Secondary transport of the critically ill and injured adult

Keeping Patients Safe During Intrahospital Transport

“…5,17,18 Inadequate communication may cause a delay in procedures, potentially compromising safety and resuscitation of patients. 7,9,10,14,18 Suboptimal monitoring and agitation of the patient may result in unplanned extubation. 3,17,21,23 Inexperience may result in the disconnection or withdrawal of intravenous catheters, a mishap potentially resulting in disruption of therapy, embolus, and/or blood loss, all potentially leading to instability in the patient's condition.…”

“…27 "Benefit" refers to a diagnostic test that alters management or to a therapeutic procedure that improves outcome. 7 "Risk" refers to the potential Ventilator disconnect/failure 2,7,16,23 Depleted oxygen supply 13,16,17,21,24 Oxygen saturation probe failure 2,21 Tubing tangles 21 Electrocardiography lead disconnection 2,7,13,16,23 General Gaps in monitoring 3,9,23,25 Missed treatments/medications 23,25 Airway Unintended extubation Air embolus 25 Increased intracranial pressure 2,6,13,21,23 Spinal cord injury destabilization 23,25 danger to the patient, directly related to the patient's level of stability. Red flags to consider when planning transport are noted in Table 5.…”

“…46 Transport of a nonintubated but critically ill patient may increase the risk of adverse events during transport. 9,12 Again, an example is the head-injured patient with a sudden decrease in consciousness. Will this patient be able to maintain his airway while being transported for emergent head CT?…”

The Characteristics of Patients Transferred by Helicopter Ambulance in Erzurum

“…Ambulance helicopters are affected by strong winds, darkness, and weather conditions of winter (11)(12)(13). While 114 flights were performed with Erzurum as the take-off point, no flight with take-off point out of Erzurum was found during the same season.…”

Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana

“…La Comisión de Acreditación del Sistema de Transporte Médico, estipula dentro de las normas Norteamericanas la evaluación de la condición hemodinámica del paciente como la primera actividad a realizar previo al traslado 8 . Estas normas son utilizadas en diversos países europeos, que exigen una evaluación estricta de los beneficios potenciales del traslado a un centro de salud versus los potenciales riesgos que adquirirá el paciente, teniendo como objetivo mejorar el pronóstico de éste [9][10][11] . Utilizar sistemas de clasificación de gravedad, permite identificar grupos de pacientes complejos que requieren un nivel de cuidado mayor durante el traslado 12 .…”