Transport Patient

Transport Patient with Critical Ill

1. Transport Critical ill patient

2. Introduction Transporting patients is a risky procedure, and it requires good communication, planning, and appropriate staffing. Any patient who requires transportation must be effectively stabilized before departure. Planning and preparation are vital to prevent the adverse event.

3. Ligtenberg J. J., Arnold L. G., Stienstra Y., et al. Quality of interhospital transport of critically ill patients: a prospective audit. Critical Care. 2005;9(4):p. R446. doi : 10.1186/cc3749.

4. Critical Care Transport definition The provision of medical care by a critical care transport team to a patient requiring critical care transport by a critical care transport agency such that the failure to assess/recognize resuscitation needs and urgently initiate and maintain acute medical diagnostics and/or interventions, pharmacological interventions, or technologies would likely result in sudden, clinically significant or life threatening deterioration in the patient's condition Association of Critical Care Transport - Critical Care Transport Standards - Version 1.0 ©2016

5. CATEGORIES OF TRANSPORT Australasian College for Emergency Medicine, Australian and New Zealand College of Anaesthetists , and College of Intensive Care Medicine of Australia and New Zealand. Prehospital transport Intrahospital Transport Interhospital Transport

6. Prehospital transport Physicians who are deployed to provide prehospital treatment and transport as part of a prehospital retrieval team can provide care that approaches that available in a hospital resuscitation room. Prehospital and retrieval, physicians require training in their expected prehospital roles including scene organisation and safety, patient assessment, treatment and extrication, mass casualty and chemical, biological and radiological incidents, and the prehospital and retrieval environment.

7. Intrahospital Transport Transport of critically ill patients from one area of a hospital to another area within the hospital.

8. NICE clinical guideline 50 – Acutely ill patients in hospital NICE clinical guideline 50 – Acutely ill patients in hospital

9. During IHT patients are at risk for significant adverse events, such as airway/pulmonary complications, hemodynamic perturbations (including cardiac arrest), nosocomial infections, acid/base disturbances, and glucose abnormalities. True mortality estimates from IHT are challenging because mortalities resulting from IHT often cannot distinguished from those of the general ICU population. Transportation of critically ill patients should only occur when the benefits of a procedure or diagnostic test outweigh the risks. Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention Patrick H Knight, Neelabh Maheshwari, Jafar Hussain, Michael Scholl, Michael Hughes, Thomas J Papadimos,1 Weidun Alan Guo,2 James Cipolla,4 Stanislaw P Stawicki,4 and Nicholas Latchana3

10. Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention Patrick H Knight, Neelabh Maheshwari, Jafar Hussain, Michael Scholl, Michael Hughes, Thomas J Papadimos,1 Weidun Alan Guo,2 James Cipolla,4 Stanislaw P Stawicki,4 and Nicholas Latchana3

11. Interhospital Transport Interhospital transport of critically ill patients must be performed by an appropriately qualified retrieval team, including an experienced medical practitioner. This team must be familiar with their transport equipment, particularly power and oxygen supply limitations. The retrieval team needs to have adequate clinical, understanding of the patient’s medical condition and potential transport complications (that is, altitude, temperature, movement, etc ).

12. Terima Kasih