
12) 1x roll of 2,5cm Micropore or Transpore
13) 1x large E.T tube Introduscer

SECOND DRAWER

1) 3x 20ml syringe, 6x 10ml syringe, 6x2ml syringe

2) 2x arteriole blood gas syringe
3) 2x U&Es bottles, 2 x FBC bottles, 2x glucose bottle, 2x X-match bottles, 2x coag bottles
4) 4x blood bottle needles, 4x blood bottle adapters
5) 10x18g needles, 10x21 g Needles
6) 2x 16g Venflons, 2x 18g Venflons, 2x20g Venflons
7) 2x Mefix IV dressings, Pre-injection swabs

THIRD DRAWER

1) 1x Emergency Drug Box, sealed and intact

2) 1x 500ml Normal Saline (0,9%)
3) 6x Adrenaline 1mg Pre-filled syringe
 4) 3x Atropine 1mg Pre-filled syringe
5) Narcan (Naloxone) x 1 box
6) Canusal x 1 box
7) 2x packets Cotton Wool Balls, 2x packets Gauze Swabs
8) 1 box Medium Gloves
9) 1x tourniquet
10) 3x Additive Labels
11) 1x Roll of E. C. G paper

BOTTOM DRAWER

1) 1x spare disposible ambubag

2) 1x triple lumen central line
3) 1x yankeur suction catheter, 3x12ch suction catheter, 3x14ch suction cathter
4) 1x packet E.C.G Electrode
5) 2x blood giving sets
6) 1x infussion pump cassette
7) 1x T-piece
8) 1x60% and 40% 02 Venturi Connections
9) Spare yellow disposable coded seals

Obat Live Saving

- Epinefrin
- Lidocain
- Adrenalin
- TT
- Amiodaron
- Lasix
- Sulfas Atropin
- Aminophilin
- Dopamin
- Nitrat SL (fasorbid)
- Pethidin / Morfin
- Diazepam
- Stesolid Rektal
- Dexametasone
- Dextrose 40%
- NaCl 0,9% 500ml
- NaCl 0,9% 100ml

ALAT LIFE SAVING

1. Suction catheter No. 10, 14, 16

2. Facemask dewasa, anak
3. Spoit 3cc, 5cc, 10cc, 50cc
 4. Abbocath No. 16, 18, 20
5. Three way
6. Infussion set makro, mikro
7. Transfussion set
8. ETT No. 6.5, 7, 7.5
9. Gudel
10. Elektroda
11. Jelly
12. Bag Valve dewasa, anak
13. Laringoskop dewasa, anak
14. Suction pump
15. Defibrilator
16. Stetoscope
17. Sphygmanometer

ALAT LIFE SUPPORT

1. Neck collar
2. Bidai berbagai ukuran
3. Elastic verband
4. NGT No. 3.5, 12,14, 16, 18
5. Folley cateter No. 12, 14, 16, 18 22
6. Urin bag
7. Minor surgery set