• Courtney W Mangus, Therese Canares, Bruce L Klein, Philomena Costabile, David Monroe, Corina Noje, and Martha W Stevens.
• From the Departments of Pediatric and Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI.
• Pediatr Emerg Care. 2022 Jan 1; 38 (1): e105e110e105-e110.

BackgroundMany children seeking emergency care at community hospitals require transport to tertiary centers for definitive management. Interhospital transport via ambulance versus patient's own vehicle (POV) are 2 possible modes of transport; however, presence of a peripheral venous catheter (PIV) can determine transport by ambulance. Caregiver satisfaction, patient comfort, and PIV complications related to POV transport have not been described.ObjectiveThe aims of the study were to examine caregivers' satisfaction and perceptions of POV transport in children with/without PIVs and to assess PIV-related complications during transport.MethodsWe performed a mixed-methods, prospective cohort study of children who presented with low-acuity conditions to a community hospital and subsequently required transfer to a pediatric tertiary center. Caregivers of patients with/without PIVs were given the choice of transport by POV or ambulance. Surveys completed after transport used dichotomous, 5-point Likert scale, and open-ended responses to assess satisfaction, perceptions, and PIV-related complications. Responses were quantitatively and qualitatively analyzed accordingly. The receiving hospital assessed PIV integrity.ResultsSixty-nine of 78 eligible patients were enrolled; of those, 67 (97%) elected transport by POV and 55 (82%) completed surveys. Most caregivers had positive responses related to satisfaction, comfort, and safety. Results did not differ significantly between those with/without PIVs. The majority (96%) would choose POV transport again. There were no reported PIV complications; all PIVs were functional upon arrival. Qualitative analysis identified themes of comfort, convenience, and efficiency.ConclusionsIn select scenarios, interfacility transport by POV is preferred by families and doing so with a saline-locked PIV does not result in complications.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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