ABSTRACT
Critical care transport is a raising need in health care because patients who have medical conditions that exceed the capabilities of the initial treating facility require timely safe transport to referral centers. Therefore, indications for inter-hospital transfer include the need for specialist intervention, a critical bed not available or ongoing support not provided in the referring hospital. The aim of transferring a critically ill patient to a reference center is to improve prognosis, and this potential benefit must outweigh potential harm derived of eventual complications or adverse events that could happen during transportation, because critically ill patients have a high risk of morbidity and mortality during transport. The most frequent indications of transfer involve time-dependent pathologies, such as Cardiovascular and Neurologic Emergencies. Pre-transport evaluation and stabilization is critical, as it contributes to minimize in-transport risks, and it must consider aspects as adequate monitoring, transportation times and conditions...
Subject(s)
Humans , Male , Female , Critical Care/standards , Critical Care/trends , Patient Transfer/classification , Patient Transfer/methods , Patient Transfer/standards , Patient Transfer/organization & administration , Patient Transfer/trends , Patient TransferABSTRACT
Se estudia la organización nacional existente para casos de catástrofes, haciendo referencia a resultados en la atención médica, en relación al tiempo de demora en prestar auxilio a los heridos en los 4 últimos grandes conflictos del siglo, de los cuales existe información disponible tabulada. Se analiza el Plan Nacional de Emergencia y las reacciones entre el Ministerio de Salud y ONEMI. Se presentan cifras estadísticas de las principales acciones de E.A.M. en Chile, hasta la fecha. Se discuten y comentan los principales conceptos de E.A.M. en relación a criterio clínico de selección de pacientes, clasificación y prioridades de los pacientes para E.A.M., embarque y desembarque de pacientes y por último, se analizan detalles y se estudian los actuales conceptos del "Triage"