ATLS Module 13 - Transfer to Definitive
Care Questions and Answers
Evidenceasupportsathatatraumaaoutcomeaisaenhancedaifacriticallyainjuredaptsaareatreatedainat
raumaacentersa-ACORRECTAANSWERSA-redatext
Whatapatientsarequireatheahighestalevelaofacareaandawillalikelyabenefitafromatimelyatransfer?A
-ACORRECTAANSWERSA-
evidenceaofashock,asignificantaphysiologicadeterioration,aprogressiveadeteriorationainaneur
ologicalastatus
Redatext
Howaisapatientaoutcomearelatedatoatimelinessaofatransfer?A-ACORRECTAANSWERSA-
patientaoutcomeaisadirectlyarelatedatoatimeaelapsedabetweenainjuryaandaproperlyadelivereda
definitiveacare
Redatext
Ifaresourcesaareaavailableaandanecessaryaproceduresacanabeaperformedaexpeditiously,alifea
threateningainjuriesashouldabeatreatedabeforeapatientatransport.athisamayarequireaoperativea
interventionatoaensureatheapatientaisainatheabestapossibleaconditionaforatransfer.
Interventionabeforearequiresajudgementa-ACORRECTAANSWERSA-redatext
Whataareathearesponsibilitesaofareferringaphysicianainaaapatientatransferasituation?A-
ACORRECTAANSWERSA-1.ainitiateatransferaduringaresuscitation
2.aconsultawareceivingadoctor
3.amaintainafamiliarityawatransportingaagencies
4.aselectaappropriateatransportamode
5.adeterminealevelaofacarearequiredaduringatransfer
6.astabilizeapt'saconditionabeforeatransfer
7.aprovideaptasummary
8.aensureaadequatelyatrainedapersonnelaaccompanyapt
9.aensureapediatricaptsaareatransferredatoafacilitiesawithaspecialaexpertiseawhenaavailable
Howadoayouapreventainadequateahandoverabetweenatxaandatransferringateams?A-
ACORRECTAANSWERSA--
useatransferachecklistatoaensureaallakeyaaspectaofacareaareaproperlyacommunicated
-verifyacopiesaofamedicalarecordsaandaxaraysaareapreparedaandaprovidedatoatransferateam
Whataisatheaabc-sbaratemplateaforatransferaofatraumaapts?A-ACORRECTAANSWERSA-
ABCA=Aairway,Abreathing,acirculationaproblemsaidentifiedaandainterventionsaperformed
*SA=asituationa(name,Aage,areferringafacilitya&Aphyscian,aindicationaforatransfer,aivaaccessasi
te,aivafluidaandarate,aotherainterventions)
*BA=abackgrounda(eventahx,AAMPLE,abloodaproducts,amedsagive,aimagingaperformed,Aspli
nting)
*AA=aassessmenta(vitals,aphysicalaexamafindings,aptaresponseatoatx)
Care Questions and Answers
Evidenceasupportsathatatraumaaoutcomeaisaenhancedaifacriticallyainjuredaptsaareatreatedainat
raumaacentersa-ACORRECTAANSWERSA-redatext
Whatapatientsarequireatheahighestalevelaofacareaandawillalikelyabenefitafromatimelyatransfer?A
-ACORRECTAANSWERSA-
evidenceaofashock,asignificantaphysiologicadeterioration,aprogressiveadeteriorationainaneur
ologicalastatus
Redatext
Howaisapatientaoutcomearelatedatoatimelinessaofatransfer?A-ACORRECTAANSWERSA-
patientaoutcomeaisadirectlyarelatedatoatimeaelapsedabetweenainjuryaandaproperlyadelivereda
definitiveacare
Redatext
Ifaresourcesaareaavailableaandanecessaryaproceduresacanabeaperformedaexpeditiously,alifea
threateningainjuriesashouldabeatreatedabeforeapatientatransport.athisamayarequireaoperativea
interventionatoaensureatheapatientaisainatheabestapossibleaconditionaforatransfer.
Interventionabeforearequiresajudgementa-ACORRECTAANSWERSA-redatext
Whataareathearesponsibilitesaofareferringaphysicianainaaapatientatransferasituation?A-
ACORRECTAANSWERSA-1.ainitiateatransferaduringaresuscitation
2.aconsultawareceivingadoctor
3.amaintainafamiliarityawatransportingaagencies
4.aselectaappropriateatransportamode
5.adeterminealevelaofacarearequiredaduringatransfer
6.astabilizeapt'saconditionabeforeatransfer
7.aprovideaptasummary
8.aensureaadequatelyatrainedapersonnelaaccompanyapt
9.aensureapediatricaptsaareatransferredatoafacilitiesawithaspecialaexpertiseawhenaavailable
Howadoayouapreventainadequateahandoverabetweenatxaandatransferringateams?A-
ACORRECTAANSWERSA--
useatransferachecklistatoaensureaallakeyaaspectaofacareaareaproperlyacommunicated
-verifyacopiesaofamedicalarecordsaandaxaraysaareapreparedaandaprovidedatoatransferateam
Whataisatheaabc-sbaratemplateaforatransferaofatraumaapts?A-ACORRECTAANSWERSA-
ABCA=Aairway,Abreathing,acirculationaproblemsaidentifiedaandainterventionsaperformed
*SA=asituationa(name,Aage,areferringafacilitya&Aphyscian,aindicationaforatransfer,aivaaccessasi
te,aivafluidaandarate,aotherainterventions)
*BA=abackgrounda(eventahx,AAMPLE,abloodaproducts,amedsagive,aimagingaperformed,Aspli
nting)
*AA=aassessmenta(vitals,aphysicalaexamafindings,aptaresponseatoatx)
