Details

<p>Contributors ix</p> <p>Preface xiii</p> <p>List of Abbreviations xv</p> <p>1 Introduction 1<br /><i>A. Low and J. Hulme</i></p> <p><b>Section 1 Physiology of Transfer Medicine 3</b></p> <p>2 Acceleration Deceleration and Vibration 5<br /><i>M. Sheils and C. Hore</i></p> <p>3 Environmental Exposure and Noise 9<br /><i>P. Paal and M. Helm</i></p> <p>4 Altitude Physiology 13<br /><i>Y. Wimalasena and C. Duncan</i></p> <p><b>Section 2 Clinical Considerations 19</b></p> <p>5 Resuscitation and Stabilisation 21<br /><i>C. Reid and K. Habig</i></p> <p>6 Patient Packaging and Nursing Care 28<br /><i>C. Small and F. Clarke</i></p> <p>7 Mode of Transport 31<br /><i>A. Cadamy and T. Martin</i></p> <p>8 International Repatriations 36<br /><i>B. Vadera</i></p> <p>9 Critical Incidents 39<br /><i>J.M. Droogh and J.G. Zijlstra</i></p> <p><b>Section 3 Transfer Equipment 43</b></p> <p>10 Electrical Supply and Batteries 45<br /><i>G. Roberts and J. Hulme</i></p> <p>11 Transport Ventilators and Medical Gas Supply 47<br /><i>J. Bingham</i></p> <p>12 Monitoring 51<br /><i>A. Corfield and S. Hearns</i></p> <p>13 Drug Delivery 54<br /><i>J. Cuell and M. McCabe</i></p> <p>14 Near Patient Testing and Imaging 58<br /><i>A. Low and T. Harris</i></p> <p>15 Haemorrhage Control and Splinting 63<br /><i>A. Hughes and A.Weaver</i></p> <p>16 Stretchers Incubators and Vacuum Mattresses 70<br /><i>H. Bawdon and M.Ward</i></p> <p>17 Personal Protective Equipment 73<br /><i>C. Bosanko and S. Hepburn</i></p> <p>18 Communication and Navigation 77<br /><i>I. Locke</i></p> <p><b>Section 4 Pharmacology of Transfer Medicine 81</b></p> <p>19 Routes of Administration 83<br /><i>T. Nutbeam and R. Fenwick</i></p> <p>20 Pre-hospital Sedation and Analgesia 88<br /><i>J. Hulme</i></p> <p>21 Sedation and Neuromuscular Blockers 92<br /><i>E. Joynes and B. Munford</i></p> <p>22 Inotropes and Vasopressors 96<br /><i>A. Fergusson and R. Tipping</i></p> <p>23 Specialist Pharmacology: Haemostatics and Uterotonics 100<br /><i>P. Morgan and D. Lockey</i></p> <p><b>Section 5 The Transfer Team 105</b></p> <p>24 Managing and Leading a Transfer 107<br /><i>D. Ellis and S. Mazur</i></p> <p>25 Teamwork and Communication 111<br /><i>C. McQueen and K.Thies</i></p> <p>26 Non-technical Skills and Sources of Error 115<br /><i>C. McQueen and M. Horton</i></p> <p>27 Standard Operating Procedures Checklists and Documentation 119<br /><i>S. Sollid and O. Uleberg</i></p> <p>28 Audit Medicolegal and Ethical Aspects of Transfer Medicine 122<br /><i>G. Evetts S. Cox and R. Tipping</i></p> <p>29 Training for Transfers 126<br /><i>J.Warwick and D. Quayle</i></p> <p><b>Section 6 Neonatal and Paediatric Transfers 131</b></p> <p>30 Anatomical and Physiological Considerations 133<br /><i>S. Revana</i></p> <p>31 Neonatal Medical Transfers 137<br /><i>Lesley Jackson</i></p> <p>32 Paediatric Medical Retrievals 142<br /><i>S. Ray and E. Polke</i></p> <p>33 Paediatric Trauma Retrievals 146<br /><i>Mary Montgomery</i></p> <p>34 Additional Considerations 152<br /><i>H. McNeilly and J. Hegarty</i></p> <p><b>Section 7 Specialist Transfers 155</b></p> <p>35 Head & Spinal Injuries 157<br /><i>R. Protheroe and F. Lecky</i></p> <p>36 Burns 160<br /><i>T. Muehlberger M. Büeschges and C. Ottoman</i></p> <p>37 Polytrauma and Military Retrievals 164<br /><i>D. Keene and O. Bartells</i></p> <p>38 Obstetric Transfers 169<br /><i>H. Simpson</i></p> <p>39 Cardiac Transfers 174<br /><i>C.Westrope and C. Harvey</i></p> <p>40 Contagious Patients 178<br /><i>R. MacDonald</i></p> <p>41 Bariatric Patients 183<br /><i>Z. Dempsey and M. Ross</i></p> <p>42 Acute Behavioural Disturbances 187<br /><i>M. Le Cong</i></p> <p>43 Considerations Regarding Organ Donation 190<br /><i>Anders Aneman andWilliam O’Regan</i></p> <p>Appendix 1 Framework for Radiology Interpretation 193</p> <p>Appendix 2 Framework for Interpretation of Arterial Blood Gases 194</p> <p>Appendix 3 Example of a Triage Sieve 195</p> <p>Appendix 4 Example of a Transfer Checklist 196</p> <p>Appendix 5 Example of Equipment Inventory 197</p> <p>Appendix 6 Summary of useful National Guidelines 201</p> <p>Index 203</p>

<p><b>Adam Low,</b> Specialist Registrar in Anaesthetics, West Midlands Deanery, West Midlands Central Accident Resuscitation & Emergency (CARE) Team, West Midlands Ambulance Service NHS Foundation Trust Medical Emergency Response Incident Team (MERIT), UK; AMREF Flying Doctors, Kenya <p><b>Jonathan Hulme,</b> Consultant in Intensive Care Medicine and Anaesthesia, Sandwell and West Birmingham Hospitals NHS Trust; Honorary Senior Clinical Lecturer, University of Birmingham, Birmingham; West Midlands Ambulance Service NHS Foundation Trust Medical Emergency Response Incident Team (MERIT); Medical Director, West Midlands Central Accident Resuscitation & Emergency (CARE) Team; Mercia Accident Rescue Service (MARS) BASICS, UK

<p><b>ABC of Transfer and Retrieval Medicine</b> <p><b>About the ABC of Transfer and Retrieval Medicine</b> <p><i>ABC of Transfer and Retrieval Medicine</i> provides the key information required to help healthcare professionals involved in the movement of critically ill patients to do so safely, correctly and with confidence. <p>Beginning with the practical and clinical considerations to be taken into account during patient transfer and an overview of transfer equipment, it then addresses pharmacological aspects of patient transfer, the roles and responsibilities of the transfer team, and the requirements of neonatal, paediatric and specialist transfers. <p>Mapped against the syllabus for the Diploma of Retrieval and Transfer Medicine (Royal College of Surgeons of Edinburgh), it has been developed as a core resource for the diploma whilst providing an invaluable resource for any healthcare professional involved in the transfer of critically ill patients including anaesthetists, intensivists, nurses from ICU/ED and paramedics. It also includes frameworks for radiology and arterial blood gas interpretation, guidance on patient triage, transfer checklists and equipment checklists, and a summary of the relevant national guidelines. <p>From a multidisciplinary international author team, this new addition to the ABC series is a useful resource for all healthcare professionals involved in the transfer of patients. It is relevant to anaesthetists, intensivists, paramedics, critical care and emergency department nursing staff who are required to take part in intra- and inter-hospital transfers. <p><b>About the ABC series</b> <p>The new ABC series has been thoroughly updated, offering a fresh look, layout and features throughout, helping you to access information and deliver the best patient care. The newly designed books remain an essential reference tool for GPs, GP registrars, junior doctors and those in primary care, designed to address the concerns of general practitioners and provide effective study aids for doctors in training. <p>Now offering over 70 titles, this extensive series provides you with a quick and dependable reference on a range of topics in all the major specialities. Each book in the new series now offers links to further information and articles, and a new dedicated website provides you with even more support. <p>The ABC series is the essential and dependable source of up-to-date information for all practitioners and students in general practice. <p>To receive automatic updates on books and journals in your specialty, join our email list. Sign up today at www.wiley.com/email

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