Transport management of the critically ill. Outcome of study with recommendations

Mesahel, Farouk M. A. and Al-Qahtani, Ali S. (2004) Transport management of the critically ill. Outcome of study with recommendations. Saudi Medical Journal, 25 (4). pp. 533-537.

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Transfer of critically ill patients is a frequent occurrence at the hospitals with limited facilities. Such patients require inter-hospital transfer for specialized services (diagnostic or therapeutic). Those patients are at high risk for complications during transfer. Our establishment is a secondary care hospital situated on the main highway between Riyadh, Kingdom of Saudi Arabia (KSA) and Southern region (Khamis Mushayt and Abha) of KSA. The distance by road in each direction is approximately 700 kilometers for Riyadh and 400 kilometers for Khamis Mushayt and 400 kilometers for Abha. All hospitals along that route do not have neurosurgical service, diagnostic cardiac laboratory, open heart surgery or burn and plastic units. This retrospective study was conducted to audit the hospital process of inter-hospital transfer, to highlight the depth of the problem experienced by referring hospitals in remote areas and present findings to health care policy makers for consideration for future expansion of health services in the region. The records of critically ill patients admitted to the intensive care unit (ICU) from August 1998 until the end of July 2003 were reviewed. The hospital has an operational protocol for the transport of the critically ill patient drawn up from well established international guidelines with modifications to suit local conditions.1 When a diagnostic or therapeutic facility is unavailable within our locality, contact with the referral hospital starts usually by faxing a medical report. Our hospital has a fleet of ambulances composed of 2 mobile ICU and 3 ordinary ambulances. A transport team composed of an anesthetist, a paramedic and an experienced nurse usually accompany the patient depending on the severity of the condition. To avoid possible delays or complications during transport, a checklist containing essential steps prior to transfer was followed. All patients accepted in the hospitals in Riyadh, KSA were transferred by medivac, while those transferred to Southern region were transported either by medivac or ambulance depending on their medical condition. It takes 5-6 hours for the ambulance to reach the hospitals in the Asir region, KSA (Khamis and Abha). The ambulance crew was provided with mobile phone.

Item Type: Article
Subjects: Medicine and Surgery
Divisions: College of Medicine > Medicine and Surgery
Depositing User: Dr.Ali Alqahtani
Date Deposited: 14 Nov 2017 17:20
Last Modified: 14 Nov 2017 17:20

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