Interhospital patient transfer
Clinical Procedure
 
Aliases:
Interhospital transport

Topic aliases are alternate phrasings for a particular topic.


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ANZCA/ACEM/CICM Minimum standards for transport of critically ill patients. PS 52 refl.in/1f

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Reduced air pressure expands air filled cavities (endotracheal tube ETT cuff, middle ear, air-filled spaces under airtight dressings). Plan for this prior to transfer.

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Ensure required vasopressors are drawn up beforehand for unstable patients, and readily avaiable for stable patients.

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Consider instituting general anaesthesia in the patient with fluctuating level of conciousness prior to transport.

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Securely fasten the tracheal tube to prevent inadvertant extubation en route.

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If no IV pole is available, or if the IV pole breaks, consider using the patients bodyweight as pump. Locating a 500ml airfree fluid bag at the buttock cleft in adults can deliver up to at 135ml/min through a 14g intravenous cannula through a standard giving set. refl.in/j #fieldmedicine

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