ABC of Transfer and Retrieval Medicine - Product Image

ABC of Transfer and Retrieval Medicine

  • ID: 3024865
  • Book
  • 224 Pages
  • John Wiley and Sons Ltd
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ABC of Transfer and Retrieval Medicine provides the key information required to help health care professionals involved in the movement of critically ill patients to do so safely, correctly and with confidence.

Beginning with the practical and clinical considerations to be taken into account during patient transfer and an overview of transfer equipment, it then addresses pharmacological aspects of patient transfer, the roles and responsibilities of the transfer team, and the requirements of neonatal, paediatric and specialist transfers.

Mapped against the syllabus for the Diploma of Retrieval and Transfer Medicine (Royal College of Surgeons of Edinburgh), it has been developed as a core resource for the diploma whilst providing an invaluable resource for any healthcare professional involved in the transfer of critically ill patients including anaesthetists, intensivists, nurses from ICU/ED and paramedics. It also includes frameworks for radiology and arterial blood gas interpretation, guidance on patient triage, transfer checklists and equipment checklists, and a summary of the relevant national guidelines.

From a multidisciplinary international author team, this new addition to the ABC series is a useful resource for all health care professionals involved in the transfer of patients. It is relevant to anaesthetists, intensivists, paramedics, critical care and emergency department nursing staff who are required to take part in intra and inter hospital transfers.

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Contributors ix

Preface xiii

List of Abbreviations xv

1 Introduction 1A. Low and J. Hulme

SECTION 1 PHYSIOLOGY OF TRANSFER MEDICINE 3

2 Acceleration Deceleration and Vibration 5M. Sheils and C. Hore

3 Environmental Exposure and Noise 9P. Paal and M. Helm

4 Altitude Physiology 13Y. Wimalasena and C. Duncan

SECTION 2 CLINICAL CONSIDERATIONS 19

5 Resuscitation and Stabilisation 21C. Reid and K. Habig

6 Patient Packaging and Nursing Care 28C. Small and F. Clarke

7 Mode of Transport 31A. Cadamy and T. Martin

8 International Repatriations 36B. Vadera

9 Critical Incidents 39J.M. Droogh and J.G. Zijlstra

SECTION 3 TRANSFER EQUIPMENT 43

10 Electrical Supply and Batteries 45G. Roberts and J. Hulme

11 Transport Ventilators and Medical Gas Supply 47J. Bingham

12 Monitoring 51A. Corfield and S. Hearns

13 Drug Delivery 54J. Cuell and M. McCabe

14 Near Patient Testing and Imaging 58A. Low and T. Harris

15 Haemorrhage Control and Splinting 63A. Hughes and A.Weaver

16 Stretchers Incubators and Vacuum Mattresses 70H. Bawdon and M.Ward

17 Personal Protective Equipment 73C. Bosanko and S. Hepburn

18 Communication and Navigation 77I. Locke

SECTION 4 PHARMACOLOGY OF TRANSFER MEDICINE 81

19 Routes of Administration 83T. Nutbeam and R. Fenwick

20 Pre–hospital Sedation and Analgesia 88J. Hulme

21 Sedation and Neuromuscular Blockers 92E. Joynes and B. Munford

22 Inotropes and Vasopressors 96A. Fergusson and R. Tipping

23 Specialist Pharmacology: Haemostatics and Uterotonics 100P. Morgan and D. Lockey

SECTION 5 THE TRANSFER TEAM 105

24 Managing and Leading a Transfer 107D. Ellis and S. Mazur

25 Teamwork and Communication 111C. McQueen and K.Thies

26 Non–technical Skills and Sources of Error 115C. McQueen and M. Horton

27 Standard Operating Procedures Checklists and Documentation 119S. Sollid and O. Uleberg

28 Audit Medicolegal and Ethical Aspects of Transfer Medicine 122G. Evetts S. Cox and R. Tipping

29 Training for Transfers 126J.Warwick and D. Quayle

SECTION 6 NEONATAL AND PAEDIATRIC TRANSFERS 131

30 Anatomical and Physiological Considerations 133S. Revana

31 Neonatal Medical Transfers 137Lesley Jackson

32 Paediatric Medical Retrievals 142 -S. Ray and E. Polke

33 Paediatric Trauma Retrievals 146Mary Montgomery

34 Additional Considerations 152H. McNeilly and J. Hegarty

SECTION 7 SPECIALIST TRANSFERS 155

35 Head & Spinal Injuries 157R. Protheroe and F. Lecky

36 Burns 160T. Muehlberger M. Büeschges and C. Ottoman

37 Polytrauma and Military Retrievals 164D. Keene and O. Bartells

38 Obstetric Transfers 169H. Simpson

39 Cardiac Transfers 174C.Westrope and C. Harvey

40 Contagious Patients 178R. MacDonald

41 Bariatric Patients 183Z. Dempsey and M. Ross

42 Acute Behavioural Disturbances 187M. Le Cong

43 Considerations Regarding Organ Donation 190Anders Aneman andWilliam O′Regan

Appendix 1 Framework for Radiology Interpretation 193

Appendix 2 Framework for Interpretation of Arterial Blood Gases 194

Appendix 3 Example of a Triage Sieve 195

Appendix 4 Example of a Transfer Checklist 196

Appendix 5 Example of Equipment Inventory 197

Appendix 6 Summary of useful National Guidelines 201

Index 203

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Adam Low, Specialist Registrar in Anaesthetics, West Midlands Deanery, West Midlands Central Accident Resuscitation & Emergency (CARE) Team, West Midlands Ambulance Service NHS Foundation Trust Medical Emergency Response Incident Team (MERIT), UK; AMREF Flying Doctors, Kenya

Jonathan Hulme, Consultant in Intensive Care Medicine and Anaesthesia, Sandwell and West Birmingham Hospitals NHS Trust; Honorary Senior Clinical Lecturer, University of Birmingham, Birmingham; West Midlands Ambulance Service NHS Foundation Trust Medical Emergency Response Incident Team (MERIT); Medical Director, West Midlands Central Accident Resuscitation & Emergency (CARE) Team; Mercia Accident Rescue Service (MARS) BASICS, UK

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