Paediatric and Neonatal Critical Care Transport

by Barry, Peter; Leslie, Andrew

• ISBN13: 9780727917706
• ISBN10: 0727917706
• Edition: 1st
• Format: Paperback
• Copyright: 2003-04-18
• Publisher: BMJ Books

Summary

Sick babies and children are moved between hospitals for many reasons, often to receive specialist care and treatment not available locally. For the transfer to be safe and effective it is necessary to plan carefully for these occasions, and for the doctors and nurses attending the transport to be able to provide intensive care on the move. The book provides guidance in both of these major areas. The first section - 'Planning for Safe and Effective Transport' - details issues to be considered by senior staff in setting-up or modernising a transport programme. General principles and relevant physiology are outlined, and vehicles and equipment are discussed in depth. The second section - 'Practical Transport Management' - is concerned with different patient groups and key clinical issues. These include the distinctive features of neonatal and paediatric patients, and management of airway, breathing and circulation. Other chapters discuss airborne transport, pharmacology, trauma, and special interventions for transport such as extracorporeal membrane oxygenation and inhaled nitric oxide.

Author Biography

Peter Barry, Dept of Child Health, Consultant Paediatric Intensivist, Clinical Sciences Building, Leicester Royal Infirmary

Table of Contents

Contributors	p. vii
Acknowledgements	p. ix
Foreword	p. xi
Planning for safe and effective transport	p. 1
Principles of safe transport	p. 3
Transport physiology	p. 14
The ambulance environment	p. 19
Equipment and monitoring	p. 25
Air transport of critically ill children	p. 36
Practical transport management	p. 41
Neonatal resuscitation and stabilisation	p. 43
Paediatric resuscitation and stabilisation	p. 53
Management of the airway and breathing	p. 69
Management of the circulation	p. 79
Trauma	p. 90
Special transport interventions	p. 102
What to do when it all goes wrong	p. 108
Drugs	p. 112
Typical retrieval forms	p. 123
Essential equations and aide-memoires	p. 134
Selected references and bibliography	p. 135
Index	p. 139
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