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Transport of the Critically Ill Child 

Transport of the Critically Ill Child
Chapter:
Transport of the Critically Ill Child
Author(s):

Kathryn Felmet

and Richard Orr

DOI:
10.1093/med/9780199918027.003.0003
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date: 27 January 2022

This chapter provides essential information about risks and therapeutic opportunities related to interfacility and intrafacility transport of critically ill children. Background information regarding US regulation of the transfer of patients via the Consolidated Omnibus Budget Reconciliation Act is provided. Also discussed is information crucial to making decisions about mode of transport (ground vs. air, helicopter vs. fixed wing), including presentations of specific risks related to each (vibration, noise, cold, changes in barometric pressure affecting oxygenation and volume of gas in enclosed patient cavities). Options for team composition (via emergency medical services, local emergency department providers, or pediatric specialized transport teams) are described. Finally, the concept of “the golden hour” is reviewed along with pitfalls when it is applied inappropriately to critically ill children who would benefit from more aggressive efforts at stabilization than rapid transfer without such efforts.

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