Macnab A J
Paediatric Intensive Care Unit, British Columbia's Children's Hospital, Vancouver, Canada.
J Trauma. 1991 Feb;31(2):205-9.
The charts of 130 seriously ill or injured children transported to tertiary level intensive care were examined to determine the incidence of secondary insults incurred, as a function of escort training. Of all insults incurred, approximately 8% occurred with specialized pediatric transport escorts who were accompanied by a tertiary care physician (Group III, n = 52); 20% with specialized pediatric transport escorts alone (Group II, n = 44); and 72% with escorts who had not received specialized pediatric transport training (Group I, n = 34). Based on our results, we recommend that all transport coordinators review the qualifications and experience of their transport team members and all potential escorts to assess their ability to provide optimal care for the children they transport, particularly during long journeys, transfer by air, and when serious illness or injury is involved.
对130名被送往三级重症监护病房的重症或受伤儿童的病历进行了检查，以确定作为护送培训函数的继发性损伤发生率。在所有发生的损伤中，约8%发生在有三级护理医生陪同的专业儿科转运护送人员身上（第三组，n = 52）；20%发生在仅由专业儿科转运护送人员护送的情况下（第二组，n = 44）；72%发生在未接受专业儿科转运培训的护送人员身上（第一组，n = 34）。根据我们的结果，我们建议所有转运协调员审查其转运团队成员和所有潜在护送人员的资质和经验，以评估他们为所转运儿童提供最佳护理的能力，特别是在长途旅行、空中转运以及涉及严重疾病或损伤的情况下。
