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