Sick babies and children are moved between hospitals for many reasons, often to receive specialist care and treatment not available locally. For the transfer to be safe and effective it is necessary to plan carefully for these occasions, and for the doctors and nurses attending the transport to be able to provide intensive care on the move. The book provides guidance in both of these major areas. The first section - 'Planning for Safe and Effective Transport' - details issues to be considered by senior staff in setting-up or modernising a transport programme. General principles and relevant physiology are outlined, and vehicles and equipment are discussed in depth. The second section - 'Practical Transport Management' - is concerned with different patient groups and key clinical issues. These include the distinctive features of neonatal and paediatric patients, and management of airway, breathing and circulation. Other chapters discuss airborne transport, pharmacology, trauma, and special interventions for transport such as extracorporeal membrane oxygenation and inhaled nitric oxide.
Author(s): Peter Barry, Andrew Leslie
Edition: 1
Publisher: BMJ Books
Year: 2003
Language: English
Pages: 161
Cover......Page 1
Contents......Page 6
Contributors......Page 8
Acknowledgements......Page 10
Foreword......Page 12
Part 1 Planning for safe and effective transport......Page 14
1 Principles of safe transport......Page 16
2 Transport physiology......Page 27
3 The ambulance environment......Page 32
4 Equipment and monitoring......Page 38
5 Air transport of critically ill children......Page 49
Part 2 Practical transport management......Page 54
6 Neonatal resuscitation and stabilisation......Page 56
7 Paediatric resuscitation and stabilisation......Page 66
8 Management of the airway and breathing......Page 82
9 Management of the circulation......Page 92
10 Trauma......Page 103
11 Special transport interventions......Page 115
12 What to do when it all goes wrong......Page 121
13 Drugs......Page 125
Appendix 1:Typical retrieval forms......Page 136
Appendix 2: Essential equations and aide-mémoires......Page 147
Selected references and bibliography......Page 148
Index......Page 152
