Transporting patients entails risk. It requires good communication, planning and appropriate staffing. Any patient who requires transportation must be stabilised before departure. As a general principle, patients should be transported only if they are going to a facility that can provide a higher level of care.

Principles of Safe Transfer[edit | edit source]

Planning and Preparation[edit | edit source]

Includes consideration of:

  • The type of transport (car, 4WD, boat etc.)
  • The staff to accompany the patient
  • The equipment and supplies required during the journey for routine and emergency treatment
    • Plan this, and think about problems which could arise, using ABCDE
  • Potential complications
  • The monitoring and final packaging of the patient

Communication[edit | edit source]

Effective communication is essential with:

  • The receiving centre
  • The transport service
  • Escorting staff
  • The patient and relatives

Stabilisation[edit | edit source]

Effective stabilisation requires:

  • Prompt initial resuscitation
  • Control of haemorrhage and maintenance of the circulation
  • Immobilisation of fractures
  • Analgesia

Reassessment[edit | edit source]

Remember: if the patient deteriorates, re-evaluate with a primary survey, checking and treating life-threatening conditions, then make a careful assessment focussing on the affected system.

Note: Be prepared: if anything can go wrong it will, and at the worst possible time.

Discussion[View | Edit]

Cookies help us deliver our services. By using our services, you agree to our use of cookies.