scholarly journals 101 COVID proofing a paediatric intensive care transport service

2020 ◽  
Author(s):  
Cathy Roberts ◽  
Mark Clement ◽  
Maeve O’Connor
Keyword(s):  
Intensive Care ◽  
Paediatric Intensive Care ◽  
Transport Service ◽  
Intensive Care Transport

Interhospital paediatric intensive care transport: a novel transport unit based on a standard ambulance trolley

2003 ◽  
Vol 10 (3) ◽  
pp. 195-199 ◽  
Author(s):  
Gijs D. Vos ◽  
Wim A. Buurman ◽  
Dick A. van Waardenburg ◽  
Timo P.L. Visser ◽  
Graham Ramsay ◽  
...  
Keyword(s):  
Intensive Care ◽  
Paediatric Intensive Care ◽  
Transport Unit ◽  
Intensive Care Transport

Paediatric retrieval

2016 ◽  
Keyword(s):  
Intensive Care ◽  
Age Distribution ◽  
Paediatric Intensive Care ◽  
Critically Ill Children ◽  
Disease Spectrum ◽  
System P ◽  
Clinical Scenarios ◽  
Intensive Care Transport ◽  
Low Incidence ◽  
Age Range

Paediatric critical care retrieval provides some of the most challenging clinical scenarios for the retrieval physician. Children have a relatively low incidence of critical illness in comparison to adults and they constitute a minority of the population (around 20% or less in high-income countries). Approximately 50% of critically ill children are under 2 years of age, with a more even age-distribution from pre-school through to school-age and teenage years. Consequently, paediatric intensive care and paediatric intensive care retrieval are low volume, highly specialized areas of practice in healthcare systems that cater predominantly for adults. In comparison to neonatal retrieval, the case load in paediatric intensive care transport is small; however, there is a much wider spectrum of pathology. Thus, paediatric intensive care transport differs from both adult and neonatal retrieval. It requires appropriate specialist expertise and skills in the entire age-range and disease spectrum of paediatric intensive care as well as a well-designed paediatric retrieval system.

scholarly journals Towards Safer Transport of Sick and Injured Children

1983 ◽  
Vol 11 (2) ◽  
pp. 113-117 ◽  
Author(s):  
H. Owen ◽  
A. W. Duncan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Paediatric Intensive Care Unit ◽  
Paediatric Intensive Care ◽  
Transport Service ◽  
Artificial Airway ◽  
Paediatric Emergency ◽  
Educational Role ◽  
Emergency Transport

A Paediatric Emergency Transport Service has been operating from the Paediatric Intensive Care Unit of the Royal Children's Hospital, Melbourne, for the last three years. The records of the first 158 patients evacuated have been analysed and are reported. Problems relating to the care of the airway and artificial airway have been the most common. The need for careful pre-transport resuscitation and stabilisation is emphasised. The educational role of a transport service both at the time of initial consultation and at the time of retrieval is stressed.

scholarly journals Interhospital transport of children with bronchiolitis by a statewide emergency transport service

2021 ◽  
Vol 23 (3) ◽  
pp. 292-299
Author(s):  
Kieren P Fahey ◽  
◽  
Ben Gelbart ◽  
Felix Oberender ◽  
Jenny Thompson ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
High Flow ◽  
Paediatric Intensive Care ◽  
Transport Service ◽  
High Flow Nasal Cannula ◽  
Interhospital Transport ◽  
Emergency Transport ◽  
Adjusted Rate ◽  
Over Time

OBJECTIVE: To investigate the rate of interhospital emergency transport for bronchiolitis and intensive care admission following the introduction of high flow nasal cannula and standardised paediatric observation and response charts. DESIGN: Retrospective cohort study. SETTING: A statewide paediatric intensive care transport service and its two referral paediatric intensive care units (PICUs) in Victoria, Australia. PARTICIPANTS: Children less than 2 years old emergently transported with bronchiolitis during two time periods: 2008–2012 and 2015–2019. MAIN OUTCOME MEASURES: Incidence rates of bronchiolitis transport episodes, PICU admissions and respiratory support. RESULTS: 802 children with bronchiolitis were transported during the study period, 233 in the first period (2008–2012) and 569 in the second period (2015–2019). The rate of interhospital transport for bronchiolitis increased from 32.9 to 71.8 per 100 000 children aged 0–2 years. The population-adjusted rate of PICU admission increased from 16.2 to 36.6 per 100 000 children aged 0–2 years. Metropolitan hospitals were the predominant referral source and this increased from 60.1% of transports to 78.6% (P < 0.001). In children admitted to a PICU, the administration of high flow nasal cannula during transport increased significantly from 1.7% to 75.9% (P < 0.001) and a concomitant reduction in continuous positive airway pressure and mechanical ventilation occurred (40–12.4% and 27–6.9% respectively; P < 0.001). The proportion of mechanical ventilation as well as PICU and hospital length of stay decreased over time. CONCLUSIONS: The population-adjusted rate of interhospital transport and admission to the PICU for bronchiolitis increased over time. This occurred despite a lower rate of non-invasive and invasive mechanical ventilation during transport and in the PICU.

Essentials of paediatric intensive care

2005 ◽  
Vol 94 (6) ◽  
pp. 814-814
Author(s):  
Bjorn Larsson
Keyword(s):  
Intensive Care ◽  
Paediatric Intensive Care
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