Retrieval and transport

Abstract

[Extract] Retrieval and transport is an essential element of quality patient care. To be most effective there should be seamless transition between care in the prehospital, transport and hospital environments. The usual operating paradigm in patient transport has been to 'bring the patient to care' and enable access to higher levels of care or definitive management. The concept of 'bringing care to the patient' is increasingly important. Highly trained retrieval teams can optimize patient outcomes by earlier introduction of critical care management. This mandates the deployment of appropriately trained staff with essential equipment, and liaison between referring, transporting and receiving staff. Clinical management during transport must aim to at least equal care at the referral point and also prepare the patient for admission to the receiving service. The risk of transport should not exceed any potential benefit the patient may obtain from the receiving centre.