Transportation of a critically ill patient is a challenging task necessitating development of safety guidelines that can be universally followed to minimise problems during transit. This not only requires trained personnel with good communication skills but also necessitates a well-equipped transportation facility such as ambulance and modification of traffic rules to suit preferential allowance of such vehicles. It is also vital that the trained personnel are experts in handling emergencies, trained in cardiopulmonary resuscitation and airway management. The transport vehicle (ambulance) should be spacious enough to allow resuscitation that may require multiple personnel to be around the patient. Furthermore, the vehicle should have advanced communication equipment so as to be in constant communication with the hospital personnel to which the patient is getting shifted.
Warren J, Fromm RE Jr, Orr RA, Rotello LC, Horst HM. Guidelines for the inter and intrahospital transport of critically ill. Crit Care Med 2004; 32: 256–62.
Branson RD, Johannigman JA. Transport of ventilatory supported patients. In: Tobins MJ, editor. Principles and practice of mechanical ventilation. New York : McGraw-Hill; 2006.p.609–24.
Andrews PJ, Piper IR, Dearden NM, Miller JD. Secondary insults during intrahospital transport of head injured patients. Lancet 1990; 335:327–30.
Smith I, Fleming S, Cernaianu A. Mishaps during transport from the intensive care unit. Crit Care Med 1990; 18:278–81.
Wallen E, Venkataraman ST, Grosso MJ, Kiene K, Orr RA. Intrahospital transport of critically ill pediatric patients. Crit Care Med 1995; 23:1588–95.
Wadhyas C, Schneck G, Duswaid KH. Deterioration of respiratory function after intra-hospital transport of critically ill surgical patients. Intensive Care Med 1995; 21:784–9.
Marx G, Vangerow B, Hecker H, et al. Predictors of respiratory function deterioration after transfer of critically ill patients. Intensive Care Med 1998; 24:1157–62.
Stearley HE. Patients' outcomes: intrahospital transportation and monitoring of critically ill patients by a specially trained ICU nursing staff. Am J Crit Care 1998; 7:282–7.