Abstract: A scalable cable management system comprises an electronics module with a microcontroller; a plurality of drive modules and a releasably engaged cable cartridge for each drive module. Each cable cartridge houses a lead wire cable spool with an electrical slip ring connected to the wire. Stationary electrical contacts pickup signals from the slip ring for use by the electronics module. A device such as an electric or spring-driven motor, with a gear train and an optional clutch, controllably rotate the cable spool. A cleaning assembly cleans portions of the lead wire as it is extended or retracted. The microcontroller receives strain signals representative of tension on a lead wire from cable strain gauge. The electronics module may also include a defibrillator protection sub-system, a crossbar transfer switch, an instrumentation amplifier and a communications unit. Test terminals are also provided for assessing integrity of each lead wire.