Emergency Medicine requires the finest skills to handle the patient and save his life. From the initial management to making the quick diagnosis, everything is done carefully to achieve the best outcomes. However, one must know the drugs used in emergency to treat and stabilize the patient as early as possible. Following is the list of commonly used emergency medicines in Casualty in India:

If you want to add more to the list, feel free to tell us in the comments section below, we will love to update the list with your help.

Life-Saving Drugs

(Please refer to Crash Cart for complete list)

  1. Atropine- Used in A-V heart block, restore cardiac rate, reduce respiratory secretions,
  2. Adrenaline (Epinephrine)- Sympathomimetic agents used in Cardiac arrest and emergency treatment of allergic reactions (Type I), including anaphylaxis
  3. Digoxin (Dixin)-Heart failure, Atrial Fibrillation

Painkillers

  1. Paracetamol (Neomol)- Pain reliever and anti-pyretic for fever
  2. Diclofenac- NSAID used to treat mild to moderate pain
  3. Drotaverine (Drotin)- Anti-spasmodic drug used to treat renal colic and abdominal pain
  4. Tramadol (Tramatas)- Narcotic analgesic used to treat moderate to severe pain
  5. Valethamate bromide (Epidosin)- Anti-spasmodic drug used to treat abdominal pain

Cardiac Drugs

  1. Adrenaline (Epinephrine)- Sympathomimetic agent used in Cardiac arrest and emergency treatment of allergic reactions (Type I) including anaphylaxis
  2. Noradrenaline (Norad)- Catecholamine and inotropic agent used to temporarily correct profound hypotension before fluid replacement therapy can work
  3. Dopamine (Domin)- Catecholamine and inotropic agent used to treat certain conditions, such as low pressure, that occur when you are in shock, which may be caused by heart attack, trauma, surgery, heart failure, kidney failure, and other serious medical conditions
  4. Dobutamine (dotamin)-Catecholamine and inotropic agent used to treat heart failure
  5. Torsemide- Loop diuretic used to treat edema from Congestive Heart Failure (CHF), liver disease, or a kidney disorder such as nephrotic syndrome
  6. Furosemide (Lasix)- Loop diuretic used to treat edema from Congestive Heart Failure (CHF), liver disease, or a kidney disorder such as nephrotic syndrome
  7. Digoxin (Dixin)-Heart failure, Atrial Fibrillation
  8. Nitroglycerin (Nitrocin)- used for treating high blood pressure, CHF, MI and Chest pain
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Respiratory Drugs

  1. Etophylline and Theophylline- Bronchodilators used to treat symptoms and blockage of airway due to asthma or other lung diseases (eg. emphysema, bronchitis)
  2. Dexamethasone- Corticosteroid used to treat allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders
  3. Budesonide nebulizer (derinide)- Cortisteroid, inhalation drug used for Bronchial Asthma
  4. Levosalbutamol and Ipatropium Bromide (Duolin/Combimist)- Bronchodilator used to treat wheezing and breathlessness caused by underlying lung disease
  5. Acetylcysteine Solution (Mucocyst)- Mucolytic used to treat abnormal, sticky, or thick mucus secretions in various lung problems

Central Nervous System (CNS) Drugs

  1. Epsolin (Phenytoin)- Anti-epileptic drug used to control seizures
  2. Phenobarbitone sodium- Barbiturates used as sedative hypnotics and also anti-convulsants
  3. Magnesium sulphate- Seizures associated with Eclampsia and Pre-eclampsia
  4. Lorazepam (Lopez)- Lorazepam used to produce sedation needed in Seizures, particularly status epilepticus; Anti-anxiety drug, anti-convulsant
  5. Diazepam (Lori)- Benzodiazepine used to produce sedation needed in Seizures, particularly status epilepticus; Anti-anxiety drug, anti-convulsant
  6. Prochlorperazine mesylate (Stemetil)- Phenothiazine neuroleptic used to treat acute mania and short term treatment of anxiety. It may also be used to treat the symptoms of nausea and vomiting

Gastrointestinal drugs

  1. Drotaverine (Drotin)- Anti-spasmodic drug used to treat renal colic and abdominal pain
  2. Valethamate bromide (Epidosin)- Anti-spasmodic drug used to treat abdominal pain

Obstetrics

  1. Drotaverine (Drotin)- Spasmolytic agent used to enhance cervical dilation during childbirth
  2. Tranexamic acid- Coagulation modifier used to reduce bleeding
  3. Magnesium sulphate- used as tocolytic to stop preterm labor
  4. Valethamate bromide (Epidosin)- Spasmolytic agent used to facilitate labor in cervical spasm
  5. Methylergometrine maleate (Methergine)- Uterine stimulant used to treat postpartum or postabortal uterine bleeding
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Allergy

  1. Pheniramine Maleate (Avil)- Anti-histamine drug used for allergic conditions such as hayfever, runny nose, itching skin and skin rashes
  2. Hydrocortisone 100mg (Efcorlin)- Corticosteroid used for allergies, arthritis, asthma, multiple sclerosis, and skin conditions
  3. Dexamethasone- Corticosteroid used to treat allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorder
  4. Promethazine- Anti-histamine drug used to treat allergy such as itching, runny nose, sneezing, itchy or watery eyes, hives, and itchy skin rashes

Antibiotics

  1. Ceftriaxone (Monocef)
  2. Amikacin (Amiject)
  3. Gentamicin (Ranbiotic)

Miscellaneous

  1. Tranexamic acid- Anti-fibrinolytic used to reduce bleeding
  2. Tetanus Vaccine- Vaccine given after RTA, wounds from metals, etc. to prevent tetanus
  3. Succinylcholin- Muscle relaxant used for relaxing muscle and also used as general anesthesia
  4. Phytomenadione- Vitamin K1 used to reduce bleeding
  5. Thiocolchicoside- Muscle relaxant with Anti-inflammatory and Analgesic actions
  6. Haemocoagulase (Botropase)- Coagulative and Anti-hemorrhagic properties
  7. Calcium Gluconate injection- Mineral supplement used for hypocalcemic tetany
  8. Ranitidine hydrochloride (Zindac)- H2 Blocker given mostly with other drugs, also used to treat ulcers in the stomach and intestines
  9. Ondansetron (Vomikind)- Anti-emetic used to prevent nausea and vomiting
  10. Metaclopramide (Perinorm)- Anti-emetic used to prevent nausea and vomiting
  11. L-Ornithine Aspartate (Hepamerz)- Stable salt of ornithine and aspartic acid used to treat high ammonia levels or severe liver impairment, end-stage cirrhosis
  12. Cholecalciferol (Dewin)- Vitamin D3 used for hypocalcemia, Osteomalacia
  13. Sodium Phosphate enema- Saline laxative used to treat severe constipation or clean bowel before medical procedures

2 COMMENTS

    • Crash cart is kind of trolley which contains all emergency drugs and medical instruments. Apart from emergency medicines, the crash cart contains devices like defibrillators, bag valve masks, suction devices, etc. The advanced cardiac life support drugs in it include Epinephrine, Atropine, Dopamine, Sodium bicarbonate, vasopressin, etc.

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