Highlights the risks of transferring intensive care patients from rural hospitals and proposes strategies for safer transport and better documentation.
May guide rural ICU transfer protocols; leaves open prospective validation of proposed safety measures.
Patients, admitted and primarily treated in a rural hospital, who required varying periods of intensive care management have been reviewed. The criteria for transfer of such patients to more specialised units and the hazards associated with ambulance travel are discussed. We describe measures to reduce these hazards and also a scheme for more uniform documentation and follow-up of such cases by the anaesthetist involved in primary care.
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Lavery et al. (1984) studied this question.
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