Critical Care Transport Protocols

While a patient is being transported, administering of drugs such as antibiotics, steroids and vitamins should be continued. The oxygen flow has to be maintained at a rate of 92 percent or higher. The cardiac monitor has to be attached. Most hospitals demand that the transport takes place under the supervision of the medical director. The paramedic should be particularly careful and observant to any unexpected drug reactions from the patient. The paramedic should look for signs of a transfusion reaction in case of packed red blood cells. Signs of a transfusion reaction include rise in temperature, rash, sweating, and hypotension and so on. When transfusion is noticed, the remaining blood should be detached and remove the patient from transfusion. Hypotension can be treated to with saline infusion. There are likewise specific protocols to be followed in case of drips in magnesium sulfate, heparin and so on.

While transporting critically ill patients, a lot of coordination is required between the hospital staff, the transport team personnel and the emergency medical services including the paramedics. Transport personnel also have to be equipped to safely transport the patients in any kind of environment whether ambulance or aircraft.

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