Transfer of the critically ill adult patient

Bourn, Scott S.; Wijesingha, Savini; Nordmann, Giles

doi:10.1016/j.bjae.2017.11.008

Cited by 31 publications

(33 citation statements)

References 16 publications

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“…The consultant responsible for the organisation and oversight of interhospital transfers should ensure, and facilitate, good educational standards and arrangements for transfers. A fundamental requirement is that every member of staff likely to be involved in the transfer of seriously brain‐injured patients has undergone training in the theoretical and practical aspects of transport medicine (see Table ) . The setting in which this education is provided will vary.…”

Section: Organisational Aspectsmentioning

confidence: 99%

Guidelines for safe transfer of the brain‐injured patient: trauma and stroke, 2019

et al. 2019

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Summary The location of care for many brain‐injured patients has changed since 2012 following the development of major trauma centres. Advances in management of ischaemic stroke have led to the urgent transfer of many more patients. The basis of care has remained largely unchanged, however, with emphasis on maintaining adequate cerebral perfusion as the key to preventing secondary injury. Organisational aspects and training for transfers are highlighted, and we have included an expanded section on paediatric transfers. We have also provided a table with suggested blood pressure parameters for the common types of brain injury but acknowledge that there is little evidence for many of our recommendations. These guidelines remain a mix of evidence‐based and consensus‐based statements. We have received assistance from many organisations representing clinicians who care for these patients, and we believe our views represent the best of current thinking and opinion. We encourage departments to review their own practice using our suggestions for audit and quality improvement.

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Section: Organisational Aspectsmentioning

confidence: 99%

Guidelines for safe transfer of the brain‐injured patient: trauma and stroke, 2019

et al. 2019

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“…However, the etiopathogenesis of the disease highlights that the adverse outcomes may be much higher, and additional events of infection transmission are possible. 6 , 16 – 19 These challenges and risks may be broadly considered as patient-related, training, technical, and administrative concerns. The patient-related concerns are primarily for their critical illness and concerns for infectivity of the coronavirus.…”

Section: Discussionmentioning

confidence: 99%

“…Unplanned transport of infected cases can lead to nosocomial spread and impasse the efforts of breaking the chains of transmission. The process of transport can be divided into the following stages: 16 …”

Section: Discussionmentioning

confidence: 99%

The Transport Medicine Society Consensus Guidelines for the Transport of Suspected or Confirmed COVID-19 Patients

Munjal¹,

Garg

Das

et al. 2020

Indian Journal of Critical Care Medicine

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A bstract Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes coronavirus disease 2019 (COVID-19) and has been declared as a pandemic. COVID-19 patients may require transport for diagnostic or therapeutic purposes intra- or interhospital or transport from an outside hospital to a healthcare facility. Transport of critically ill or infectious patients is always challenging and involves the integration of various tasks and manpower. The adverse events have been attributed to various factors such as a multidisciplinary team and lack of appropriate communication among team members, absence of equipment, or failure during transport, apart from physiological alteration inherent to the disease of the patient. The transport of COVID-19 patients carries an additional risk of not only the disease itself but also due to the risk of its transmission to the transport team. The human-to-human transmission of the virus can occur via respiratory droplets. So, the person involved in the transport of such patients shall be at risk and warrants appropriate steps for their safety. Appropriate planning by a well-trained transport team is an essence for the safe transport of the suspected or confirmed COVID-19 patients. The Transport Medicine Society guidelines present consensus guidelines for the safe transport of COVID-19 patients. Disclaimer These consensus guidelines are applicable for the safe transport of suspected or confirmed COVID-19 adult patients. These recommendations should be used in conjunction with medical management guidelines and advisories related to COVID-19. These recommendations should be adapted to the local policies prevalent at the workplace and also per agreement among the hospitals for transport (agreement between referring and receiving facilities). With the emergence of new scientific evidence, these guidelines may require modification. How to cite this article Munjal M, Ahmed SM, Garg R, Das S, Chatterjee N, Mittal K, et al. The Transport Medicine Society Consensus Guidelines for the Transport of Suspected or Confirmed COVID-19 Patients. Indian J Crit Care Med 2020;24(9):763–770.

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“…Transport and handovers between operating theatres and intensive care departments pose unique challenges [ 11 ]. Transfer of critical patients from the operation theatre to ICU is considered to be a high-risk period for the development of vital sign derangement [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Evidence-Based Guideline on Critical Patient Transport and Handover to ICU

Agizew

Ashagrie

Kassahun

et al. 2021

Anesthesiology Research and Practice

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The perioperative period is a time in which significant physiological change occurs. Improper transfer of information at this point can lead to medical errors. Planning and preparation for critical patient transport to ICU is vital to prevent adverse events. Critical patient transport to ICU must be as safe as possible and should not cause additional risks. It needs good communication, planning, and appropriate staffing with standard monitoring. Evidence shows inconsistency and variability on the use of standardized protocols during critical patient transfer and handover to the ICU. There is a variety of controversial approaches about the need of sedation, use of end-tidal CO2 monitoring, and manual versus mechanical ventilation based on different evidence. The objective of this review was to recommend safer options of critical patient transfer to the ICU that help reduce patient morbidity and mortality. Methods. Google Scholars, PubMed through HINARI, and other search engines were used to search high-quality evidence that help reach appropriate conclusions. Discussion. Critical patient transfer and handover to ICU is a complex procedure that needs experienced hands, availability of appropriate team members, standard monitoring, and necessary emergency and patient-specific medications. Appropriate and adequate transfer of patient information to the receiving team decreases patient morbidity and mortality when the transfer team uses standardized checklist. Conclusion. Involvement of senior physicians, use of standard monitoring, and appropriate transfer of information have been shown to decrease critical patient morbidity and mortality.

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Transfer of the critically ill adult patient

Abstract: Learning objectives By reading this article you should be able to: Define the indications and contraindications to patient transfer. Recognise and anticipate the risks involved. Identify the key steps in organising and performing a safe patient transfer.

Cited by 31 publications

References 16 publications

Guidelines for safe transfer of the brain‐injured patient: trauma and stroke, 2019

Guidelines for safe transfer of the brain‐injured patient: trauma and stroke, 2019

The Transport Medicine Society Consensus Guidelines for the Transport of Suspected or Confirmed COVID-19 Patients

Evidence-Based Guideline on Critical Patient Transport and Handover to ICU

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