Equipment Checklist Hospital: ______Reviewer: ______Emergency Department
Equipment Checklist Hospital: ______Reviewer: ______Emergency Department
Equipment Description Yes No Notes Infant BVM Child BVM Adult BVM Airway control and ventilation ETT sizes 3.5, 4.0, 4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0 mm equipment *supraglottic airways (e.g., LMA, King, i-gel) laryngoscope and blades sizes 1-3 OPAs 50, 60, 70, 80 mm and/or NPAs Infant probe Pulse oximetry Child probe Adult probe Suction devices and supplies Catheters 6, 8, 10, 14 Fr. Adult and pediatric crash carts EKG monitor and defibrillator EKG and defibrillator Defibrillation pads (adult/pediatrics) Crystalloid IV fluids and
administration sets IV catheters Sizes 14, 16, 18, 20, and 22 Ga. Mechanism for IV flow-rate Infusion pump
control IO needles and administration Pediatric, adult, and bariatric sizes
sets Arterial tourniquet Supplies for surgical airway Adult and pediatric Chest tubes: Ensure a minimum of one of each size Supplies for thoracostomy from each category the length based tape. Range of sizes from 10-32 Fr., (36 Fr. preferred)
* Not required Refer to the Level 3 and Level 4 Trauma Hospital Designation ** If hospital admits pediatric patients Criteria as the regulatory standard for required equipment.
Equipment Description Yes No Notes Drugs necessary for emergency RSI drugs, analgesics, sedatives trauma care NG: range of sizes from 8-18 Fr. Ensure a minimum of Nasal and oral gastric tubes one from each category of the length based tape or reference manual Cervical collars Infant, child, adult Mechanism for pelvic Commercial binder, or sheets and clips stabilization Pediatric length-based resuscitation tape or reference manual Mechanism to warm fluids IV fluid warming cabinet and/or inline fluid warmer Mechanism to warm patients Blanket warmer, radiant heater, and/or Bair Hugger Rapid IV fluid infuser (e.g., Pressure bags or mechanical infusion device pressure bag)
Quantitative end-tidal CO2 *Ultrasound Portable device for FAST exam and IV placement Pediatric wand *Video laryngoscopy Adult wand Gloves, masks w/ face shield (or separate face shield), PPE gowns: Variety of sizes *Decontamination supplies & equipment Communication with EMS Radio communication Activation indicators must be readily available in locations where a trauma patient is likely to be initially Trauma team activation criteria encountered (e.g. ED trauma bay, triage and EMS radio).
* Not required Refer to the Level 3 and Level 4 Trauma Hospital Designation ** If hospital admits pediatric patients Criteria as the regulatory standard for required equipment.
Radiology – In the CT Room Equipment Description Yes No Notes Pediatric BVM Child BVM Airway control and ventilation Adult BVM equipment Oral airways (variety of sizes infant to adult) or nasal airways (variety of sizes infant to adult) Pediatric suction catheter Suction device and supplies Adult suction catheter (ex. Yankauer) Suction tubing (long enough to reach the patient)
Laboratory / Bloodbank Equipment Description Yes No Notes O negative blood In-house blood bank stocked with O-negative blood Emergency blood release Emergency release of uncrossmatched O-negative
form* blood forms/instructions, if lab offsite
Operating Room (Only required for Level 3) Equipment Description Yes No Notes Mechanism to warm a patient Blanket warmer, radiant heater, and/or Bair Hugger Mechanism to warm IV fluids IV fluid warming cabinet and/or inline fluid warmer X-ray capabilities including C-
arm intensifier Rapid infuser system Pressure bag or mechanical infusion device
* Not required Refer to the Level 3 and Level 4 Trauma Hospital Designation ** If hospital admits pediatric patients Criteria as the regulatory standard for required equipment.
Post Anesthesia Recovery (not required for Level 3, ICU acceptable) Equipment Description Yes No Notes Adult and **pediatric crash carts Equipment for monitoring and EKG and defibrillator resuscitation Defibrillation pads (adult/**pediatrics) Pulse oximetry Adult and **pediatric probes Blanket warmer or mechanical mechanism for Mechanism to warm patients thermoregulation (i.e. Bair Hugger) Warming cabinet Mechanism to warm IV fluids Inline fluid warmer
Intensive Care Unit (not required for Level 4) Equipment Description Yes No Notes Adult and **pediatric crash carts Equipment for monitoring and EKG and defibrillator resuscitation Defibrillation pads (Adult/**Pediatrics) Ventilator (not transport Located or accessible to ICU.
ventilator)
Inpatient Units (any unit(s) where trauma patients are admitted) Equipment Description Yes No Notes Adult and **pediatric crash carts Equipment for monitoring and EKG and defibrillator resuscitation Defibrillation pads (adult/**pediatrics)
* Not required Refer to the Level 3 and Level 4 Trauma Hospital Designation ** If hospital admits pediatric patients Criteria as the regulatory standard for required equipment.