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[Interhospital critical care transport].

Maximilian Feth1, Carsten Zeiner2, Guy Danziger2

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Summary

Interhospital critical care transfers move critically ill patients safely between hospitals. Proper planning and specialized teams ensure successful patient transport without compromising care.

Keywords:
AmbulancesCrew ressource managementCritical careEmergency medical servicesTransportation of patients

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Area of Science:

  • Critical Care Medicine
  • Emergency Medicine
  • Logistics Management

Context:

  • Critically ill patients requiring specialized procedures often need transfer between hospitals.
  • Existing hospital facilities may lack necessary equipment for advanced diagnostics or therapeutics.
  • Interhospital critical care transfer is essential for patients needing specialized care not available locally.

Purpose:

  • To describe the complexities and phases of interhospital critical care transport.
  • To highlight the importance of specialized teams and logistical planning.
  • To discuss adaptations for special missions, such as extracorporeal organ support.

Summary:

  • Interhospital critical care transfer involves moving critically ill patients between facilities without interrupting care.
  • These transfers are resource-intensive, demanding specialized teams, predeployment planning, and efficient crew-resource management.
  • Safe transfers are achievable with adequate planning, even for complex cases like those requiring extracorporeal organ support.

Impact:

  • Ensures continuity of specialized care for critically ill patients.
  • Provides a framework for managing challenging logistical and medical requirements of patient transport.
  • Improves patient outcomes by facilitating access to advanced medical interventions.