Doctors
Equipment & Procedures
Last Updated 23/10/2024
Below is a guide to the equipment you may come across in the Emergency Department. If you are not familiar with something, make sure you ask and are orientated to the equipment prior to using it. The CNCs and resus nurses are an excellent resource for much of the equipment in resus (ventilators, defibrillators etc.)
As a general rule, ensure equipment is cleaned and put back in its correct place after use.
We are working on several procedure videos and will update the website when these are available. In the meantime, the team at Life in the Fast Lane have produced an excellent quick reference for many emergency procedures, available both on their website and as an app. It is well worth downloading.
Tracking Down Equipment
'Mobile View' is a program that can be used to track down any piece of equipment (provided it has been tagged) or phone.
Step 1
Either click on the icon on your desktop
Or, if not present it can be located from the intranet by clicking on 'Bendigo Health Apps' then 'Clinical Applications', it is listed there.
Step 2
Click on 'Asset Management'
Step 3
Click on 'Find Specific Asset''
Step 4
Type the item you are looking for in the search box.
If looking for a phone, type in its number
Step 5
Click the item you are looking for
step 6
A map will appear displaying the last known location of the item
Equipment
| POCUS/ ULTRASOUND | |
| Uses | Difficult IV Cannulation
POCUS (E-FAST/ Early Pregnancy/etc) |
| Location | 2x Sonosite Xports – opposite critical lifts
1x Sonosite Edge – outside Paeds Treatment Room 1x Phillips Lumify - SSOU |
| How to use | Prior to using our ultrasound machines, please read the POCUS of ED Central.
Junior staff are asked not to use US without supervision, unless you have had specific training, including for IV cannulation. |
| After-care | Turn machine off.
Wipe down machine and ultrasound probes with a V-wipe. Ensure probes are placed in the appropriate receptacles and not hanging off the side of the machine. Return and plug into power, so the machine can charge. |
| Video | POCUS on ED Central |
| DEFIBRILLATORS | |
| Uses | Synchronised Cardioversion
Defibrillation – ALS Transcutaneous Pacing |
| Location | Each Resus Cubicle has its own Defibrillator.
Resus Trolley outside Barnard (Old SSOU), used for Code Blues in ED outside Resus Cubicles Transport AED’s – Main Drug Room |
| How to use | covered as part of mandatory ACLS training |
| After-care | |
| Video | |
| VENTILATORS | |
| Uses | 4x Hamilton Transport Ventilators
- Invasive Ventilation - Non-invasive Ventilation |
| Location | 4x Resus Cubicles / Iso 14 |
| How to use | |
| After-care | Disposable patient circuit is removed and discarded.
Nursing Staff to ensure, cleaned and prepared for next use. |
| Video | Coming soon |
| VIDEO-LARYNGOSCOPE | |
| Uses | Used routinely for most intubations in ED – can be used for Direct Laryngoscopy as well.
- Definite indication in suspected difficult intubations. |
| Location | CMAC – used in Bendigo ED
- 2x CMAC Screens (Kept in the back of Resus Bays) - 2x MAC 4 blades (Resus 4) - 2x MAC 3 blades (Resus 4) - 1x Miller 1 blade (Resus 4) - 1x D-blade (Resus 4) - 1x Light source that can be used with disposable blades (Size3/4 MAC blades) |
| How to use | Ensure CMAC Screen, is ready and turns on.
Decide which blade will be most appropriate – usually CMAC size 4. Connect the Blade to Screen and ensure that an image can be seen. |
| After-care | CMAC blade needs to be sent to CSSD for cleaning.
- Please ensure the connector cap is sent with and not thrown away. |
| Video | |
| CICO KIT | |
| Uses | Used in the event of Cannot Intubate Cannot Oxygenate situations, while attempting intubation or for upper airway obstruction. |
| Location | Red bag, that hangs on the wall in Resus – opposite Resus 4. |
| How to use | Cricothyroidotomy (Scalpel-Finger-Bougie)
- Surgical Marker Pen - Scalpel (10) - Rochester Pean Forceps - Bougie (Rapi-fit adapter) - Size 6-0 ETT - 10ml Leur Lock Syringe - 10ml N.Saline - Gauze Needle Cric Set - 14g Cannulae - Syringe and Saline - O2 tubing with yellow thumb moderated flow-jet |
| After-care | In the unlikely event that you need to use the CICO kit – need to ensure that it appropriately re-stocked afterwards – Resus Nursing Staff will normally ensure this. |
| Video | Coming soon |
| NASO-ENDOSCOPE | |
| Uses | Assessment of Upper Airway (Foreign bodies, Burns, etc) |
| Location | Main Drug Room |
| How to use | Connects to CMAC screen.
Should only be used by or under supervision of senior medical staff. |
| After-care | Disconnect from CMAC screen.
Wipe down with gauze Place back in container, ensure connectors are in container as well Send to CSSD for cleaning |
| Video | Coming soon |
| HEAD LAMP | |
| Uses | ENT procedures/ Foreign body removal |
| Location | ED – AC drug room – Locked Cupboard (Code to access key cupboard 5678). The battery charger is also here.
SSOU – 6A drug room |
| How to use | |
| After-care | Please ensure it is turned off
Wipe down with V-wipe Place back into dedicated container Return to AC drug room (Important!) |
| Video | Coming soon |
| ENT trolley | |
| Uses | Epistaxis
Foreign bodies Quinsy Otitis Externa |
| Location | AC – Similar trolley to IV Cannulation trolleys |
| How to use | |
| After-care | Wipe down with V-wipe
Return to AC |
| Video | Coming soon |
| DENTAL KIT | |
| Uses | Dental Injuries
- Ellis 2/3 Fractures - Dental Luxation / Extrusion – Splinting |
| Location | AC Drug Room - Locked Cupboard (Code to access key cupboard 5678) |
| How to use | Glass Ionomer Compound – Used for Splinting Teeth
Calcium Hydroxide Compound – Used Covering pulp in Ellis 2/3 fractures. Emergency Dental Hand-book Applicators |
| After-care | Return to AC Drug Room |
| Video | Coming soon |
| SLIT-LAMP | |
| Uses | Foreign body removal
Eye examination |
| Location | Eye Room |
| How to use | |
| After-care | Ensure Slit lamp has been turned off after use, otherwise the bulb will burn out.
Wipe down with V-wipe. Ensure any disposables are thrown out. |
| Video | Coming soon |
| TONOMETER | |
| Uses | Measuring intra-ocular pressure |
| Location | AC Drug Room - Locked Cupboard (Code to access key cupboard 5678) |
| How to use | Tonometer – Icare rebound tonometer |
| After-care | Ensure disposable probe is removed and discarded.
Wipe down the Tonometer. Place back in dedicated container Return to AC Drug Room |
| Video | How to set-up and use the iCare tonometer
How to Measure eye pressure and Troubleshooting iCare Tonometer |
| SMILEYSCOPE | |
| Uses | Paediatric Procedures
- IV Cannulation - Blood taking - IM injections - Suturing |
| Location | Main Drug Room |
| How to use | Virtual Reality Based Head-set – if used while performing procedures, can help significantly with procedural anxiety. |
| After-care | Wipe down with V-wipe
Place back on Charge in the Main Drug Room |
| Video | Coming soon |
| BIERS BLOCK | |
| Uses | Reduction of Forearm Fractures
Possibly other forearm procedures as discussed with senior clinician |
| Location | Plaster Room
Can be moved to another Treatment Room/ Resus Cubicle if needed |
| How to use | See Prompt – Local Anaesthetic Manipulation & Plaster (LAMP) Protocol
The Local Anaesthetic Systemic Toxicity (LAST) box is kept in the AC medication room, in the cupboard under the computer. A list of contents is kept with the box. If you ever need to use this, please ensure it is restocked after use. |
| After-care | Wipe cuff with V-wipes |
| Video | Coming soon |
| RARELY PERFORMED PROCEDURE TROLLEY | |
| Uses | Emergency Drugs
Lateral Canthotomy Transvenous Pacing Acute Glaucoma Management Oesophageal Variceal Bleeding management Emergency Burr Holes |
| Location | Lives in resus – in front of staff station. |
| How to use | Top 2x Drawers – contain Emergency Drugs.
3rd Drawer contains Equipment for Transvenous Pacing 4th Drawer contains Lateral Canthotomy Kit/ Acute Glaucoma Kit and Adrenaline/Noradrenaline and Isoprenaline Infusion kits. 5th Drawer contains Burr Hole Kit and Sengstaken Blakemore Tubes. |
| After-care | If any kits are used, please ensure that you let the CNC’s know so that these can be restocked. |
| Video | Coming soon |