Central DuPage Hospital EMS Equipment / Medication List License Plate: Supplies Ordered By: Care AMB T/P AMB AIRWAY

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1 Central DuPage Hospital EMS Equipment / Medication List 06 Department Name: Date: Checked By: Vehicle Number: System Inspection: PASS FAIL License Plate: Supplies Ordered By: VIN: Supply Order Date: ITEM Endotracheal Tubes One of each: Under 5.0 uncuffed Endotracheal Tubes Holders Laryngoscope Handle Adult and Child Handles Laryngoscope Blades Mac -4, Miller 0-4 Batteries extra AA (4 total) extra C (4 total) Stylet Bougie Gum Elastic Endotracheal Tube Introducter 0 ml Syringe w/o needle Lubricant Packets or tube - water soluble Magill Forceps Hand-Held Nebulizer In Line Nebulizer Adapter 5 mm ID / mm OD Care AMB AMB AIRWAY Sets Sets Set of each of each of each each size each size each size Set Set Set each size each size each size 4 each size each size each size Cricothyrotomy Kit -4 g IV catheters (''),.5 ETT adaptor, scalpel, curved hemostat, - 4x4 gauze, Chloraprep End Tidal CO Detectors Easy Cap II / Pedi-Cap. Waveform Capnography Non-Invasive Waveform Capnography Invasive (Intubated) SpO Sensors Adult / Pediatric sizes. Non-Disposable CPAP FlowSafe II, Size Large King Airway LTS-D each: size cc Syringe If not in each King Airway kit Vent Tubing Vent HME each size each size each size each size each size each size optional each size each size each size each size each size each size each size each size each size each size Size 4 each size Updated 8 November 06

2 Thermometer Restraints Blood Glucose Monitor Point of Care Testing Point of Care Testing Head Covers for Newborn Meconium Aspirator Infant Car Seat(s) Infusion set Infusion Set Infusion Set Infusion set IV Extension IV Pump IV Start Kit EZ-IO Pressure Infuser ECG Electrodes ECG Electrodes Oral or Temporal Arm, leg Device, Instructions, Lancets, 0 test strips, prep pads TBD Test Strips Placed in/on OB kit Placed in/on OB kit or with Intubation kit Ability to secure 4-40 lbs children. micron filter 0-0 gtt 60 gtt Blood Tubing IV Catheters Each size: 4, 6, 8, 0,, 4 Medication Labels "J Loops" Brain + 4 Channels Commercial Start Kit EZ-IO Drill, Adult, Child, Bariatric needle, EZ connect tubing, wristband 000ml disposable Adult Pediatric Care AMB AMB ASSESSMENT Optional Set Set Set kit kit kit kit kit each PEDIATRIC EQUIPMENT INTRAVENOUS EQUIPMENT CARDIAC each size 4 each size each size 4 4 sets set set set Cardiac Monitor Defib, Pacing, -4 Lead, Lead / Trans., NIBP, ETCO, SpO AED AED Defib / Pacing / Cardioversion Pads ECG Paper Razors Doppler Transducer Invasive Cabels Monitor Specific in monitor, extra For removal of chest hair Adult / Adult / Adult / Adult / Adult / Updated 8 November 06

3 Decompression Needles Current SOPS C-Spine / Head Immobilization Device Ammonia Inhalant(s) Mechanical Compression Device Video Laryngoscopy ml Syringe 0 ml Syringe 60 ml Syringe 60 ml Syringe Can be used after system notification and approval 0 ml Syringe IM needles Blunt Cannulas Filter Needles MAD SMART Triage Tags Kit of 0 CAT II Ringcutter Ambulance Reports Release Forms Bus Accident Forms Fluid Warmer / Cooler N-95 Mask ml Syringe 5 ml Syringe Tourniquet.5'' Needles Paper back up Paper back up Printed copy Head Immobilizer or approved device, adult and pediatric Must have tempature records Blunt tip - g, /'' Mucosal Atomization Device Care AMB AMB TRAUMA / DISASTER / FORMS OTHER MEDICATION DELIVERY each 0 each 0 each 0 each 0 each each size each size each size Optional Optional Optional Optional Updated 8 November 06

4 Adenosine Adenosine Albuterol Amiodarone Aspirin Ativan Atropine Calcium Gluconate Cardiazem Dextrose Dextrose Diphenhydramine DOPamine DoBUTamine Epinephrine :000 Epinephrine :0000 Epinephrine Pen Adult Epinephrine Pen Jr. Etomidate Fentanyl Fluids - NS L Fluids - NS 50 mll Fluids - NS 500 ml Fluids - NS 00 ml Glucagon Glucose Gel Heparin Hurricane (Benzocaine) Hydralazine Kcentra mg / 4 ml mg / 0 ml 400mg Premix 400mg Premix mg mg / 0 ml 0. mg 0.5 mg 40 mg 00 mcg Fosphenytoin 500 mg PE / 0 Insulin 6 mg / ml.5mg/ml 50mg vial (may have a single 50mg/00 ml premix) Chewable 8mg 0 mg total g total 50 mg 5 gm.5 gm 50 mg mg Kit 4-5 g for oral use w/ tongue blades 0000 u total Spray Can 00 mg / 0 ml 00 u 5000 u Care III AMB AMB MEDICATIONS Optional Optional 4 Updated 8 November 06

5 Ketamine Labetalol Lasix Lidocaine Lopresor Magnesium Sulfate Mannitol Methyl-prednisolone Midazolam Morphine Naloxone Nicardipine Nitroglycerin Nitroglycerin Norepinephrine Propofol Respiratory Saline Rocuronium Saline Syringes Sodium Bicarbonate Succinylcholine Tetracine tpa Tranexamic Acid (TXA) Valium Vasopressin Vecuronium Vitamin K Zofran (IV) Zofran (ODT) 500 mg 00 mg / 0 ml 40 mg / 5 ml 00 mg / 0 ml 5 mg total g / 50 ml premix 00 g 5 mg vial 4 vials of 5 mg/5ml and vials of 5 mg/ml 0 mg mg 50mg / 50 ml 0.4 mg SL Spray 5 mg 4mg/4ml 000 mg bottle 5ml prefill 00mg/0ml 0 ml 50mEq 00 mg 0.5% eye drops 00 mg 00 mg / 0 ml 0 mg total 40 u 0 mg total mg total 4mg 4mg Care AMB AMB MEDICATIONS 4 Grams 4 0 mg total 0 mg total 5 mg total bottle bottle bottle bottle 4 bottle IDPH BLS / AMBULANCE SUPPLY CHECK LIST LINK: 5 Updated 8 November 06

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