Transportasi Pasien

Emil Huriani

General Principles

We define as critically ill patients those that by

dysfunction or deep failure of one or more organs
or systems, depends his/her survival from
advanced instruments of monitoring and therapy.
The transport of these patients takes some risks
but it is acceptable between hospitals or services
in the same hospital in order to give a better
assistance or to make laboratory or image exams,
which are not available in the service, or
institution where the patient is admitted.

The transport of critically ill

patients takes the following
Decision
steps:
The decision of transporting a patient in serious condition is a

medical action. Therefore, the responsibility is ascribed to the

doctor who is attending the patient but also from the chief of
the team and the service direction.

Planning

The planning of the action is effected by the medical and

nurse team of the service or unit and should consider the
following problems:
The choice and the contact with the receptor service,
evaluating the distance and the time delay;
2he choice of the mode of transport;
The selection of accurate monitoring methods and devices;
Individualized prediction of possible complications;
The selection of general and specific therapy instruments
The choice of the transport team (according to the availability
and the characteristics of the patient).

The transport of critically ill

patients takes the following
Implementing
steps:

The implementing of the transport is in charge of the selected transport

team, and its technical and legal responsibility finishes only when the
patient is delivered to the medical team of the destination service or on
the arrival to the original service (when the transport is done for the
fulfilling of diagnostic and / or therapeutical procedures) similar
responsibilities for the doctors when they decide a transport.
The quality of surveillance and therapy procedure during the transport
should not be lower than those verified at the referring service.
Purpose: Production of practical rules for the transport (between
hospitals or in the same hospital) of patients in serious condition.
Sources: Revision of data with key words (Medline), systematic
presentation of self-experiences.
Team work: Doctors and nurses members of the Sociedade
Portuguesa de Cuidados Intensivos - SPCI -, with experience in the
transport of patients in serious condition.
Key words: Transport (between hospitals or in the same hospital)
serious condition, air transport, polytrauma, ambulance, medical-legal
responsibility, protocols.

Tanggung jawab petugas

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Coordination before the transport

Professionals to escort the patient
Equipment
Monitoring
Decision for the transport interhospital of critically ill patients

Cervical Collar

Head Immobilizer

Scoop Stretcher

The Scoop Stretcher lets place

a stretcher beneath a patient
without lifting or log rolling.
The Scoop Stretcher supports
and immobilizes in the
position found, reducing the
risk of further injury. Ideal for
hip injuries and accident
victims found on the street.
Concave surface cradles
patient, provides support, and
minimizes lateral movement.
Adjustable for patients of all
sizes. Lightweight aluminum
stretcher folds in half for
storage; separates for
application and removal.

Cara penggunaan

Scoop Stretcher

Basket Stretcher

Basket Stretcher

FLOTATION
STRETCHER COLLAR
For use with Splint
Stretchers to provide
flotation during
patient handling in
water. Easily attached
with hook and loop
type fasteners to any
Stokes type stretcher.

Basket Strecther

STRETCHER BRIDLE
SLING
The Stretcher Bridle
Sling provides
horizontal or vertical
lifting capacity of up
to 2,000 lbs. Made of
1" nylon webbing
resistant to moisture
and fungus rot with
forged snap hooks and
3" ID forged steel
suspension ring..

Vacuum Mattress

Vacuum Mattress

Back Board

KED Extrication Vest

may be used for both

extrication and fracture
management. Also designed to
be used as a papoose for small
children or as a restraint in
behavioral emergencies. Both
radiological and Advanced Life
Support procedures may be
performed while the device is in
place. Standard extrication
device procedures apply with
the use of product. Allows for
spine and thorax
immobilization. Designed to
reduce the risk of further
aggravating injuries while
extricating patients trapped in
automobile seats and other
confined areas. May also be
used as a hip and pelvic splint.

Splint/Bidai

PADDED BOARD
SPLINT
This Padded board splint
is designed to conform
to contours of limbs,
This product allows
fractures to be splinted
ease, each board is
manufactured of
plywood, covered with
foam padding, and
encased in a heavy poly
material.

Splints

Wire Ladder Splints

Wire ladder splints are easily molded to any desired
shape to support and stabilize fractures.

Splint

LEG TRACTION SPLINT

The splint has several unique
and proprietary features. By
centering the Hex Lock the
splint can quickly be adjusted
to any size. Once the length
has been determined, the
intuitive locking mechanism is
engaged by turning the Hex
Lock to either side. The Hex
Lock system has been
designed to work in the worst
of weather conditions. No
concern with thread direction
and no problems with dirt or
corrosion which cause other
splints to malfunction.

Splint

Trauma Pants

Use for shock counterpressure or immobilization.

The field repairable garment comes complete
with storage case.

On-board Medical
Equipment:

Eagle transport ventilator

Three channel IV pumps
Propaq Encore Monitor for
ECG, NIBP, invasive line,
and temperature
Lifepak 12 cardiac monitor
with 12 lead, pacing, and
hands off defibrillation
End tidal CO2 monitoring
Pulse oximeter
Bispectral Index Monitor
(BIS)
Liquid oxygen
Capable of transporting
cardiac balloon pump
Neonatal isolette with
nitric if needed