Pediatric clinics of North America
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Pediatr. Clin. North Am. · Apr 1993
ReviewTransport and stabilization of the pediatric trauma patient.
The incidence of pediatric trauma continues to increase, presenting at almost every emergency department. Life-threatening injuries need to be cared for immediately, in whatever institution the patient presents. ⋯ Physicians caring for trauma patients in less specialized institutions must be aware of who to transfer to a trauma center. Effective stabilization and timely, safe transport are vital to reduce further injury.
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Pediatr. Clin. North Am. · Apr 1993
ReviewIntra-transport stabilization and management of the pediatric patient.
During the period of interhospital transfer, a critically ill child is at risk from the disease, the therapy, and the transfer itself. This risk can be minimized by good communication between the referring and receiving caretakers, careful evaluation and management, anticipation of complications, and a well-equipped and well-trained transport team providing a level of care as close as possible to that available at the receiving critical care unit.
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Pediatr. Clin. North Am. · Apr 1993
ReviewTransport management of the patient with acute poisoning.
Poisoning in children is a common clinical problem encountered by pediatricians, general practitioners, and emergency room physicians. Poisoning in children less than 5 years of age is usually accidental, whereas, in young adults, any disparity between expected history and clinical findings should suggest poisoning. It is imperative that the treating physician expeditiously recognize, begin treating, and plan to transfer, when indicated, by specialized pediatric transport team the critically ill poisoned child to a tertiary care facility.
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Pediatr. Clin. North Am. · Apr 1993
Cardiopulmonary resuscitation of newborns. Its application to transport medicine.
The outcome of sick infants requiring transport to tertiary care centers is critically dependent on the stabilization of these infants at the hospital of delivery and the quality of care during transport. The American Heart Association/American Academy of Pediatrics guidelines for neonatal resuscitation emphasize a structured, step-wise approach to resuscitation. This article highlights the application of these guidelines to resuscitation of newborns during transport and reviews the experience of a large perinatal network in this area.
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Appropriate airway management is essential for the successful transport of sick children. Airway management begins with a thorough history and physical examination and may proceed to invasive therapeutic interventions. Successful care of the pediatric airway can be achieved only with a thorough knowledge of airway management technique and equipment. In addition, familiarity and understanding of the pharmacologic adjuvants to airway management and sedation will help to achieve the primary objective of any transport team, namely a safe and smooth transport of the critically ill child.