Transportasi PasienEmil Huriani

General PrinciplesWe 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 steps: Decision 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 steps:Implementing 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 petugasCoordination before the transport Professionals to escort the patient Equipment MonitoringDecision for the transport inter-hospital 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 StretcherFLOTATION 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 StrectherSTRETCHER 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 Vestmay 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/BidaiPADDED 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.

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

SplintLEG 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 PantsUse 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