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We only keep adrenaline, airways, O2 and manual suction. We do not stock drug packs or a defib. On one of our sites we can access the crash team and the other we would have to call for an ambulance. The British Resuscitation Council guidance on management of anaphylaxis in the community available at www.resus.org.uk is very helpful. I think it all boils down to what services you have readily accessible and an adequate assessment of risk versus benefit of having a full kit. I don't believe advanced life support is a generic OH skill although if your activities can forseeably precipitate a cardiac arrest then a full crash kit may be appropriate. Paul -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Hawkes, Lynda Sent: 27 November 2007 10:31 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Resuscitation Is it just me, or does anyone else find it rather strange that an OH unit requires a full crash trolley? I have never come across this in industry, but is it the norm for NHS units? I do keep adrenaline etc in case of anaphylaxis when we give vaccines, but why would we need a full crash trolley? Lynda -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]]On Behalf Of Rita Ogden Sent: 27 November 2007 10:11 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Resuscitation Hi Tracy, As a firm believer in the concept of Murphy's Law (which in Yorkshire is more commonly referred to as Sods Law) I keep a fully stocked crash trolley in the OH unit, complete with all the items you listed plus a defibrillator and suction apparatus. The contents are checked weekly as a concession to the infrequency of its use. I have been here 7 years and I have had to use it once. On that basis, I think it's important to have any emergency resus equipment readily available. We could potentially have lost a life if the crash trolley hadn't been accessible and completely up to date. Kind regards, Rita Rita E Ogden Specialist Practitioner/Clinical Team Leader, Occupational Health Service, St. James's University Hospital Tel: 0113 2065228 Leeds General Infirmary Tel: 0113 3923267 >>> Tracy Bluestone <[log in to unmask]> 26/11/2007 15:42 >>> Dear All, I am in the process of risk assessing our resus trolley, following the discovery of a number of out of date items. Our department is on the main hospital site, but not directly attached to the hospital. We currently have a large resus trolley, full emergency drugs kit, defib, cannulation, CVP, trachesotomy set, fliuds, blood giving set, O2 cylinde, intubation kit, No suction. In the year I have been here, we have had a few 'fainters', and in the four years my boss has been here, nothing more serious. I am aware of the 'Murphy's Law'theory, the day we decide to downsize the trolley, the full blown CA will occur. We can call the crash team, but I'm not sure how quickly they would find us! Any info on what you have in place, or not would be most helpful, Many thanks Tracy Bluestone ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EDUCATIONAL EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EDUCATIONAL EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk ~~~~~~~~~~~~~~~ Please remove this footer before replying. 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