18 de maio de 2011

Leitura recomendada: Guidelines for the transport of the critically ill adult


INTRODUCTION

1.1 The Intensive Care Society first published guidelines on the transport of the critically ill adult in 1997. These attempted to rationalise advice from a number of sources and encourage an improvement in standards of care during patient transport in the UK. The Department of Health’s publication ‘Comprehensive Critical Care’ lists a number of recommendations regarding the transfer of critically ill patients and makes the development of transport protocols a priority. The Intensive Care Society has therefore reviewed its guidelines on transport in order to provide its members with up to date advice.

1.2 Guidelines have previously been published by a number of organisations including the American College of Critical Care Medicine, the Australian and New Zealand College of Anaesthetists, and the Neuroanaesthesia Society of Great Britain and Ireland. These revised Intensive Care Society guidelines draw on these and other published works. 

1.3 These guidelines apply to the transport of critically ill adult patients in the UK outside of the normal critical care environment. They apply both to patients transferred between hospitals, and to patients moved between departments within a hospital (e.g. from the intensive care unit to magnetic resonance or computed tomography scanner) since the same level of preparation, supervision and care is required for each. They are not intended however to apply to truly mobile intensive care units, as for example, operated by the military services. 

1.4 Standards of practice for the transport of the critically ill child have been published by the Paediatric Intensive Care Society. 

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