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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
| Section 1. Prehospital Care > |
Chapter 4. Neonatal and Pediatric Transport
Sections: Neonatal and Pediatric Transport: Introduction, Transport Environment, Preparation of a Patient for Transport, Conduct of a Transport, Special Problems of the Neonate, Special Problems Associated with the Pediatric Patient, References.
Topics Discussed: emergency medical services transportation; pediatric critical care patient transport.
Excerpt:"Regionalized intensive care is a concept that has gained wide
acceptance in neonatology and pediatric care.1 This
concept mandates that expensive, high-technology, labor-intensive
therapies be limited to a few regional centers. Because patients
in need of these services may initially present to other hospitals,
interfacility transport has developed as a complement to regionalized
intensive care.2 The referring hospital or, more commonly,
the regional center, may assume the responsibility for transport
of a patient to a regional center. Because community EMS systems often
are not equipped to transport critically ill children, the interfacility transport
of pediatric patients frequently is conducted by specialized transport
services.2 Under these circumstances, the referring
hospital and its medical care staff have important responsibilities
related to transport; ED personnel often assume these responsibilities
because the ED is the site of initial care...."
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