Gilligan J E, McCleave D, Nicholson B, Lafsky P, Jacquier D, Fuller W, Allen T H, Phillips G, Butler L, Stableford V
Med J Aust. 1977;2(26-27):849-55. doi: 10.5694/j.1326-5377.1977.tb107714.x.
A system is described for the stabilization and evacuation of the critically ill in South Australia, with a discussion of experience in 278 patients. The integration of activities of peripheral medical practitioners, major teaching hospitals, and the ambulance transport authority (St John Ambulance Council) is paramount. Modes of communication are by "urgent line" telephone and radio. Advanced life-support equipment is portable, may be placed in any ambulance vehicle, and is used and maintained principally by the staff of intensive care units. The design characteristics of a suitable road vehicle and fixed-wing aircraft are considered, with emphasis on dimensions for the particular needs of advanced life-support. The cost of transporting such a patient is approximately two-thirds of an average bed day cost in a public hospital, plus the basic ambulance charge. The number of patients who need such measures is 0.2% of the total number of patients carried by ambulance per annum.
本文描述了南澳大利亚州一个针对危重症患者的稳定和转运系统，并讨论了278例患者的经验。基层医疗从业者、大型教学医院和救护车运输机构（圣约翰救护委员会）的活动整合至关重要。沟通方式为“紧急线路”电话和无线电。高级生命支持设备便于携带，可放置在任何救护车上，主要由重症监护病房的工作人员使用和维护。文中考虑了适合的公路车辆和固定翼飞机的设计特点，重点是满足高级生命支持特殊需求的尺寸。转运此类患者的费用约为公立医院平均每日床位费用的三分之二，外加基本救护车费用。每年需要此类措施的患者数量占救护车运送患者总数的0.2%。
