Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently....
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Referrals and Transport of critically ill children Dr P Ramnarayan Children’s Acute Transport Service & St Mary’s Hospital, London Chair, Critical Care Transport Section, ESPNIC
Transcript of Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently....
Referrals and Transport ofcritically ill children
Dr P RamnarayanChildren’s Acute Transport Service & St Mary’s Hospital, London
Chair, Critical Care Transport Section, ESPNIC
Paediatric critical care - facts
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Critical illness/injury is rare
Critical care is highly specialised
Volume-outcome relationship
Sources of PIC admission
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PICUPICU
Plannedadmissions
Unplannedadmissions
(samehospital) Unplanned
admissions
(otherhospital)
Intensive care transport
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RequiresIntensiveCare
IntensiveCareUnit INTENSIVE CARE TRANSPORT TEAM
Intensive Care
Specialist transport teams
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An integrated and safe system
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Equipmentsafe
compatible
Networks
teamworkoutreach
Structure
protocolsprocesses
Staffexperiencedsupported
Certified portable equipment
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Networked model
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Triage Advice
Bed finding Transport
TT
Remote consultation
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Team training
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Simulation based trainingPractical workshopsCase reviews
Shared clinical guidelines
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“Data! Data!Data” he criedimpatiently. “I
can’t makebricks without
clay”
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Critical incidents
Outcome oftransport
Team composition
PICANet transport dataset
PIM2/3 score
Time intervals
Interventions
PICANet transport dataset
GAMUT initiative
• Aggregate data submitted to online database• Covers adult, newborn and paediatric transport• 15 quality metrics in report
DEPICT study
Association between timeliness of arrival of PIC transport team atbedside and clinical outcome
Association between care delivered by the PIC transport team andclinical outcome
Experiences and perspectives of parents/families/children transported toPICU and clinicians
Health economic evaluation
Mathematical modelling
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European collaboration
