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    Transfer To Definitive Care: Focused Discussion

    Uploaded by

    Fauzia
    The document discusses guidelines for transferring injured patients from a primary facility to a trauma center. It outlines key questions to consider regarding what the medical problem is, which patients should be transferred, where they should be sent, when the transfer should occur, and how the patient should be transported.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Transfer To Definitive Care: Focused Discussion

    Uploaded by

    Fauzia
    10 views19 pages
    The document discusses guidelines for transferring injured patients from a primary facility to a trauma center. It outlines key questions to consider regarding what the medical problem is, which patients should be transferred, where they should be sent, when the transfer should occur, and how the patient should be transported.

    Original Description:

    Yaa

    Original Title

    CHAP 12

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    © © All Rights Reserved

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    The document discusses guidelines for transferring injured patients from a primary facility to a trauma center. It outlines key questions to consider regarding what the medical problem is, which patients should be transferred, where they should be sent, when the transfer should occur, and how the patient should be transported.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    10 views19 pages

    Transfer To Definitive Care: Focused Discussion

    Uploaded by

    Fauzia
    The document discusses guidelines for transferring injured patients from a primary facility to a trauma center. It outlines key questions to consider regarding what the medical problem is, which patients should be transferred, where they should be sent, when the transfer should occur, and how the patient should be transported.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 19

    1

    ©ACS

    Transfer to
    Definitive Care

    Focused Discussion
    2
    ©ACS

    Objectives
     Identify injured patients who may require
    transfer from primary facility to trauma
    center.
     Initiate procedures for optimal, safe patient
    transfer.
    3
    ©ACS

    Patient Transfer
    Principles
     Know institutional capabilities
     Be prepared, anticipate patient needs
     Do no further harm
     Identify patients whose needs exceed
    local resources
     Perform only essential procedures
    4
    ©ACS

    Patient Transfer
    Principles
     Establish direct communication between
    referring and receiving doctors
     Transport to closest, appropriate facility
     Use most appropriate mode of transport
    5
    ©ACS

    Key Questions
     What is the problem?
     Who should be transported?
     Where should the patient be sent ?
     When should the patient be transferred?
     How should the patient be transported?
    6
    ©ACS

    Key Questions
     What is the problem ?
    • What questions should be asked to
    determine the problem before the patient
    arrives?
    7
    ©ACS

    What is the problem ?


     What are the patient’s injuries ?
     What additional information is needed
    from the prehospital personnel ?
     What preparations are necessary?
     What are the patient’s need? Can they
    be fulfilled?
    8
    ©ACS

    Key Questions
     What is the problem ?
     Who should be transported ?
    9
    ©ACS

    Who should be transported ?


    Patients
     With multiple injuries
     Whose needs exceed institutional
    capabilities
     With comorbidity
    • Extremes of age

    • Preexisting disease
    10
    ©ACS

    Key Questions
     What is the problem?
     Who should be transported?
     Where should the patient be sent?
    11
    ©ACS

    Where to send the patient ?


     To an appropriate qualified surgeon
    who can:
    • Make the diagnosis
    • Manage the patient’s injuries
    • Provide commitment and resources
     To an institution capable of providing
    equipment and resources
    12
    ©ACS

    Key Questions
     What is the problem ?
     Who should be transported ?
     Where should the patient be sent?
     When should the patient be transferred ?
    13
    ©ACS

    When to Transfer ?
     After life-threatening problems are
    managed
     After disabling injuries are stabilized
     After transfer is arranged
     Before performing unnecessary test and
    procedures
     Avoid delay!
    14
    ©ACS

    Key Questions
     What is the problem?
     Who should be transported?
     Where should the patient be sent?
     When Should the patient be transported?
     How should the patient be transported ?
    15
    ©ACS

    How to transport?
    Determine By:
     Care required en route
     Patient destination
     Available resources
     Existing transfer agreements
    16
    ©ACS

    Questions

    ?
    17
    ©ACS

    Summary
     What is the problem?
    Not all hospitals can care for all trauma
    patients.
     Who needs transfer?
    Patient whose needs exceed local resources.
     Where should the patient be sent?
    Ideally, to a verified trauma center.
    18
    ©ACS

    Summary
     When should they be transported ?
    After immediate, life-threatening injuries
    are addressed.
     How should the patient be transported ?
    According to patient need and available
    resources
    19
    ©ACS

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