Escolar Documentos
Profissional Documentos
Cultura Documentos
CRITICALLY ILL
PATIENTS
INTRODUCTION
CHALLENGE
BE AWARE OF RISKS
TYPES OF TRANSFER
INTER HOSPITAL
INTRA - HOSPITAL
INDICATION
CONTRA
-INDICATION
DIAGNOS TIC
PURPOSES
e.g. CT
SCAN , MRI.
THERAPEUTIC
PURPOSE
e.g.:SURGERY, PACEMAKER
SPECIALIZED CARE
e.g. :- EMERGENCY
DEPARTMENT TO ICU
(or) TERITIARY LEVEL
HOSPITAL.
POTENTIAL
BENEFITS
<POTENTIAL RISKS.
UNSTABLE (OR)
POTENTIALLY
UNSTABLE PATIENT
.
ADVERSE EFFECTS OF
TRANSPORTATION
Hemodynamic
instability
Hypertensive crisis
Systemic hypotension
Cardiac arrhythmias
Airway obstruction
Cardiac arrest
POTENTIAL MISHAPS
Accidental extubation.
Ventilator disconnects.
ECG disconnects.
Monitor power failure.
Vaso active drug interruption.
Intravenous infiltration or
disconnection.
ESSENTIAL
ELEMENTS
Communication.
Personnel.
Equipment.
Monitoring.
Handing over (Documents,
Information).
Medico legal and ethical aspects.
COMMUNICATION
PHYSICIAN
TO
PHYSICIAN
NURSE
TO
NURSE
INFORMATION
Equipment needed.
COMMUNICATION
INTRA
INTER
Transport service .
ICU to
Radiology
dept
Theatre
ACCOMPANYING
PEROSONNEL
Vehicle operator
Respiratory therapist
ACCOMPANYING
EQUIPMENT
Medication
Electronic devices
Trolley
Oxygen cylinder
AIRWAY MANAGEMENT
EQUIPMENT
Resuscitations Kit
AIRWAY MANAGEMENT
EQUIPMENT
RESUSCITATION
KIT
ORAL AIRWAYS
STILLET
OXYGEN
TUBING/
BAINSCIRCUITS
AMBU BAG
WITH& MASK
LARYNGOSCOPE &
BLADE OF DIFERENT
SIZES
WATER SOLUBLE
LUBRICANT
NEBULISER
Oxygen cylinder
Electronic Devices
ECG Monitor
Pulse Oxymeter
Infusion pump
STANDARD
RESUSCITATION DRUGS
TROLLEY
Pre - departure
Equipment must be
checked for
Monitors
Oxygen cylinders are full
Manual Resuscitation bag
Airway & intubations equipment
Emergency drugs & muscle
relaxant
Chest tube clamp
Patient notes, imaging films lab
PREPARING PATIENT
FOR TRANSPORT
DOCUMENTATION
Indication
for transport
Patient
status during
transport
vital signs
Level of consciousness
MONITORING
o
Pulse
Oxygen saturation
BP,RR
IN-TRANSIT PROCEDURE
A best route
Continuous monitoring
ARRIVAL PROCEDURE
#
Assessment
Shifted
Ventilators established
Complete handover
CONCLUSION
Systematic approach
Careful planning