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Transport of the mechanically ventilated pediatric patient
Derek S Wheeler1, W Bradley Poss
1Division of Critical Care Medicine, Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA.
Insights
Specialized pediatric transport medicine is crucial for critically ill children needing care at major centers. This field will grow in importance, supporting the medical home model for comprehensive, localized child healthcare.
Area of Science:
- Pediatric critical care medicine
- Healthcare management systems
Background:
- Quality care for critically ill children is essential.
- Specialized pediatric services are often concentrated in major medical centers.
- Transport to tertiary pediatric centers may be necessary.
Purpose of the Study:
- To highlight the growing importance of pediatric transport medicine.
- To discuss the integration of transport medicine with the medical home concept.
- To project future trends in pediatric healthcare delivery.
Main Methods:
- Review of current pediatric critical care and transport practices.
- Analysis of the evolution of healthcare management models.
- Discussion of the medical home concept and its implications.
Main Results:
- Pediatric and neonatal transport teams are vital for accessing specialized care.
- The medical home model emphasizes cost-effective, systematic healthcare.
- This model focuses on providing rehabilitative and long-term care closer to home.
Conclusions:
- Pediatric transport medicine is increasingly important for critically ill children.
- The medical home concept influences the delivery of specialized pediatric care.
- The field of pediatric transport medicine is expected to expand significantly in the next decade.
Abstract:
Children deserve quality care when they are critically ill or injured. Specialized pediatric services may be limited outside major medical centers. Transport by specialized pediatric and neonatal transport teams may be required to deliver patients to tertiary pediatric medical centers. In addition, in the past decade a cost-effective, organized, systematic approach to health care management has assumed greater importance, leading to the concept of the so-called medical home. In this model, a child with a complex medical problem is cared for in the environment in which he or she will receive the best care, with emphasis on providing rehabilitative and long-term care near the child's home. It is likely, then, that the field of pediatric transport medicine will assume greater importance in the coming decade.