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Pediatric Emergency Transport: Communication and Coordination Are Key to Improving Outcomes

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Points & Pearls Excerpt

  • Interfacility transfer of pediatric patients requires coordination between the transferring and receiving facility teams, as well as the transport team.
  • Only 5.5% of community emergency departments have the recommended pediatric medical supplies to stabilize and treat patients in need of subspecialty or critical care.
  • The speed capability of rotor-wing aircraft combined with the ability to avoid traffic allows for travel times that are one-fourth that of ground transportation modalities.

Most Important References

  • Singh JM, Gunz AC, Dhanani S, et al. Frequency, composition, and predictors of in-transit critical events during pediatric critical care transport. Pediatr Crit Care Med. 2016;17(10):984-991. (Retrospective cohort study; 8889 patients) DOI: http://dx.doi.org/10.1097/PCC.0000000000000919
  • King BR, King TM, Foster RL, et al. Pediatric and neonatal transport teams with and without a physician: a comparison of outcomes and interventions. Pediatr Emerg Care. 2007;23(2):77-82. (Prospective cohort study; 14 transport nurses, 539 patients) DOI: http://dx.doi.org/10.1097/PEC.0b013e318030083d
  • * Stroud MH, Prodhan P, Moss M, et al. Enhanced monitoring improves pediatric transport outcomes: a randomized controlled trial. Pediatrics. 2011;127(1):42-48. (Randomized controlled trial; 1995 patients) DOI: http://dx.doi.org/10.1542/peds.2010-1336
  • Orr RA, Venkataraman T, Singleton CA. Pediatric risk of mortality (PRISM) score: a poor predictor in triage of patients for pediatric transport. Ann Emerg Med.18(4):450. (Prospective observational study; 117 pediatric patients) DOI: http://dx.doi.org/10.1016/S0196-0644(89)80682-1
  • Kofos D, Pitetti R, Orr R, et al. Telemedicine in pediatric transport: a feasibility study. Pediatrics. 1998;102(5):E58. (Prospective comparative study; 15 patients evaluated by in-house physician and physician by telemedicine) http://pediatrics.aappublications.org/content/102/5/e58

 

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Publication Information
Authors

Abraham Gallegos, MD; Vijay Prasad, MD, MPH; Calvin G. Lowe, MD, FAAP

Peer Reviewed By

Stephen Patterson, MD, FACEP; Kristy Williamson, MD, FAAP

Publication Date

April 2, 2018

CME Expiration Date

May 2, 2021

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