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inter-hospital transport of critically ill patients; expect surprises跨基础运输危重病人;
Droogh et al. Critical Care 2012, 16:R26
/content/16/1/R26
RESEARCH Open Access
Inter-hospital transport of critically ill patients;
expect surprises
1* 1 2 3 4 1
Joep M Droogh , Marije Smit , Jakob Hut , Ronald de Vos , Jack J M Ligtenberg and Jan G Zijlstra
Abstract
Introduction: Inter-hospital transport of critically ill patients is increasing. When performed by specialized retrieval
teams there are less adverse events compared to transport by ambulance. These transports are performed with
technical equipment also used in an Intensive Care Unit (ICU). As a consequence technical problems may arise and
have to be dealt with on the road. In this study, all technical problems encountered while transporting patients
with our mobile intensive care unit service (MICU) were evaluated.
Methods: From March 2009 until August 2011 all transports were reviewed for technical problems. The cause,
solution and, where relevant, its influence on protocol were stated.
Results: In this period of 30 months, 353 patients were transported. In total 55 technical problems were
encountered. We provide examples of how they influenced transport and how they may be resolved.
Conclusion: The use of technical equipment is part of intensive care medicine. Wherever this kind of equipment is
used, technical problems will occur. During inter-hospital transports, without extra personnel or technical
assistance, the transport team is dependent on its own ability to resolve these problems. Therefore, we emphasize
the importance of having some technical understanding of the equipment used and the importance of training to
anticipate, prevent and resolve technical problems. Being an outstanding inten
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