Patient care during interfacility transport: a narrative review of managing diverse disease states

Quincy K. Tran, Francis O’Connell, Andrew Hakopian, Marwa SH Abrahim, Kamilla Beisenova, Ali Pourmand

Table 1. Special consideration in critically ill patients prior to and during transportation

Disease states Special considerations Respiratory failure ● Placing patient in prone position ● Secure airway and prevent dislodgment of any airway devices while patient is in prone position, through the use of anesthesia pillow and supporting head with towel rolls ● Initiating CPR with patient in prone position Aortic dissection ● Control SBP between 100 mmHg and 120 mmHg ● Control HR <60 beats/min ● Arterial blood pressure monitor may improve guideline adherence Intracranial hemorrhage ● Control BP <160 mmHg ● ICP monitors ● Sedative management and anti-hypertensive medication ● Securing large-pore IV access Vaginal hemorrhage ● Consider blood product transfusion ● Provide anti-inflammatory medication Obstetric emergencies ● Continuous fetal monitoring ● Identify cause of bleeding ● Consider transfer to high level facilities