Interhospital transfer of the critically ill trauma patient: the potential role of a specialist transport team in a trauma system.

McGinn, Gina; Mackenzie, Rod; J, Donnelly; Smith, Elizabeth A.; Runcie, C. J.

doi:10.1136/emj.13.2.90

Cited by 19 publications

(11 citation statements)

References 7 publications

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“…33 McGinn and associates retrospectively examined the transport of 192 multiple trauma and isolated head injury patients by a specialized transport team, as described above. 39 All but 4 were ground transports, with the longest transport being 120 miles. Eighty-three of the multiple trauma patients required mechanical ventilation.…”

Section: The Transport Teammentioning

confidence: 99%

Inter- and Intra-hospital Transport of the Critically IllDiscussion

Blakeman

Branson

2013

Respir Care

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Intra-and inter-hospital transport is common due to the need for advanced diagnostics and procedures, and to provide access to specialized care. Risks are inherent during transport, so the anticipated benefits of transport must be weighed against the possible negative outcome during the transport. Adverse events are common in both in and out of hospital transports, the most common being equipment malfunctions. During inter-hospital transport, increased transfer time is associated with worse patient outcomes. The use of specialized teams with the transport of children has been shown to decrease adverse events. Intra-hospital transports often involve critically ill patients, which increases the likelihood of adverse events. Radiographic diagnostics are the most common in-hospital transport destination and the results often change the course of care. It is recommended that portable ventilators be used for transport, because studies show that use of a manual resuscitator alters blood gas values due to inconsistent ventilation. The performance of new generation transport ventilators has improved greatly and now allows for seamless transition from ICU ventilators. Diligent planning for and monitoring during transport may decrease adverse events and reduce risk.

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Section: The Transport Teammentioning

confidence: 99%

Inter- and Intra-hospital Transport of the Critically IllDiscussion

Blakeman

Branson

2013

Respir Care

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“…Configurations can be nurse-paramedic or physician-nurse combination (Oakley, 1999;Blackwell, 2002;Barbara, 2003). Alternative personnel or specialized transport teams may be necessary depending on specific patient conditions (McGinn et al, 1996;Vos et al, 2004). There is still no worldwide accepted standard for assigning accompanying personnel for IFT (Markakis et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

Knowledge of inter-facility transport among emergency nurses in Hong Kong: A questionnaire survey

Yeung

Chan

et al. 2008

International Emergency Nursing

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“…31 Mortality, where reported, reached always low rates. McGinn et al found 24 Descriptive, perspective 2 years 39 Ground; MICU 2 major complications (5%), among which one death, and 2 deaths within 6 hours from the arrival time (leukemia/sepsis) Uusaro et al 25 Cohort one lonely death in a series of 1305 transported patients 23 and two patients (among 39 critically ill transportations) died within 6 h from the arrival to the referral hospital reported by Gebremichael et al 24 Basically, major complications occurring during inter-hospital transports, especially those related to clinical condition, 28 are nearly superposed to the events reported in papers about intra-hospital transfers (Table 2). Conversely, technical incidents represent a typical feature of inter-hospital transport.…”

Section: Inter-hospital Transport Complicationsmentioning

confidence: 99%

Complications in critically ill adult patients’ transportations reported in the recent literature

et al. 2015

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The transport of critically ill patients is a complex process, made up by several phases involving the healthcare professionals. It requires a careful planning for the prevention of potential complications undermining the patients' safety outside critical care environment. Literature review about complications and adverse events reported during intra and inter-hospital transport of critically ill adult patients. Intra-hospital transfers are affected by adverse events rates ranging from 22.2 to 75.7% in the published literature. Major adverse events, defined as life threatening conditions that require urgent therapeutic intervention, vary from 4.2 to 31%. Death is a rare occurrence. Adverse events during interhospital have a maximum rate of 34%. Technical incidents represent a typical feature of these transports. Authors reported problems to gas supply, ambulance electric system, equipment. There is a lack of studies about the complications related to rotary wing inter-hospital transports. While extracorporeal membrane oxygenation/extracorporeal life support patients seem to be the most complex category of critically ill to be transported outside the hospital, 11 papers revealed only 29 adverse events ranging from 0 to 17%. No deaths were recorded. Currently, research must explore more accurately how much transports affect the outcome of patients, and what are the most appropriate time-frames to assess the consequences of transfers on patients' clinical conditions.

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Interhospital transfer of the critically ill trauma patient: the potential role of a specialist transport team in a trauma system.

Abstract: (JAccid Emerg Med 1996;13:90-92)

Cited by 19 publications

References 7 publications

Inter- and Intra-hospital Transport of the Critically IllDiscussion

Inter- and Intra-hospital Transport of the Critically IllDiscussion

Knowledge of inter-facility transport among emergency nurses in Hong Kong: A questionnaire survey

Complications in critically ill adult patients’ transportations reported in the recent literature

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