Thread subject: NEPI :: Transfer of emergency patients

Posted by imron on 03-04-2008 02:45
#6

Ah Maroju! It is so difficult to train our people in emergency medicine due to lack of faculty. It is too much if you're asking whether training in prehospital emergency anaesthesia is available!

The concept of a mobile ICU is just a marketing gimmick. (Most of the time, not always)

What you are talking about is known as Critical Care Transfer Unit or Critical Patient Transfer Unit.

Now, just fitting the ambulance with Western stuff by Western people doesnt make it into a CCTU.

A CCTU has a medical director overseeing the operations, clinical and transfer coordinators, CCTU registrars (who may be registrars/residents from either EM or anesthesia with good ICU experience), EMTs and drivers.

The vehicle should be appropriate with necessary equipment & drugs to
sustain the patient for anywhere between 4-24 hours.

There is a system in place which takes a decision on whether a particular patient can be transferred or not, what mode of transport, what is needed and what interventions need to done enroute. Logistics of transferring critically ill patients are clear.

Data is logged. Auditing is done.

Most of the time the residents who go on long trips, are the ones who
just love to do it. For this reason they would have accumulated significant experience of prehospital transport of critical patients.
I'm talking about 15 - 35 long distance transfers a month.
Although a structured training program in critical transfer doesn't exist, they do quite a job with the limited resources available to them.

Our center has a CCTU for quite sometime now. But dont think I'm trying to market it! Grin