Fromm R E, Varon J
Section of Cardiology, Baylor College of Medicine, Houston, Texas, USA.
Crit Care Clin. 2000 Oct;16(4):695-705. doi: 10.1016/s0749-0704(05)70141-x.
The transport environment presents challenges not faced in the hospital arena. Both ground and air ambulance transport vehicles are hampered by space limitations, lack of universally available power, and physical forces of no importance in the stationary hospital environment. EMS personnel are typically used in ground and air transports augmented by hospital practitioners on request. The capabilities of EMS workers is limited, and their limits must be considered when any patient transport is conducted. Prior planning and understanding the limitations of the transport arena are the keys to successful transport. The future will likely see improvements in technology and integration of hospital delivery systems and patient management systems, expanding our ability to provide critical care outside the traditional ICU environment.
运输环境带来了医院环境中未曾遇到的挑战。地面和空中救护车运输车辆都受到空间限制、普遍缺乏可用电源以及在固定医院环境中无关紧要的物理力的阻碍。紧急医疗服务（EMS）人员通常用于地面和空中运输，并根据需要由医院从业者提供支援。EMS工作人员的能力有限，在进行任何患者运输时都必须考虑到他们的局限性。预先规划并了解运输环境的局限性是成功运输的关键。未来可能会在技术以及医院分娩系统和患者管理系统的整合方面取得进步，从而扩大我们在传统重症监护病房（ICU）环境之外提供重症护理的能力。
