Transportation Management Affecting Outcomes of Patients With Spontaneous Intracranial Hemorrhage

Tuteja, Gurshawn; Jackson, Matthew; Barr, Jackson; Cao-Pham, Mimi; Capobianco, Paul; Kuhn, Diane; Motley, Kaitlynn; Pope, Kanisha; Strong, Jonathan; Kole, Matthew J; Wessell, Aaron; Thom, Stephen R.; Tran, Quincy

doi:10.1016/j.amj.2019.12.001

Cited by 9 publications

(3 citation statements)

References 23 publications

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“…The most common medication administration includes sedative management (27%), followed by antihypertensive medication management (26%). [36] Patients received antiepileptics (P=0.030) and hyperosmolar therapy (P=0.031), with a signifi cantly greater number of ND patients receiving interventions. [32] For the transport crew, the medical control (MC) physician determines the number and type of monitoring devices, such as ICP monitors, and the need for additional staff (i.e., second paramedic, nurse, or physician).…”

Section: Intracranial Hemorrhagementioning

confidence: 99%

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

Tran¹,

O’Connell²,

Hakopian³

et al. 2023

World Journal of Emergency Medicine

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BACKGROUND: When critically ill patients require specialized treatment that exceeds the capability of the index hospitals, patients are frequently transferred to a tertiary or quaternary hospital for a higher level of care. Therefore, appropriate and effi cient care for patients during the process of transport between two hospitals (interfacility transfer) is an essential part of patient care. While medical adverse events may occur during the interfacility transfer process, there have not been evidence-based guidelines regarding the equipment or the practice for patient care during transport. METHODS:We conducted searches from the PubMed, Cumulative Index of Nursing and Allied Health (CINAHL), and Scopus databases up to June 2022. Two reviewers independently screened the titles and abstracts for eligibility. Studies that were not in the English language and did not involve critically ill patients were excluded. RESULTS:The search identified 75 articles, and we included 48 studies for our narrative review. Most studies were observational studies. CONCLUSION:The review provided the current evidence-based management of diverse disease states during the interfacility transfer process, such as proning positioning for respiratory failure, extracorporeal membrane oxygenation (ECMO), obstetric emergencies, and hypertensive emergencies (aortic dissection and spontaneous intracranial hemorrhage).

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Section: Intracranial Hemorrhagementioning

confidence: 99%

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

Tran¹,

O’Connell²,

Hakopian³

et al. 2023

World Journal of Emergency Medicine

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“…The transport team's management during transport is a vital component of patient care. Higher care intensity during transport between hospitals was associated with improved patients' short-term outcomes at the accepting hospitals [8]. This study aimed to investigate the care intensity provided by transport clinicians to a special group of obstetric patients who were transported between hospitals for the management of non-delivery-related medical conditions.…”

Section: Introductionmentioning

confidence: 99%

“…The transport team’s management during transport is a vital component of patient care. Higher care intensity during transport between hospitals was associated with improved patients’ short-term outcomes at the accepting hospitals [ 8 ]. Furthermore, being able to predict the level of care intensity or what type of interventions obstetric patients may need during the IHT process would potentially provide transport clinicians with valuable information to improve patients’ care and outcomes.…”

Section: Introductionmentioning

confidence: 99%

Transport of Peripartum Patients for Medical Management: Predictors of Any Intervention During Transport

Tran¹,

Hollis²,

Beher³

et al. 2022

Cureus

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BackgroundWhen obstetric patients present to a hospital without obstetric consultants for medical care, they are often transferred for a higher level of care. Factors associated with patient care during transport between hospitals are unknown. Our study investigated factors associated with care intensity. MethodsWe retrospectively reviewed charts from peripartum adult patients who were transported to our academic quaternary center between January 1, 2012, and April 19, 2020. We excluded patients transported for gynecologic or fetus-related complications. We defined any transport interventions as any ventilator management, any titration of continuous infusions, and any continuation or initiation of medication during transport. ResultsWe included 126 patients, and the mean age (SD) was 29 (7) years. There were 87 (695) antepartum patients, with nine (7%) requiring mechanical ventilation. Of the patients, 98 (78%) received at least one intervention during transport.

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Intracranial and Blood Pressure Variability and In-Hospital Outcomes in Intracranial Device-Monitored Patients with Spontaneous Intracerebral Hemorrhage

et al. 2023

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Transportation Management Affecting Outcomes of Patients With Spontaneous Intracranial Hemorrhage

Cited by 9 publications

References 23 publications

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

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

Transport of Peripartum Patients for Medical Management: Predictors of Any Intervention During Transport

Intracranial and Blood Pressure Variability and In-Hospital Outcomes in Intracranial Device-Monitored Patients with Spontaneous Intracerebral Hemorrhage

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