Jonathan Trager, DO, PA Medical Director at Lehigh University EMS & Police Department and PA Medical Director- Emergency/EMS, Transport and Critical Care Transport at St. Luke’s Emergency & Transport Services, presents the weekly multi-departmental critical care fellows’ lecture (Thursday, 6/13) on “Patient Transport: In-between & Within.”
Lecture Summary (by Dr. Erik Manninen)
- From the horse pulled Moses Ambulance Wagon in 1858 to the first civilian aeromedical service in Australia in 1928 (Royal Flying Doctors Service). First U.S. aeromedical transport service in Los Angeles in 1947 using fixed wing aircraft.
- Helicopter medivac first used in Burma in 1944 and the first to transport to a medical facility was in 1970 to the Shock Trauma Center in Baltimore, Maryland.
- Intra-facility transport (within your hospital) can be more dangerous than inter-facility transport given the lack of standardization/preparation of the former at many institutions. Usually with inter-facility transportation there is more preparation for patient deterioration.
- Pittsburgh Paramedics at the Freedom House founded in 1967 are the first civilian EMS service to be staffed by paramedics in the United States.
- Hand-over tools have helped to standardize communication in transport as well as preparation for transport (e.g., ensuring there are enough medications to last the trip, enough oxygen, etc.).
References
- Kulshrestha, Ashish, and Jasveer Singh. “Inter-hospital and intra-hospital patient transfer: Recent concepts.” Indian journal of anaesthesia 60.7 (2016): 451.
https://www.ncbi.nlm.nih.gov/pubmed/27512159 - Warren, Jonathan, et al. “Guidelines for the inter-and intrahospital transport of critically ill patients.” Critical care medicine 32.1 (2004): 256-262.
https://www.ncbi.nlm.nih.gov/pubmed/14707589 - King, Mary A., et al. “Evacuation of the ICU: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement.” Chest 146.4 (2014): e44S-e60S.
https://www.ncbi.nlm.nih.gov/pubmed/25144509
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