Topics Discussed: pediatric critical care patient transport.
Sections: Historical Perspectives, Legal Considerations, Team Composition and Training, Communication, Equipment and Medication, Protocols, Medical Direction, Regulatory Requirements/Certification Standards, Stabilization for Transport, Modes of Transport, Safety/Altitude Physiology and Air Medical Considerations, Specific Clinical Transport Issues, References.
Excerpt:"
- Outcomes for critically ill and injured children improve when treatment is provided by skilled pediatric specialist transport teams.
- Appropriate medical care for any patient with an emergent condition should never be delayed because of inability to find a caregiver or guardian to give consent for treatment.
- The referring physician is responsible for stabilizing the patient's condition, within the capabilities of the referring institution, before the patient is transferred t another institution.
- Limitation of resuscitation orders (DNR) may be revoked at any time according to the parents or legal guardians' wishes.
- Composition of team personnel is driven by the needs of the patient being transported.
- A well-run communication system is vital for the safety of patients and transport personnel.
- All communications pertaining to transport should be recorded and saved.
- Transport personnel must be familiar with their protocols and the limitations and responsibilities of their specific profession's scope of practice.
- Safety training for the teams should be part of their initial training and ongoing competencies.
- Personal protective equipment is important to protect team members.
- Stresses of flight affect both the patient and crew members and should always be taken into consideration when transporting a..."
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