Smith D F, Hackel A
Crit Care Med. 1983 Jan;11(1):10-2. doi: 10.1097/00003246-198301000-00004.
The primary goal of an interhospital critical care transport program is to provide quality medical care during transit as close as possible to that available in the receiving ICU. Critically ill pediatric patients are transported between hospitals by a variety of transport teams. The skills possessed by physicians, nurses, respiratory therapists, and paramedics overlap. To determine the criteria for selection of the team members for these patients, we reviewed the medical records of 115 pediatric patients transported to this facility in 1978 and 1979. Patients were categorized by diagnosis, severity of illness at the time of transport, and the monitoring and life support required during transport. Our data indicate the medical transport team members should have skills required for pediatric critical care diagnosis and management including endotracheal intubation and assisted ventilation; insertion of peripheral, central venous, and arterial catheters; fluid and electrolyte therapy; antibiotic therapy; cardiovascular monitoring; and pharmacological life support. The team members should be chosen based on the particular skills needed for a transport with a goal of providing the patient care required on a consistent basis.
医院间重症监护转运项目的主要目标是在转运过程中提供尽可能接近接收重症监护病房（ICU）所能提供的优质医疗护理。危重症儿科患者由各种转运团队在医院之间进行转运。医生、护士、呼吸治疗师和护理人员所具备的技能有重叠之处。为了确定这些患者转运团队成员的选拔标准，我们回顾了1978年和1979年转运至本机构的115例儿科患者的病历。患者按诊断、转运时的疾病严重程度以及转运期间所需的监测和生命支持进行分类。我们的数据表明，医疗转运团队成员应具备儿科重症监护诊断和管理所需的技能，包括气管插管和辅助通气；外周、中心静脉和动脉导管插入；液体和电解质治疗；抗生素治疗；心血管监测；以及药物生命支持。应根据转运所需的特定技能来选择团队成员，目标是持续提供患者所需的护理。
