Sh. Cray et Cmb. Heard, TRANSPORT FOR PEDIATRIC INTENSIVE-CARE - MEASURING THE PERFORMANCE OFA SPECIALIST TRANSPORT SERVICE, Paediatric anaesthesia, 5(5), 1995, pp. 287-292
Fifty children were referred for transport to a paediatric intensive c
are unit (PICU). Two scoring systems were used for the transfer proces
s. A physiology score derived from the paediatric risk of mortality (P
RISM) score was performed at referral, before transfer and on arrival
on PICU. An interventions score based on the therapeutic intervention
scoring system (TISS) was performed for interventions by the referring
staff and by the transport team before and during transfer. Critical
events during transport were recorded. Three children died at the refe
rring hospital. Forty-seven were transported by the PICU team. No chil
d died or suffered a major physiological deterioration or equipment re
lated problem in transit. Physiology scores did not deteriorate during
transfer. Referral physiology scores did not reliably predict the nee
d for major therapeutic interventions by the transport team before tra
nsfer. Critically ill children may be transported safely by a speciali
st team.