Emergency Procedures Protocol for Internal Medicine Practice

1. Emergency Response Team Roles

Primary Response Team

• Team Leader: Senior physician on duty
• First Responder: Nearest qualified medical staff
• Documentation Nurse: Designated RN
• Equipment Manager: MA or designated staff

2. Essential Emergency Equipment

Crash Cart Contents

• Airway Management
  • Endotracheal tubes (sizes 6.0-8.0)
  • Laryngoscope with blades
  • Bag-valve mask
• Medications
  • Epinephrine 1:1000 and 1:10000
  • Atropine
  • Adenosine
  • Amiodarone
• Equipment
  • Defibrillator/AED
  • IV supplies
  • Suction equipment

3. Emergency Response Procedures

Code Blue Protocol

1. Activate emergency response system
2. Begin CPR if indicated
3. Retrieve crash cart
4. Document time and interventions
5. Contact EMS if needed

Anaphylaxis Management

1. Assess ABC (Airway, Breathing, Circulation)
2. Administer epinephrine
3. Establish IV access
4. Monitor vital signs

4. Documentation Requirements

During Emergency

• Vital signs every 5 minutes
• Medications administered
• Procedures performed
• Response to interventions

Post-Emergency

• Complete incident report
• Debrief with team
• Restock supplies
• Review protocol compliance

5. Staff Training Requirements

Annual Certifications

• BLS certification
• ACLS certification (where applicable)
• Emergency procedure competency
• Equipment operation verification