Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently....
Transcript of Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently....
![Page 1: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/1.jpg)
Referrals and Transport ofcritically ill children
Dr P RamnarayanChildren’s Acute Transport Service & St Mary’s Hospital, London
Chair, Critical Care Transport Section, ESPNIC
![Page 2: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/2.jpg)
Paediatric critical care - facts
29/06/16Science and Technology Options Assessment, Brussels
2
Critical illness/injury is rare
Critical care is highly specialised
Volume-outcome relationship
![Page 3: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/3.jpg)
Sources of PIC admission
29/06/16Science and Technology Options Assessment, Brussels
3
PICUPICU
Plannedadmissions
Unplannedadmissions
(samehospital) Unplanned
admissions
(otherhospital)
![Page 4: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/4.jpg)
Intensive care transport
29/06/16Science and Technology Options Assessment, Brussels
4
RequiresIntensiveCare
IntensiveCareUnit INTENSIVE CARE TRANSPORT TEAM
Intensive Care
![Page 5: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/5.jpg)
Specialist transport teams
29/06/16Science and Technology Options Assessment, Brussels
5
![Page 6: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/6.jpg)
An integrated and safe system
29/06/16Science and Technology Options Assessment, Brussels
6
Equipmentsafe
compatible
Networks
teamworkoutreach
Structure
protocolsprocesses
Staffexperiencedsupported
![Page 7: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/7.jpg)
Certified portable equipment
29/06/16Science and Technology Options Assessment, Brussels
7
![Page 8: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/8.jpg)
Networked model
29/06/16Science and Technology Options Assessment, Brussels
8
Triage Advice
Bed finding Transport
TT
![Page 9: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/9.jpg)
Remote consultation
29/06/16Science and Technology Options Assessment, Brussels
9
![Page 10: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/10.jpg)
Team training
29/06/16Science and Technology Options Assessment, Brussels
10
Simulation based trainingPractical workshopsCase reviews
![Page 11: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/11.jpg)
Shared clinical guidelines
29/06/16Science and Technology Options Assessment, Brussels
11
![Page 12: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/12.jpg)
“Data! Data!Data” he criedimpatiently. “I
can’t makebricks without
clay”
![Page 13: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/13.jpg)
13
![Page 14: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/14.jpg)
Critical incidents
Outcome oftransport
Team composition
PICANet transport dataset
![Page 15: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/15.jpg)
PIM2/3 score
Time intervals
Interventions
PICANet transport dataset
![Page 16: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/16.jpg)
GAMUT initiative
• Aggregate data submitted to online database• Covers adult, newborn and paediatric transport• 15 quality metrics in report
![Page 17: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/17.jpg)
DEPICT study
Association between timeliness of arrival of PIC transport team atbedside and clinical outcome
Association between care delivered by the PIC transport team andclinical outcome
Experiences and perspectives of parents/families/children transported toPICU and clinicians
Health economic evaluation
Mathematical modelling
29/06/16Science and Technology Options Assessment, Brussels
17
![Page 18: Referrals and Transport of critically ill children · “Data! Data! Data” he cried impatiently. “I can’t make bricks without clay” ... Science and Technology Options Assessment,](https://reader033.fdocuments.us/reader033/viewer/2022042405/5f1ca6b0dfc7982096708368/html5/thumbnails/18.jpg)
European collaboration