When it comes to the principle of safe transfer of critically ill patients, we all know that some people ask the critical patients in-hospital transfer precautions, in addition, there are people who want to ask the aircraft transfer of critically ill patients process, do you know what it is all about? In fact, the scene of first aid multiple injuries and patients when the principle of transfer, the following take a look at the critical patient in-hospital transfer precautions, I hope to be able to help you!
1, the principle of safe transfer of critically ill patients: critical patients in-hospital transfer precautions
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What are the principles of the transfer of emergency on-site multiple injuries patientsCritically ill patients in the process of examination, transfer of the existence of the problem: the patient's condition did not do a face-to-face assessment of the prognosis and the possible changes in the condition of the patient. Insufficient estimation; not fully prepared for all preparations (patients, drugs, instruments); not notified in advance of the purpose of the department to do a good job of the examination of the patient to prepare; transfer method is not appropriate, the emergence of changes in the condition of the patient can not be found in a timely manner to deal with; not with the families of the necessary communication between the doctor and the patient and record. In view of the existing problems, we will study again the precautions for in-hospital examination and transfer of critical patients to ensure the smoothness of the green channel for in-hospital examination and transfer. The principle of transferring critically ill patients.
I. Correctly assess the condition before transferring the four steps of the guidelines for the transfer of critically ill patients.
Critically ill patients are subject to limitations in examination, monitoring and rescue measures during transportation, and rapid changes in their conditions, especially in the respiratory system, circulatory system, and neurological system, which can lead to life-threatening instability. Therefore, the feasibility of intra-hospital transfer of critically ill patients must be fully evaluated together with doctors. The assessment includes the patient's degree of consciousness, vital signs, respiratory rhythm, oxygen saturation, medication, wound treatment, etc. The assessment of other conditions: the existence of the patient's consciousness, vital signs, respiratory rhythm, oxygen saturation, wound treatment, etc. Other conditions are assessed: whether there is internal environment disorder (e.g. hypokalemia, acidity, etc.) induced arrhythmia, whether there is exacerbation of the patient's condition or accidental injuries when moving the patient, whether there is a possibility of falling out of the bed for agitated patients, whether there is a possibility of dislodgement of the drainage device, whether there is a potential risk factor affecting the respiratory cycle, and so on. Contraindications to the transfer of critically ill patients.
Second, the adequate preparation before the transfer
1 transfer of oxygen supply
The vast majority of critically ill patients in the examination, the transfer process need to continue to give oxygen. Portable oxygen bags are used to supply oxygen during examination and transportation. Patients needing ventilator support need to be equipped with a transport ventilator to ensure a smooth airway
2, the principle of safe transfer of critically ill patients: the transfer of critically ill patients by airplane process
Critical patient transfer system.
3, the principle of safe transfer of critically ill patients:What is the principle of transfer in the scene of emergency multiple injuries and patients
The principle of transfer is:
(1) Prioritize the transportation of serious injuries, but timely treatment can be the survival of the injured.
(2) the transportation should be uninterrupted implementation of life-sustaining care, such as artificial respiration, chest compressions, oxygen, fluids and so on.
(3) Transportation of the injured should be done correctly.
(4) Wound clean, minimize the chance of infection.
(5) Pay attention to the fixation of the fracture and the blood circulation of the injured limb.
(6) Closely observe the changes in the condition, and timely treatment according to the changes in the condition.
4, the principle of safe transfer of critically ill patients: critical patients can be transferred to the hospital? If you want to transfer need to do those preparations?
Emergency vehicles, according to the condition of the unexpected outbreaks, sign a contract, do not transfer, it is estimated that the hospital will not agree to it critical patient transfer indications.
5, the principle of safe transfer of critically ill patients:How to transport critically ill patients on high-speed rail
Departure place has an ambulance sent to the station within the high-speed rail, high-speed rail arranged for doctors to accompany the car, the emergency rescue equipment with the high-speed rail, the destination of professional ambulance pick-up, sent to the designated location, details can be Jiujiu ambulance center. The safe transfer of patients with acute and serious illnesses.
6, the principle of safe transfer of critically ill patients: how to do a good job in-hospital safe transfer of critically ill patients care and first aid
[Abstract] The transfer of critically ill patients is an important part of the acceptance of the examination, emergency surgery, the transfer of an important part of the department can not be ignored in the process of treatment is not an important part of the process of treatment, the quality of the transfer of the quality of the direct impact on the success rate of the rescue, if not properly dealt with, not only to affect the critical If not handled properly, it will not only affect the diagnosis of the patient, but also may even lead to accidents or death. Therefore, the safe transfer of critically ill patients is the key to first aid, mastering the indications for transfer and the risk assessment of transfer, the collaboration of the receiving department, the composition of the transfer personnel; the first aid equipment for transfer; the preparation of medicines; the preventive treatment before transfer; the monitoring of the process of transfer; the observation and resuscitation, the effective implementation of the resuscitation plan; the record of transfer; the handling of the hand to be sure; and the strict handover, and so on. (Remaining words) What is the situation can not be transported critically ill patients.
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