Advanced Life Support Group (ALSG) improves outcomes for people in life-threatening situations, anywhere along the health care pathway, anywhere in the world. ALSG is a leading medical education charity and have delivered advanced life support training to over 225,000 clinicians in 44 countries, across 5 continents, for over 25 years.

Working group vii

Contributors ix

PaNSTaR (Paediatric and Neonatal Safe Transfer and Retrieval) first edition xi

STaR (Safe Transfer and Retrieval) first and second editions xiii

Preface xv

Acknowledgements xvii

Contact details and website information xix

How to use your textbook xxi

Part 1: Introduction 1

1 Introduction 3

2 Medicine on the move 7

3 Planning the move 9

4 Human factors 13

Part 2: The elements of transfer 23

5 Assessment 25

6 Control 27

7 Communication 29

8 Evaluation 35

9 Preparation and packaging 39

10 Transportation 53

Part 3: Practical considerations 63

11 SCRUMP - the differences between transport and hospital¿based care 65

12 Safety and the team 73

Part 4: Clinical considerations 81

13 Clinical considerations - an introduction 83

14 Clinical considerations for neonates and children 87

15 Clinical considerations for adults 107

Part 5: Special considerations 117

16 Support for the family 119

17 Air transfers - an introduction 123

18 Respiratory support and the patient with a difficult airway or tracheostomy 133

19 Patient monitoring 153

20 The infectious or contaminated patient 161

21 Governance, legal and insurance issues 167

22 Documentation 173

Part 6: Appendices 177

A Intensive care levels: classification of ICU patient dependency 179

B Transfer quick reference 181

C Pre¿departure checks 183

D Generic forms: referral and transfer 185

E Glossary 207

Index 215