From: Quality of interhospital transport of critically ill patients: a prospective audit
Transfer characteristics | Adverse event | Severity (grade 1–3)a |
---|---|---|
Pulmonary embolus | PaO2 on departure 4.2 kPa; not intubated; PaO2 on arrival 4.7 kPa | 3 |
Oesophageal bleeding | Only one peripheral intravenous line; no accompanying physician; active bleeding; PaO2 on arrival 6.7 kPa | 3 |
Sepsis, rhabdomyolysis | RI; shock on arrival | 2 |
Imminent RI; Wegener's granulomatosis | No blood pressure measured on the road (160 km); PaO2 on arrival 6.7 kPa, SaO2 86% | 1 |
Pulmonary embolus | No accompanying physician; RI on arrival | 2 |
ARDS, MOF | SaO2 93% at departure, 69% on arrival | 3 |
Streptococcal pneumonia/sepsis; imminent RI | Not intubated (despite advice); norepinephrine via peripheral intravenous line | 3 |
Sleep apnoea syndrome; RI | PaO2 on departure 6.9 kPa; during transport SaO2↓ 74% and cardiac ischaemia; no physician | 3 |
Haemorragic shock; mechanical ventilation | No accompanying physician; active bleeding (3 units packed cells on the road); oxygenation problems | 3 |
Infectious endocarditis; mechanical ventilation | No physician; haemodynamically unstable on the road | 1 |
Septic shock; imminent RI | Not intubated (despite advice); RI on arrival | 3 |
Septic shock; MOF | Norepinephrine via peripheral intravenous line | 2 |
Suicide attempt (benzodiazepine) | Deep coma; not intubated; apnoea en route; cyanotic on arrival | 3 |
Postsurgical; mechanical ventilation | Oxygen supply breakdown before arrival | 3 |
COPD, pneumonia | Shortage of oxygen before arrival | 3 |
Haemodyalisis postsurgical | No blood pressure measured on the road | 1 |
Active bleeding digestive tract | Only one peripheral intravenous line | 1 |
ARDS; mechanical ventilation | Ambulance breakdown; 40 min delay | 1 |