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Transfer to DenitiveCare

Department of Anesthesiology & Intensive Therapy Waled General Hospital

Cirebon

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Transfer Principles

● Know institutional capabilities.

● Be prepared and anticipate patient

needs.● Do no further harm.

● Identify patients whose needs

exceed local resources.

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Transfer Principles

● Perform only essential procedures.

● stablish direct communication

between referrin! and receivin!doctors.

● Transport to closest" appropriate

facility.

● #se most appropriate mode of

transport.

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Transfer

Decisions

● Patients with multiple

in$uries● Patients whose needs

exceed institutionalcapabilities

●

Patients withcomorbidities●   xtremes of a!e●   Preexistin! disease

Whom do I transport?

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Transfer Decisions 

● Transfer to an institutioncapable of providin! e%uipmentand resources

● Transfer to an appropriate"%ualied physician who can&●   'a(e the dia!nosis

●   Treat the patient)s in$uries●   Provide commitment and

resources

Where should I send the patient?

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Transfer Decisions 

● Transfer after  life*threatenin!problems are mana!ed.

● Transfer after  disablin! in$uries arestabili+ed.

● Transfer after  arran!ements aremade.

● Transfer before performin!unnecessary tests and procedures.

When should I transport the patient?

,voiddelay-

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Transfer Decisions 

Determine by&

● Care re%uired enroute

● Patient destination

● ,vailable resources

● xistin! transfera!reements

How should I transport the patient?

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/ummary

● What  is the problem

0ot all hospitals can care for alltrauma patients.

● Whom do I transfer

Patients whose needs exceedlocal resources.

● Where should I send thepatient

Ideally" to a veried traumacenter.

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/ummary

● When should I transport thepatient

,fter immediate" life*threatenin!

in$uries are addressed.

● How should I transport thepatient

,ccordin! to the patient)s needs

and available resources.

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time saving is life and limbsaving

The Right Patient to The RightPlace in The Right Time

Preparedness, prevention,mitigation, quick response dan

rehabilitation

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Than( you1