The impact of a neurological emergency 'crash cart' on high-risk medication delivery in a general medical-surgical intensive care unit
CCCF ePoster library. Ajzenberg H. Nov 1, 2016; 150998; 52
Mr. Henry Ajzenberg
Mr. Henry Ajzenberg
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)

Topic: Quality Assurance & Improvement

The impact of a neurological emergency 'crash cart' on high-risk medication delivery in a general medical-surgical intensive care unit

Ajzenberg, Henry1; Newman, Paula;Harris, Gail-Anne3; Cranston, Marnie3; Boyd, J. Gordon 3
1School of Medicine, Queen’s University, Kingston, Canada; 2North West Telepharmacy, ON, Canada; 3Dept. of Critical Care Medicine, Queen’s University, Kingston, Canada

Grant acknowledgements:
Salary support was provided to HA from the Thomas M. and Louise A. Brown Research Studentship Fund via the Queen’s University School of Medicine


Patients hospitalized in the intensive care unit (ICU) are at high risk for developing neurological complications, many of which require prompt treatment with specific medications. In an effort to reduce medication turnaround times during neurological emergencies, we developed a neurological emergency crash cart in our ICU in 2012. This cart includes phenytoin, hypertonic saline, and mannitol and other equipment. We hypothesized that turnaround times for these medications would be reduced by implementing this cart.

This was a retrospective cohort study. We compared medication turnaround times (duration between medication being ordered and administered) for 2-year epochs before- and after its implementation. Eligible patients were identified from ICU screening log by looking for patients whose admitting diagnosis carried a high likelihood of requiring emergent medications. We included adults who required emergent use of phenytoin, hypertonic saline, or mannitol while in the ICU. Nonparametric analyses were used to compare groups.

In the pre-intervention group, there were 43 patients with 66 events. In the post-intervention group, there were 45 patients with 80 events.  The median medication turnaround time was significantly reduced after implementation of the neurological emergency cart (25 vs. 10 minutes, p=0.003). See Figure 1.  There was no statistically significant difference in ICU or 30-day survival between the two cohorts.

The implementation of a novel neurological emergency crash cart as the standard of care in our ICU resulted in a statistically and clinically significant reduction in medication turnaround times. 


No references. 

    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings