Code Blue
Crash trolley check, ALS drug reference, and resuscitation documentation
Crash trolley must be checked at the start of EVERY shift. Any item missing — replace before shift handover.
Crash Trolley Checklist
0/12
○Defibrillator — charged and functional
○AED pads (adults and paediatric) present
○Bag-valve mask (adult) with O₂ reservoir
○Oral airway adjuncts (sizes 3, 4, 5)
○ET tubes (7.0, 7.5, 8.0) + laryngoscope
○IV access — 14G + 16G cannulae, giving sets
○Normal saline 1L × 2 bags
○Adrenaline 1mg ampoules × 10
○Amiodarone 150 mg × 4
○Atropine 0.5 mg × 6
○Cardiac board (CPR)
○Suction — functional, working
ALS Drug Reference
| Drug | Route | Frequency | Notes |
|---|---|---|---|
| Adrenaline (Epinephrine) 1 mg/10 mL | IV | Every 3–5 min | ALS — give during CPR |
| Amiodarone 300 mg IV | IV bolus | 3rd shock if VF/pVT | Dilute in 20 mL D5W |
| Atropine 0.5 mg | IV | Repeat up to 3 mg | Bradycardia |
| Sodium Bicarbonate 50 mEq | IV | If pH < 7.1 | Prolonged arrest / tricyclic OD |
| Calcium Chloride 1g | IV slow | PRN | Hyperkalaemia, Ca channel blocker OD |