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Example of instruments, equipment, and medications to assemble for a postpartum hemorrhage emergency cart

Example of instruments, equipment, and medications to assemble for a postpartum hemorrhage emergency cart
  • Equipment/supplies for starting an intravenous line (14-, 16-, 18-, and 20-gauge peripheral venous catheter, 1 L Lactated Ringer's solution for injection, intravenous tubing, four-way stopcock, tape)
  • Urinary catheter kit, urimeter
  • Lubricating gel
  • Assorted sizes of sterile gloves, including elbow-length gloves
  • Vaginal retractors, including a long right-angle retractor
  • Sterile speculum, long weighted speculum
  • Sponge forceps
  • Vaginal packs, 2 by 2 and 4 by 4 sponge gauze packs, gauze bandage rolls
  • Balloon catheter kit for intrauterine tamponade
  • Sterile utility bowl, 20 and 60 mL syringes, irrigation water
  • Banjo curettes
  • Long needle holder
  • Appropriate sutures for cervical and vaginal laceration repair and for uterine compression sutures
  • Uterine forceps
  • Freestanding mobile task light, battery-powered headlamp
  • Illustrations showing how to perform relevant procedures (eg, uterine compression, uterine artery ligation, intrauterine balloon placement, replacement of inverted uterus)
  • Equipment/supplies for drawing blood (eg, syringes; needles; red, green, blue, and tiger top tubes; alcohol prep pads; tourniquet) for laboratory studies (eg, type and cross, coagulation studies, CBC, platelets, electrolytes, ionized calcium, potassium) with prewritten lab and blood bank requisition orders; instructions on how to order tests and blood and how to activate the massive transfusion protocol
  • Biohazard bag
  • Adult oxygen nonrebreather mask
  • Tubing and filter for blood transfusion
  • Equipment for warming irrigation and intravenous fluids
  • Pressure infusor bag
  • Tape, bandages
  • Medications:
    • Kit for transabdominal intramyometrial injection of carboprost under ultrasound guidance: 20 mL syringe, 20 mL sterile saline for injection, 6 inch 20-gauge and 6 inch 22-gauge amniocentesis needles
    • Misoprostol, five 200 mcg tablets
    • Oxytocin, 10 to 40 units per 500 to 1000 mL NS 1 bag
    • Methylergonovine, 0.2 mg/mL 1 ampule (requires refrigeration)
    • Carboprost, 250 mcg/mL 1 ampule (requires refrigeration)
CBC: complete blood count; NS: normal saline.
Adapted from:
  1. California Maternal Quality Care Collaborative Improving Response to Obstetric Hemorrhage Toolkit V2.0. www.cmqcc.org/resources-tool-kits (Accessed on October 31, 2016).
  2. Texas Children's Hospital-Pavilion for Women postpartum hemorrhage cart inventory list.
Graphic 110293 Version 1.0

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