Enhancing Patient Safety and Embracing AI Technology

The new year is off to a strong start at Waterloo Healthcare, and this newsletter is packed with useful information!
First, we’re highlighting an important article, “The Importance of Having a Malignant Hyperthermia Cart in an Operating Room.” Malignant Hyperthermia (MH) is a life-threatening reaction triggered by certain anesthetics, leading to rapid muscle rigidity, elevated body temperature, and severe metabolic complications. Due to its rapid onset and potentially fatal outcomes, immediate access to an MH emergency cart is essential in all operating rooms.
Additionally, you’ll find a link to our latest blog post, “How AI Technology is Transforming Emergency Rooms,” which explores recent advancements in artificial intelligence and their significant impact on emergency care.
There’s much more to explore, including an introduction to Hannah McGuire, one of our newest sales representatives and Anita Bekavac our new National Sales Manager for Canada. So take a break, relax, and enjoy our March newsletter!
Warm regards,

The Importance of Having a Malignant Hyperthermia Cart in an Operating Room
Malignant Hyperthermia (MH) is a life-threatening pharmacogenetic disorder triggered by specific anesthetic agents and depolarizing muscle relaxants. It leads to a hypermetabolic state characterized by a rapid onset of muscle rigidity, hypercapnia, acidosis, hyperkalemia, and dangerously high body temperature. Given the rapid progression and fatal potential of MH, immediate intervention is critical. This underscores the importance of having a well-stocked and readily accessible Malignant Hyperthermia cart in every operating room.
Rapid Response to a Life-Threatening Crisis
MH can escalate within minutes of exposure to triggering agents, necessitating an immediate and coordinated response. Delayed treatment can lead to severe complications, including organ failure and death. A dedicated MH cart ensures that all necessary medications, equipment, and protocols are available for prompt management.
Essential Components of an MH Cart
An MH cart should be meticulously stocked with essential drugs and equipment for effective crisis management. Key components include:

- Dantrolene Sodium: Provided as the primary and only effective treatment for MH. Dantrolene acts as a muscle relaxant by inhibiting calcium release from the sarcoplasmic reticulum, halting the hypermetabolic state.
- Sterile Water for Injection: Needed to reconstitute dantrolene for intravenous administration.
- Sodium Bicarbonate: Used to correct metabolic acidosis caused by excessive carbon dioxide production.
- Mannitol and Furosemide: Essential for maintaining kidney function and preventing myoglobin-induced renal damage.
- Calcium Chloride and Insulin with Dextrose: Used for managing hyperkalemia, which can lead to fatal cardiac arrhythmias.
- Cooling Supplies: Ice packs, cold saline, and cooling blankets to help manage hyperthermia.
- Airway Management Equipment: Oxygen masks, endotracheal tubes, and suction devices ensure proper airway control.
- IV Fluids: Normal saline and dextrose solutions to manage hydration and electrolyte balance.
- Emergency Protocols and Contact Information: Laminated checklists and contact numbers for expert consultation (e.g., Malignant Hyperthermia Association of the United States, or MHAUS) to guide the response team.
Training and Preparedness
Having an MH cart is not enough; the surgical team must be trained to use it efficiently. Regular drills and education sessions help anesthesiologists, surgeons, and nurses recognize early MH symptoms and act swiftly. Knowing the cart’s location and gaining familiarity with the reconstitution of dantrolene can save valuable minutes in an emergency.
Regulatory and Accreditation Standards
Many healthcare regulatory bodies, including the Joint Commission and the American Society of Anesthesiologists, emphasize the need for MH preparedness in facilities where volatile anesthetics or succinylcholine are used. Non-compliance can lead to severe consequences, including legal liabilities and loss of accreditation.
Conclusion
A Malignant Hyperthermia cart is essential to patient safety in the operating room. Given the unpredictable nature of MH and its potential fatality, having a well-maintained and fully stocked MH cart, coupled with continuous team training, can mean the difference between life and death. By ensuring immediate access to life-saving interventions, hospitals and surgical centers uphold their commitment to patient safety and high standards of care.
Meet The New Staff

We’re thrilled to welcome Hannah McGuire as a sales representative to our team! With over 20 years of experience in sales and customer service, including an extensive background in retail management and a recent role in marketing, Hannah brings exceptional expertise to the team. Her role involves driving sales through outreach, identifying new opportunities, providing product demonstrations and training sessions, and delivering excellent customer care and support.
Hannah is a proud mother of three who is passionate about building connections and helping clients discover the value of Waterloo Healthcare solutions. We’re excited to have her on board and look forward to the great things she will accomplish!

Anita Bekavac is the new National Sales Manager for Canada at Waterloo Healthcare, where she leads the sales strategy for innovative healthcare solutions, including advanced medical carts, medication carts, automated dispensing systems, and electronic emergency/stat-dose cabinets. With over 17 years of experience in the medical device industry, Anita has earned a reputation for driving business development, strategic sales, and excellence in account management.
Before joining Phoenix LTC and Waterloo Healthcare, Anita held senior leadership roles, including Medical Sales Executive at CMI Group, Vice President of Sales and Marketing at Allied Medical Instruments Inc., and Regional Sales Manager for Canada and Eastern Europe at O-Two Medical Technologies Inc. In these positions, she played a pivotal role in driving revenue growth and expanding market presence.
Anita’s impressive track record and deep industry expertise have positioned her as a key innovator and leader in the Canadian healthcare sector. She holds a background in Analytical Chemistry from Ryerson University, a Bachelor of Arts in Economics from York University, a Sales Professional CPSA certification from Humber College, and a Competent Leader (CL) certification in Communication and Leadership from Toastmasters International.
How AI Technology Is Transforming Emergency Rooms
In times of crisis, seconds matter. Emergency rooms (ERs), more than nearly anyone else, prove this, as every decision could be a choice between life and death. Far from replacing clinicians, AI in ERs transforms these high-stress, high-pressure environments into manageable hubs of precision, speed, and efficiency.
With the emergence of AI, it’s becoming even easier to make smarter decisions faster. Doctors now have access to groundbreaking tools that enable faster diagnoses, smarter workflows, and more personalized patient care.
It’s obvious that AI is already used in emergency rooms. But the question is, are you keeping up with AI healthcare trends? Are you effectively leveraging AI’s potential, or are there new opportunities to explore?
We’re heading to Boston! Waterloo will be at the AORN Global Surgical Conference & Expo starting April 5th!

This annual event brings together perioperative nurses from around the world for four exciting days of education, innovation, inspiration, and networking.
If you’re attending, stop by and say hello to the Waterloo team! Check out a cart configured with two levels of security access, including a dedicated controlled substance drawer, and our most advanced electronic lock configured with a proximity badge reader and Wi-Fi programming capabilities—all on display.
You won’t want to miss it!
Waterloo Healthcare is dedicated to providing quality, flexible medical cart solutions that accommodate any clinician’s needs, and our team is always available to help design the cart that’s right for you!