By Advanced Life Support Group, Peter Driscoll, Ian Macartney, Kevin Mackway-Jones, Peter Oakley
Sufferer move is changing into more and more common as professional departments are being centred within the greater hospitals, and within the united kingdom due to the inability of ICU beds. there's a growing to be want for info on the right way to deal with sufferers in those situations. This booklet provides a scientific method for the secure transportation of sufferers among departments and hospitals.This is the path publication for the secure move and Retrieval classes run via the complicated lifestyles aid team.
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Extra info for Safe Transfer and Retrieval: The Practical Approach
This requires prior discussion with the transport vehicle operator, particularly for air transport since special arrangements may be required. Heat loss outside the warm hospital environment presents a major problem. This can be substantially reduced by “mummy wrapping” the patient (see Chapter 8). Patients can be wrapped in prewarmed blankets and then covered with an insulating layer. Alternatively, special quilts or sleeping bags can be used for maximal insulation. These also ensure that, once wrapped, the patient is very neatly packaged, avoiding lots of loose leads and lines.
When the patient is wrapped prior to transfer, one point of venous access should be kept easily available to avoid delays giving drugs. Jugular and subclavian central lines often provide good points of access for a carer sitting at the head of the patient. The access port can be secured to the pillow or shoulder of the patient to avoid displacement during the journey. Many monitors are required to assess the patient’s physiological status. This results in a potentially huge jumble of cables and wires.
Drugs To ensure an endotracheal tube can be tolerated, the patient must be adequately sedated (and paralysed when necessary). Action Ensure sufficient amounts of sedation are available for the transfer. Ensure a reliable intravenous site for delivery. Ensure battery lives of infusion pumps are adequate for the journey. 37 TRANSPORTATION Breathing A patient covered in blankets and strapped to a trolley or stretcher will not be easy to assess for symmetrical chest movements. Any inadvertent movement of the endotracheal tube can easily result in endobronchial intubation and subsequent hypoxia.