Indonesia Conference Directory

Emergency trolley is one of the logistic interventions to ensure the availability of essential drug in emergency situation. The study aims to review emergency trolley utilization in general ward. We evaluate the utilization (reason and drug used) in eight emergency trolley in a private hospital. Based on daily emergency trolley records we hand search the related patient medical records to identify the reason of using emergency trolley. There were 361 identified reasons for the use of trolleys in the inpatient unit and not all of it was for emergency conditions (70.64%). Study identified that 19.39% reasons were non-emergency conditions, and could not be explained (9.97%). The most common emergency conditions are cardiac arrest, hypoglycaemia, and shock. The non-emergency reason were mostly for maintenance treatment for shock. Some of the reason were unclear that falls into two situation which were opening a trolley without the use of drugs and the use of drugs that are not recorded in medical records. The drugs most often used for emergency conditions were epinephrine, dextrose 40%, and norepinephrine while for non-emergency conditions were norepinephrine, dopamine, and diphenhydramine. This study found that the use of emergency trolleys in the inpatient unit is not always for emergency purposes therefore a more clear regulation is needed and need to be well socialized and implemented.