- Section 1 ICU organization and management
- Part 1.1 The intensive care unit
- Chapter 1 Design of the ICU
- Chapter 2 Staffing models in the ICU
- Chapter 3 Rapid response teams for the critically ill
- Chapter 4 In-hospital transfer of the critically ill
- Chapter 5 Pre- and inter-hospital transport of the critically ill and injured
- Chapter 6 Regional critical care delivery systems
- Chapter 7 Integration of information technology in the ICU
- Chapter 8 Multiple casualties and disaster response in critical care
- Chapter 9 Management of pandemic critical illness
- Part 1.2 Communication
- Part 1.3 Training
- Part 1.4 Safety and quality
- Part 1.5 Governance
- Part 1.6 Research
- Part 1.7 Medico-legal and ethical issues
- Part 1.8 Critical illness risk prediction
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care
(p. 14) In-hospital transfer of the critically ill
- Chapter:
- (p. 14) In-hospital transfer of the critically ill
- Author(s):
Lorna Eyre
and Simon Whiteley
- DOI:
- 10.1093/med/9780199600830.003.0004
While focus has traditionally been on the planning, logistics, and outcome of inter-hospital transfers of the critically-ill patient, attention is turning to in-hospital transfers. Numerically, more in-hospital transfers occur and there is growing evidence that these are associated with a high incidence of adverse events, and increased morbidity and mortality. Appropriate planning, communication, and preparation are essential. Patients should be resuscitated and stabilized (optimized) prior to transfer, to prevent deterioration or instability during transfer. Endotracheal tubes and vascular access devices should be secure. The minimum recommended standards of monitoring should be applied. All drugs and equipment likely to be required during the transfer should be checked and available. Critically-ill patients should be accompanied by personnel with the appropriate knowledge skills and experience to carry out the transfer safely and to deal with any complications or incidents that arise.
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- Section 1 ICU organization and management
- Part 1.1 The intensive care unit
- Chapter 1 Design of the ICU
- Chapter 2 Staffing models in the ICU
- Chapter 3 Rapid response teams for the critically ill
- Chapter 4 In-hospital transfer of the critically ill
- Chapter 5 Pre- and inter-hospital transport of the critically ill and injured
- Chapter 6 Regional critical care delivery systems
- Chapter 7 Integration of information technology in the ICU
- Chapter 8 Multiple casualties and disaster response in critical care
- Chapter 9 Management of pandemic critical illness
- Part 1.2 Communication
- Part 1.3 Training
- Part 1.4 Safety and quality
- Part 1.5 Governance
- Part 1.6 Research
- Part 1.7 Medico-legal and ethical issues
- Part 1.8 Critical illness risk prediction
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care