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Transfer of the critical care patient 

Transfer of the critical care patient
Chapter:
Transfer of the critical care patient
Author(s):

Heather Baid

, Fiona Creed

, and Jessica Hargreaves

DOI:
10.1093/med/9780198701071.003.0020
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date: 21 September 2019

The safe transfer of critical care patients may be required for a range of reasons, including diagnostics, treatment, repatriation, or staffing and resourcing needs. This chapter considers both intra-hospital and inter-hospital transfers, and includes the most recent recommendations from the Intensive Care Society. The risks of transferring critical care patients are outlined, with examples of the potential complications. The process of undertaking an intra-hospital transfer is described using a detailed checklist to support the preparation of staff and the patient. Consideration is given to the phenomenon of relocation stress and how this can be managed. Additional information is provided for inter-hospital transfers, including calculation of oxygen cylinder duration and the transfusion of a patient during transfer. The physiological effects of transfer and mechanisms to counter them are described.

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