ATLS Module 13 - Transfer to Definitive
Care Questions with Correct Answers
evidence supports that trauma outcome is enhanced if critically injured pts are treated in
trauma centers -ANSWER - red text
what patients require the highest level of care and will likely benefit from timely transfer?
-ANSWER - evidence of shock, significant physiologic deterioration, progressive
deterioration in neurological status
red text
how is patient outcome related to timeliness of transfer? -ANSWER - patient outcome is
directly related to time elapsed between injury and properly delivered definitive care
red text
if resources are available and necessary procedures can be performed expeditiously,
life threatening injuries should be treated before patient transport. this may require
operative intervention to ensure the patient is in the best possible condition for transfer.
intervention before requires judgement -ANSWER - red text
what are the responsibilites of referring physician in a patient transfer situation? -
ANSWER - 1. initiate transfer during resuscitation
2. consult w receiving doctor
3. maintain familiarity w transporting agencies
4. select appropriate transport mode
5. determine level of care required during transfer
6. stabilize pt's condition before transfer
7. provide pt summary
8. ensure adequately trained personnel accompany pt
9. ensure pediatric pts are transferred to facilities with special expertise when available
how do you prevent inadequate handover between tx and transferring teams? -
ANSWER - -use transfer checklist to ensure all key aspect of care are properly
communicated
-verify copies of medical records and x rays are prepared and provided to transfer team
what is the ABC-SBAR template for transfer of trauma pts? -ANSWER - ABC = airway,
breathing, circulation problems identified and interventions performed
*S = situation (name, age, referring facility & physcian, indication for transfer, IV access
site, IV fluid and rate, other interventions)
Care Questions with Correct Answers
evidence supports that trauma outcome is enhanced if critically injured pts are treated in
trauma centers -ANSWER - red text
what patients require the highest level of care and will likely benefit from timely transfer?
-ANSWER - evidence of shock, significant physiologic deterioration, progressive
deterioration in neurological status
red text
how is patient outcome related to timeliness of transfer? -ANSWER - patient outcome is
directly related to time elapsed between injury and properly delivered definitive care
red text
if resources are available and necessary procedures can be performed expeditiously,
life threatening injuries should be treated before patient transport. this may require
operative intervention to ensure the patient is in the best possible condition for transfer.
intervention before requires judgement -ANSWER - red text
what are the responsibilites of referring physician in a patient transfer situation? -
ANSWER - 1. initiate transfer during resuscitation
2. consult w receiving doctor
3. maintain familiarity w transporting agencies
4. select appropriate transport mode
5. determine level of care required during transfer
6. stabilize pt's condition before transfer
7. provide pt summary
8. ensure adequately trained personnel accompany pt
9. ensure pediatric pts are transferred to facilities with special expertise when available
how do you prevent inadequate handover between tx and transferring teams? -
ANSWER - -use transfer checklist to ensure all key aspect of care are properly
communicated
-verify copies of medical records and x rays are prepared and provided to transfer team
what is the ABC-SBAR template for transfer of trauma pts? -ANSWER - ABC = airway,
breathing, circulation problems identified and interventions performed
*S = situation (name, age, referring facility & physcian, indication for transfer, IV access
site, IV fluid and rate, other interventions)
