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Intrahospital Transport of Trauma Patients
Published in Kajal Jain, Nidhi Bhatia, Acute Trauma Care in Developing Countries, 2023
Identify if the need for intervention/screening, requiring transportation, outweighs the potential risks of patient transport. Unstable patients should not be transferred for intervention if such care will not alter their outcome.
A framework of models of out-of-hours general practice care
Published in Chris Salisbury, Jeremy Dale, Lesley Hallam, 24-Hour Primary Care, 2018
The issue of providing transport services to enable patients to attend primary care centres is also contentious. Lack of transport is the most common reason that patients give for declining to attend a primary care centre. The argument for providing transport services is that this reduces the need for home visits. By contrast, it can be argued that transport is usually available from local taxi companies if not from neighbours and friends. Although it may be claimed that this is too expensive, it is no less expensive to transport a doctor to the patient. The difference is that the cost is less visible. The relevant issue is not how patient transport should be arranged, but whether patients, doctors or the health service should be responsible for the costs.
The individual fund manager’s role
Published in Rod Smith, Fran Butler, Mike Powell, Chris Ham, Total Purchasing a model for locality commissioning, 2018
Patient transport (ambulance) – Similar to A&E a method of recording patient transport activity will need to be established. Ambulance activity falls into one of three categories: ‘blue-light’ emergencies, ‘doctor’s urgent’ and patient transport (pre-booked hospital attendances). The recording of the activity will depend largely on the type of contract negotiated.
The Effect of Blood Transfusion during Air Medical Transport on Transport Times in Patients with Ruptured Abdominal Aortic Aneurysm
Published in Prehospital Emergency Care, 2022
Nancy Mikati, Amanda R. Phillips, Neal Corbelli, Francis X. Guyette, Nathan L. Liang
Patient transport should ideally be executed using a method of transportation that minimizes transit times, while considering several environmental factors (i.e., geographic distance, weather changes, traffic patterns, etc.) (4, 20). One of the recommended means of transporting aortic emergencies is using air medical transport, which minimizes time delay at the OSH, and allows for quick transport to tertiary care centers, while providing the necessary critical care during transit (15, 21). In our study, transport was accomplished using a critical care transport system, incorporating parallel processing of patient acceptance and transport team dispatch, remote management of the patient through teleconsultation from the transport crew, and pre-arrival notification of the surgical teams and blood banking resources.
The role of ambulance services in reducing the gaps in access to end-of-life care: from conversations to policy
Published in Progress in Palliative Care, 2021
Brita Pekarsky, Amy Seymour-Walsh, Catherine Wright, Mathew Hooper, Colleen Carter
In addition to urgent clinical care to relieve symptoms such as pain, ambulance services provide planned patient transport to a clinic, hospice or palliative radiotherapy for palliative care patients. Medical retrieval services are provided for critically ill or injured patients living in regional and remote locations, many of whom present with acute deterioration manifest within serious life limiting illnesses. Retrieval services also facilitate the transfer of patients in metropolitan hospitals whose wish is to return to their home in regional or remote country Australia to die. Unplanned transport to emergency departments is provided for patients who are dying and whose families cannot provide the care they need in the home. Ambulance services also provide urgent care for events that palliative care patients are at elevated risk of, such as falls.
Endobronchial ultrasound transbronchial needle aspiration in elderly patients: safety and performance outcomes EBUS-TBNA in elderly
Published in The Aging Male, 2020
Şehnaz Olgun Yıldızeli, Aslı Tufan, Emine Bozkurtlar, Hüseyin Arıkan, Derya Kocakaya, Emel Eryüksel, Berrin Ceyhan, Sait Karakurt
EBUS-TBNA was performed in a setting where two physicians, a pathologist, a nurse, and a staff member were present. All procedures were performed by the same physician. The other physician-assisted operating physician and pathologist. A pathologist examined samples on site. The nurse provided patient care before, during, and after the procedure. Also administered medications ordered by physician. Staff member involved in patient transport after procedure and provided assistance when needed. The convex probe for EBUS-TNBA bronchus ultrasound (EB-530US; Fujifilm; Tokyo, Japan) and Doppler ultrasound for detection blood of vessels, and current by ultrasound scanner (SU-1 Ultrasonic processor; Fujifilm; Tokyo, Japan) has been used. After visualization of sampling points using ultrasonography, predetermined by thorax computed tomography (CT) or positron emission computed tomography (PET-CT), for sampling, 22 G TBNA needle (SonoTip® EBUS Pro; Medi-Globe; Achenmühle, Germany) was brought to the sampling point by passing the bronchoscope through the working channel with protective sheath. After penetration into the target tissue, internal stylet was removed, and negative pressure was applied via a syringe, inside technique applied 20 times for each insertion. After sampling, the material was taken for on-site cytological and microbiological evaluation.