ATLS Module 13: Transfer to definitive
care
Nine duties of referring medical doctor - ANS--initial switch at some stage in resuscitation
-visit the receiving medical doctor
-maintain familiarity with transporting agencies
-choosing the right transportation mode
-determining the extent of care required at some point of switch
-stabilizing the patient's circumstance at some stage in transfer
-presenting a patient precis
-ensuring correctly trained personnel accompany affected person
-ensuring peds sufferers are transferred to facilities with unique knowledge while to be had.
ABC-SBAR template for transfer of trauma patients - ANS-A-airway troubles and
interventions
B-respiratory issues and interventions
C-flow problems and interventions
S-state of affairs (call, age, referring doctor and facility, indication for transfer, IV access
website, fluid and charge, other interventions)
B-Background (Event records, AMPLE evaluation, blood products, meds given (date and
time), imaging carried out, splinting
A-Assessment (Vital signs, pertinent PE findings, pt response to remedy)
R-Recommendation (Mode of shipping, stage of transport care, med intervention at some
point of shipping, needed tests and interventions)
Airway treatments before switch - ANS-insert airway or ET tube
provide suction
gastric tube in all intubated patients and in non-intubated pts with proof of gastric distention.
Use judgement as this can set off vomiting.
Breathing treatments before transfer - ANS-administer supplemental oxygen
provide mechanical ventilation while wished
insert chest tube if needed.
Circulation remedies earlier than transfer - ANS-manipulate outside bleeding, noting time of
placement while tourniquet is used.
Establish 2 large quality IV strains and start crystalloid answer infusion.
Restore blood volume losses using balanced resuscitation, and continue substitute for the
duration of transfer.
Insert and indwelling catheter to reveal urinary output.
Monitor the affected person's cardiac rhythm and rate.
care
Nine duties of referring medical doctor - ANS--initial switch at some stage in resuscitation
-visit the receiving medical doctor
-maintain familiarity with transporting agencies
-choosing the right transportation mode
-determining the extent of care required at some point of switch
-stabilizing the patient's circumstance at some stage in transfer
-presenting a patient precis
-ensuring correctly trained personnel accompany affected person
-ensuring peds sufferers are transferred to facilities with unique knowledge while to be had.
ABC-SBAR template for transfer of trauma patients - ANS-A-airway troubles and
interventions
B-respiratory issues and interventions
C-flow problems and interventions
S-state of affairs (call, age, referring doctor and facility, indication for transfer, IV access
website, fluid and charge, other interventions)
B-Background (Event records, AMPLE evaluation, blood products, meds given (date and
time), imaging carried out, splinting
A-Assessment (Vital signs, pertinent PE findings, pt response to remedy)
R-Recommendation (Mode of shipping, stage of transport care, med intervention at some
point of shipping, needed tests and interventions)
Airway treatments before switch - ANS-insert airway or ET tube
provide suction
gastric tube in all intubated patients and in non-intubated pts with proof of gastric distention.
Use judgement as this can set off vomiting.
Breathing treatments before transfer - ANS-administer supplemental oxygen
provide mechanical ventilation while wished
insert chest tube if needed.
Circulation remedies earlier than transfer - ANS-manipulate outside bleeding, noting time of
placement while tourniquet is used.
Establish 2 large quality IV strains and start crystalloid answer infusion.
Restore blood volume losses using balanced resuscitation, and continue substitute for the
duration of transfer.
Insert and indwelling catheter to reveal urinary output.
Monitor the affected person's cardiac rhythm and rate.
