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Considerations regarding required equipment for safe transport

Considerations regarding required equipment for safe transport
Airway and respiratory considerations:
  • Full O2 cylinder of a size appropriate for duration of transport
  • Transport ventilator versus manual ventilation for mechanically ventilated patients
  • Bag valve mask with intact appropriately sized face mask and PEEP valve
  • Oral and/or nasal airways
  • Consider need for portable suctioning device and suction catheters
  • Ability to monitor SpO2. EtCO2 monitoring is desirable where available.
  • Consider need for addition of endotracheal tubes, laryngoscopes, or other equipment to secure or resecure the airway during transport or at transport destination
  • If patient requires inhaled nitric oxide or epoprostenol, providers familiar with these agents should accompany the patient
Cardiovascular considerations:
  • Ensure ability to monitor BP, whether noninvasive or invasive
  • Ensure ability to monitor ECG
  • Ensure immediate availability of various vasoactive agents for bolus administration, including those used for rescue
  • Ensure an adequate supply of any currently administered infusions including a possible need for increased support during transport
  • Ensure transport monitor function and battery life
  • Ensure availability of a portable cardioverter-defibrillator
Other considerations:
  • Ensure availability of IV fluids and appropriate tubing
  • Ensure that lines and tubes are adequately labeled and secured and have sufficient slack in their tubing to reduce the risk of dislodgment
  • Ensure availability of additional sedative-analgesic medications
  • Assess need for special monitors (eg, ICP, PAC)
O2: oxygen; PEEP: positive end-expiratory pressure; BP: blood pressure; ECG: electrocardiogram; IV: intravenous; SpO2: peripheral arterial oxygen saturation; EtCO2: end-tidal carbon dioxide; ICP: intracranial pressure; PAC: pulmonary artery catheter.
Graphic 139205 Version 1.0

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