 |  | Rudolph's Pediatrics Section 8. The Acutely Ill Infant and Child > Part 2. Stabilization and Management of the Acutely Ill Infant and Child > Chapter 110. Stabilization and TransportDeborah Lerner, George E. Lister, and Julio Pérez Fontán | |
Topics Discussed: acute illness; patient transport.
Sections: Initial Decisions, Preparation for Transport, Monitoring and Treatment during Transport, Management after Arrival, References.
Excerpt:"Complex, high-acuity services cannot be offered at every site
where children receive medical care. These services are expensive
and require personnel resources that are in limited supply. Thus,
it is best to concentrate skilled caretakers and equipment in hospitals
and medical centers that function as local, regional, or national
or international referral centers. In the United States and other
industrialized countries, implementing this principle has resulted
in the development of interhospital referral networks reminiscent
of the hub-and-spoke distribution system used by the airlines. In most
cases, the referral centers, or hubs, have developed highly detailed
protocols for the transfer of patients to their facilities, sometimes
involving complex stabilization efforts at the referring facility
and in transport...."
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