ATLS MODULE 13 - TRANSFER TO DEFINITIVE CARE EXAM QUESTIONS AND ANSWERS 100% CORRECT!

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 *pt is unstable... with hypotensive pt and + FAST, an exploratory laparotomy is mandatory to control bleeding and correct hypotension as this will worsen neurologic outcome if not corrected what factors determine mode of transportation? - ANSWER distance, weather, availability, ability to manage intubated pt what form of transfer is superior? - ANSWER no one mode is superior to others what is the ABC-SBAR template for transfer of trauma pts? - ANSWER ABC = airway, breathing, circulation problems identified and interventions performed *S = situation