Transporting Sick Children. Safety, Critical Incidents, Insurance. Importance. Rationale for dedicated retrievals is to offer better service than previously existed Evidence that specialised teams perform better.
Safety, Critical Incidents, Insurance
Edge WE, Kanter RK, Weigle CGM et al. Reduction of morbidity in inter-hospital transport by specialised paediatric staff. Crit Care Med 1994; 22: 1186-1191
Britto, J., S. Nadel, et al. Morbidity and severity of illness during interhospital transfer: impact of a specialised paediatric retrieval team. BMJ 1995; 311: 836-9
Whitfield JM, Buser NNP. Transport stabilisation times for neonatal and paediatric transfers prior to interfacility transfer. Pediatr Emerg Care 1993; 9: 67-71.
A – Secure ETT – check position on CXR – ensure minimal leak as high pressure ventilation necessary
B – Realistic targets – O2sats 85 – 92%, pH >7.25
Use high PEEP – 10-15cm – needs to be active PEEP.
Long Tinsp, High FiO2.
Allow time to recruit alveoli.
C – Good access, well filled, inotropes as required.