Pediatric and Neonatal Transport Teams With and Without a Physician

King, Brent R.; King, Terri M.; Foster, Robert J.; McCans, Kathryn

doi:10.1097/pec.0b013e318030083d

Cited by 50 publications

(23 citation statements)

References 9 publications

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“…Interestingly, during this study period our center was transitioning to a specialized nurse-led transport team. Over the last decade several studies have demonstrated that specialized teams improve outcomes whether led by specially trained nurses or physicians 21–23 . However, having an objective tool to assist with triage decisions previously made by the physician-led team may become more valuable.…”

Section: Discussionmentioning

confidence: 99%

Transport Disposition Using the Transport Risk Assessment in Pediatrics (TRAP) Score

Kandil

Sanford

Northrup

et al. 2012

Prehospital Emergency Care

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Background Determining appropriate disposition for referred pediatric patients is difficult since it relies primarily on a telephone description of the patient. In this study, we evaluate the Transport Risk Assessment in Pediatrics (TRAP) score’s ability to assist in appropriate placement of these patients. This novel tool is derived from physiologic variables. Objectives To determine the feasibility of calculating a TRAP score and whether a higher score correlates with Pediatric Intensive Care Unit (PICU) admission. Methods We performed an observational study of pediatric patients transported by a specialized team to a tertiary care center and the feasibility of implementing the TRAP tool. Patients were eligible if transported by the pediatric specialty transport team for direct admission to the children’s hospital. The TRAP score was obtained either through chart review of transport team’s initial assessment or real-team by the transport team. Results A total of 269 patients were identified with 238 patients included in the study Using logistic regression, higher TRAP scores were associated with PICU admission (OR 1.40, p <0.001). Patients with a higher score were also less likely to leave the PICU within 24 hours (OR 0.79, p <0.001). Conclusion The TRAP score is a novel objective pediatric transport assessment tool where an elevated score is associated with PICU admission for greater than 24 hours. This score may assist with the triage decisions for transported pediatric patients.

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Section: Discussionmentioning

confidence: 99%

Transport Disposition Using the Transport Risk Assessment in Pediatrics (TRAP) Score

Kandil

Sanford

Northrup

et al. 2012

Prehospital Emergency Care

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show abstract

“…2 Since then, research has increased and led to several publications relevant to clinical practice and improving the quality of care provided during transport. [9][10][11][12][13][14][15][16] The broad diversity of, practice differences, and geography served by programs across the United States continues to challenge collaborative research efforts. An organized transport research network designed to answer relevant clinical questions in a multicentered collaborative fashion is urgently needed.…”

Section: Clinical Researchmentioning

confidence: 99%

“…Several studies have evaluated equipment and efficacy of therapeutic interventions. [13][14][15][16] In addition, the first prospective, randomized clinical trial in pediatric interfacility transport was recently published, illustrating the need for enhanced monitoring and timely resuscitation of critically ill transport patients. 16 It also demonstrated the ability to conduct clinical trials in the transport environment, even with informed consent requirements and concerns.…”

Section: Clinical Researchmentioning

confidence: 99%

Pediatric and Neonatal Interfacility Transport: Results From a National Consensus Conference

et al. 2013

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The practice of pediatric/neonatal interfacility transport continues to expand. Transport teams have evolved into mobile ICUs capable of delivering state-of-the-art critical care during pediatric and neonatal transport. The most recent document regarding the practice of pediatric/neonatal transport is more than a decade old. The following article details changes in the practice of interfacility transport over the past decade and expresses the consensus views of leaders in the field of transport medicine, including the American Academy of Pediatrics’ Section on Transport Medicine.

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“…Despite the ability to provide more efficient medical command, scene times and overall transport times may be longer with physician presence. 18 Additional clinical expertise and advanced procedural capabilities give physicians a distinct skill set; however, because these skills are required so infrequently, it is difficult to determine which calls require physician presence. In a series of 166 pediatric transports with physicians in Alabama, only 9% had procedures performed requiring a physician, and in 43% of calls, the physician was thought to be noncontributory.…”

Section: Physiciansmentioning

confidence: 99%

Variations in Interfacility Transport: Approach to Call Intake, Team Composition, and Mode of Transport

Mathison

Berg

Beaver

2013

Clinical Pediatric Emergency Medicine

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Pediatric and Neonatal Transport Teams With and Without a Physician

Abstract: Outcomes for the 2 types of teams were equivalent. Nonphysician teams responded more quickly and spent less time at the referring facility.

Cited by 50 publications

References 9 publications

Transport Disposition Using the Transport Risk Assessment in Pediatrics (TRAP) Score

Transport Disposition Using the Transport Risk Assessment in Pediatrics (TRAP) Score

Pediatric and Neonatal Interfacility Transport: Results From a National Consensus Conference

Variations in Interfacility Transport: Approach to Call Intake, Team Composition, and Mode of Transport

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