Abstract
After studying this chapter you should be able to do the following: Interhospital patient transport Reasons for interhospital transport Legal requirements governing interhospital transport Methods of interhospital transport Logistics of interhospital transport Intrahospital patient transport Reasons for intrahospital transport Risks and complications during intrahospital transport Logistics of intrahospital transport Avoiding complications during intrahospital transport Equipment needs and guidelines for intrahospital transport Critical care during intrahospital transport
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
National Highway Traffic Safety Administration. The national EMS scope of practice model. DOT HS 810 657 February 2007. http://www.nasemsd.org/Projects/ScopeOfPractice/; 2008 Accessed 28.03.08.
Woodward GA et al. The state of pediatric interfacility transport: consensus of the second national pediatric and neonatal interfacility transport medicine leadership conference. Pediatr Emerg Care. 2002;18:38-43.
Woodward GA. American Academy of Pediatrics Section on Transport Medicine: Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients. 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics; 2006.
Centers for Medicare and Medicaid Services. EMTALA http://www.cms.hhs.gov/EMTALA; 2008 Accessed 29.03.08.
National Highway Traffic Safety Administration. Guidelines for interfacilty patient transfer. DOT HS 810 599 April 2006 http://www.nhtsa.dot.gov/people/injury/ems/Interfacility/images/Interfacility.pdf; 2008 Accessed 27.03.08.
Shelton SS et al. National association of EMS physicians position paper: medical direction of interfacility transports. Prehosp Emerg Care. 2000;4:361-364.
Appropriate Interhospital Patient Transfer. American college of emergency medicine policy statement. Ann Emerg Med. 1997;30:365.
Waddel G. Movement of critically ill patients within hospital. Br Med J. 1975;2:417-419.
Insel J, Weissman C, Kemper M, Askanazi J, Hyman AI. Cardiovascular changes during transport of cortically ill and postoperative patients. Crit Care Med. 1986;14:539-542.
Indeck M, Peterson S, Smith J, Brotman S. Risk, cost, and benefit of transporting ICU patients for special studies. J Trauma. 1988;28:1020-1025.
Hurst JM, Davis K, Johnson DJ, Branson RD, Campbell RS, Branson RS. Cost and complications during in-hospital transport of critically ill patients: a prospective cohort study. J Trauma. 1992;33:582-585.
Smith I, Flemming S, Cernaianu A. Mishaps during transport from the intensive care unit. Crit Care Med. 1990;18:278-281.
Szem JW, Hydo LJ, Fischer E, Kapur S, Lemperer J, Barie PS. High-risk intrahospital transport of critically ill patients: safety and outcome of the necessary “road trip”. Crit Care Med. 1995;23:1660-1666.
Lovell MA, Mudaliar MY, Klineberg PL. Intrahospital transport of critically ill patients: complications and difficulties. Anaesth Intensive Care. 2001;29:400-405.
Andrews PJD, Piper IR, Dearden NM, Miller JD. Secondary insults during intrahospital transport of head-injured patients. Lancet. 1990;335:327-330.
Bekar A, Ipekoglu Z, Türeyen K, Bilgin J, Korfali G, Forfali E. Secondary insults during intrahospital transport of neurosurgical intensive care patients. Neurosurg Rev. 1998;21:98-101.
Kollef MH, Harz BV, Prentice D, Shapiro SD, Silver P, St. John R, Trovillion E. Patient transport from intensive care increases the risk of developing ventilator-associated pneumonia. Chest. 1997; 112:765-773.
McCunn M, Mirvis S, Reynolds N, Cottingham C. Physician utilization of a portable computed tomography scanner in the intensive care unit. Crit Care Med. 2000;28:3808-3813.
Porter JM, Ivatury RR, Kavrana M, Verrier R. The surgical intensive care unit as a cost-efficient substitute for an operating room at a level I trauma center. Am Surg. 1999;4:328-330.
van Natta TL, Morris JA, Eddy VA, et al. Elective bedside surgery in critically injured patients is safe and cost-effective. Ann Surg. 1998;227:618-626.
Warren J, Fromm RE, Orr RA, Rotello LC, Horst HM. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med. 2004;32:256-262.
Minimum standards for intrahospital transport of critically ill patients. Emerg Med (Australasia). 2003;15:202-204.
Nam S, Kim K, Nam Y, Shim J. The changes in delivered oxygen fractions using Laerdal resuscitator bag with different types of reservoir. Yonsei Med J. 2001;42:242-246.
Mazzolini DG, Marshall NA. Evaluation of 16 adult disposable manual resuscitators. Respir Care. 2004;49:1509-1514.
Gervais HW, Balthsasa E, Konietzke D, Hennes HJ, Dick W. Comparison of blood gases of ventilated patients during transport. Crit Care Med. 1987;15:761-763.
Weg J, Haas C. Safe intrahospital transport of critically ill ventilator-dependent patients. Chest. 1989;96:631-635.
Evans A, Winslow EH. Oxygen saturation and hemodynamic response in critically ill, mechanically ventilated adults during intrahospital transport. Am J Crit Care. 1995;4:106-111.
Hurst JM, Davis K, Branson RD, Johannigman JA. Comparison of blood gases during transport using two methods of ventilatory support. J Trauma. 1989;29:1637-1640.
Braman SS, Dunn SM, Amico C, Millman RP. Complications of intrahospital transport in critically ill patients. Ann Intern Med. 1987;107:469-473.
Nakamura T, Fujino Y, Uchiyama A, Mashimo T, Nishimura M. Intrahospital transport of critically ill patients using ventilator with patient-triggering function. Chest. 2003;123:159-164.
Anon. Portable/transport ventilators: our latest look at what’s on the market. Health Devices. 2007;36:84-95.
Additional Reading
National Highway Traffic Safety Administration. The national EMS scope of practice model. DOT HS 810 657 February 2007. http://www.nasemsd.org/Projects/ScopeOfPractice/.
Centers for Medicare and Medicaid Services. EMTALA http://www.cms.hhs.gov/EMTALA; 2008 Accessed 29.03.08.
National Highway Traffic Safety Administration. Guidelines for interfacilty patient transfer. DOT HS 810 599 April 2006 http://www.nhtsa.dot.gov/people/injury/ems/Interfacility/images/Interfacility.pdf.
Shelton SS et al. National association of EMS physicians position paper: medical direction of interfacility transports. Prehosp Emerg Care. 2000;4:361-364.
Appropriate Interhospital Patient Transfer. American college of emergency medicine policy statement. Ann Emerg Med. 1997;30:365.
Warren J, Fromm RE, Orr RA, Rotello LC, Horst HM. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med. 2004;32:256-262.
Minimum standards for intrahospital transport of critically ill patients. Emerg Med (Australasia). 2003;15:202-204.
Nam S, Kim K, Nam Y, Shim J. The changes in delivered oxygen fractions using Laerdal resuscitator bag with different types of reservoir. Yonsei Med J. 2001;42:242-246.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Schartel, S.A., Yeh, E.L. (2010). Transport of Critically Ill Patients. In: Criner, G., Barnette, R., D'Alonzo, G. (eds) Critical Care Study Guide. Springer, New York, NY. https://doi.org/10.1007/978-0-387-77452-7_14
Download citation
DOI: https://doi.org/10.1007/978-0-387-77452-7_14
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-77327-8
Online ISBN: 978-0-387-77452-7
eBook Packages: MedicineMedicine (R0)