first its kind

1. Dr vipul thakkar
Consultant – critical care
Cims hospital , ahmedabad

5.  Transport
monitor,
 Airway- expert, transport ventilator
 Check ET Position, FIX, suction, confirm
receiveing facility
 Special
need- PEEP, MODE of ventilation

6.  High
vasopressors – refractory shock ?
 High
FiO2, High oxygen requirement..
?
Benefits of transfer vs. risk during ……?

7.  TRANSFER
– SHOULD “ mobile but seamless
continuation of ICU environment”

8.  Checklist
for MAN, MACHINE, drugs
 Prior
communication with team members
and destination team
 Assess
route-time of transfer
 Document
the process , events.

9.  WHO
should accompany pt.?
 What equipment, monitors needed ?
 Adequacy of equipment Amount, size, functional status

10.  Doctor,
nurse, assistant
 Clear chain of responsibility
 Proper hand over referring transfer
receiving doctor

11.  Familiar
 Adequate
battery back up for monitor,
 Check, o2 cylender- suction , defib.
 Empty
drainage bags

12.  Pt.
special need
 Staff-
adequacy, awareness of responsibility
 Receiving

facility- informed, prepared
specific transport condition….road,
distance, weather, vehicle, lighting
 Check
the route
 Proper take over by receiving team

13.  Clinical
 Pt.
status before, during , after transfer
condition- trend
 Medicolegal
 In
implications
end, evaluate process of transfer- for
quality improvement

14.  NO
TRANSFER without fixing ABC…
 Secure
Airway when doubt, borderline
indication- INTUBATION
 Adequate
i. v. access-

15.  Unco-operative
pt. without secured airwayvery dangerous –
 Put
URINARY CATH, RT, CVC in indicated pt.
before transfer.not
 Do
not remove support , monitoring before
TRANSPORT