Pediatric and neonatal interfacility transport: results from a national consensus conference

Michael H Stroud1, Michael S Trautman, Keith Meyer

  • 1Department of Pediatrics, Section of Critical Care Medicine, University of Arkansas for Medical Sciences, USA. stroudmichaelh@uams.edu

Pediatrics
|July 4, 2013
PubMed

Insights

Pediatric and neonatal interfacility transport has advanced significantly, with teams now acting as mobile ICUs. This article updates guidelines on critical care transport, reflecting a decade of progress and expert consensus.

Area of Science:

  • Neonatal and pediatric critical care medicine
  • Emergency medical services
  • Transport medicine

Background:

  • The field of pediatric/neonatal interfacility transport has seen substantial growth and evolution.
  • Existing guidelines for transport practices are over ten years old, necessitating an update.
  • Transport teams function as sophisticated mobile intensive care units (ICUs).

Framework:

  • This article presents the consensus views of leading experts in transport medicine.
  • It details the advancements in interfacility transport practices over the last decade.
  • The content reflects the perspective of the American Academy of Pediatrics' Section on Transport Medicine.

Implementation:

  • Highlights the evolution of transport teams into highly capable mobile ICUs.
  • Discusses the critical care capabilities delivered during pediatric and neonatal transports.
  • Emphasizes the need for updated best practices in the expanding field of transport medicine.

Implications:

  • Provides a contemporary overview of best practices in pediatric and neonatal critical care transport.
  • Informs healthcare providers and policymakers on the current state and future direction of transport medicine.
  • Establishes a foundation for updated guidelines and standards in interfacility critical care transport.

Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including: