Australian Drug Bags/Kits
reddit.com/gallery/wuurptPosted Aug 22, 2022, 2:14 PM UTC · locked
3511
reddit.com
Incoming NPA without lube.
For those that don't get the reference: https://www.reddit.com/r/ems/comments/wtcfkw/rule_recap/
2
It's like a dream come true.
1
If you have fentanyl dont you need to have narcan there too? I mean if something goes wrong with fentanyl.
-1
Its there above the Ondanseron.
Also dont need naloxone if you have a BVM?
3
They have 13 ampules of naloxone, I think that'll do.
Narcan = brand name naloxone.
That said, not many services carry the antidotes to their own drugs in regular med bags in case of overdosing. Some will carry them in rapid response trucks but even then it's pretty uncommon. The naloxone is almost certainly to help with recreational or patient-induced overdoses.
2
And a BVM.
For a drug i’ve never used here there sure is fucking heaps of it.
3
Drug bag for one of the Australian services. Not all bags will be set out this way, and this is the “new” layout that not all stations have received- this station has changed a few things up but 90% of it is the same.
Essentially the bag opens out like a book, with 2 internal pages. For a drug bag, its fairly good, albeit its very cramped and at this stage moving to a hard case may be the next option.
There are additional bags for Trauma Dressings, Paediatric/Neonatal/Maternity, and an Oxygen + Airway bag.
Unfortunately the bags at this service leave a bit to be desired but they are being improved.
Middle Panel
This is where we keep the majority of the medications. As you can see most of the Controlled drugs are in flap-cover pouches, behind them are the dreaded glass ampoules.
IV Access Panel
Includes all the stuff for IV and IM access. Fairly self explanatory.
Other Stuff Panel
This is all again variable and each station sets theirs out differently. We carry spare IV and IM kit here, tourniquets, a slide sheet for moving patients in a hurry, and RAT tests. The manual BP cuff lives here, but all other assessment kit lives in the Monitor. For some reason we also store the OG tubing for the iGels here.
Also contains 1x500ml Saline and 1x250ml Dextrose 10%
Drug Safe- Wall Panel
Some stations in busy areas dont bother with these, and just store some spare meds in boxes. Ours has a bit in it, but its not well stocked- basically the bag is always 100% ready and we can work from that, this is the “nice to have” supply.
Drug Safe, Controlled Meds
These are meant to live on the wall panel but theres no space because of poor design. So we just stick them to the door of the safe.
The doses for Paed IN Fent are no longer current, we’ve just never removed them for some reason- we use pre-filled Fentanase actuators at 25mcg for kids.
Thrombolysis Kit
Contains Tenecteplase, and Heparin. Used under cardiologist consultation only (we transmit them the ECG), and only in rural areas. Also keep a spare set of Defib Pads and a few printed checklists and a hard copy of the guideline for thrombolysis.
Drugs Carried
Drugs carried by Critical/Intensive Care crews
Next time I'm at work I'll get some snaps of the mica bags for you as well.
We are still waiting on a purple bag but until then we will continue to cram and clutter it
The new purple ones look nice, honestly reckon that layout should’ve been the standard for ALS too.
I got a bit excited first time I saw the purple bag. For far too long the mica red bag has been way too cluttered, really fucking annoying when all you need on most jobs is an aspirin
MICA really should have an additional bag to the ALS bag, rather than a hodge podge setup and a seperate bag.