Reduction of morbidity in interhospital transport by specialized pediatric staff

Disponibilidade de unidades de terapia intensiva pediátrica e neonatal no município de São Paulo

“…[8][9][10][11][12][13][14][15][16][17][18] In addition to the regionalization of services with an efficient referral and cross-referral system, the availability of specialized patient transportation is another aspect that is known to improve pediatric intensive care provision. Edge et al, 19 writing about the transportation of critically ill pediatric patients, observed that these patients transported by specialized teams presented a significantly It is well known that in São Paulo city, at least within the public sector, there is no specialized pediatric transport system, nor one for the transport of critically ill children, who are taken to ICUs by doctors who have not been familiarized with such patients. This being so, in addition to problems with access to the pediatric intensive care services because of the poor distribution of units across the city, critical patients may have their clinical condition worsened by inadequate transportation.…”

Aircraft Transfer of Pediatric Patients With Intractable Cardiac or Airway Problems

“…The patient's status in the referring hospitals was: newborn awaiting surgical intervention (23), in-hospital care required for heart failure (12), and in-hospital care required for airway obstruction (6). Age and body weight at admission were 0.5 (0-65.4) months and 3.1 (2.3-17.3) kg, respectively.…”

Outcomes of interfacility critical care adult patient transport: a systematic review

“…In addition, a nurse accompanied the patient in all four studies that reported transport team composition. Interfacility transport is increasingly becoming the jurisdiction of highly trained and specialized transport personnel [35][36][37][38], with at least one paediatric study demonstrating significantly decreased morbidity associated with the use of such teams [36]. Professional guidelines have suggested that transport of unstable critically ill adults should be accompanied by either a physician or a nurse, preferably with additional training and experience in transport medicine [22].…”