Caution on Transporting Critically Ill Patients

"Whatever can go wrong, will go wrong" is especially true during the transport of critically ill patients. Adherence to common sense guidelines helps to minimize the risk of adverse events:

1. Maintain the patient's airway; if the airway is tenuous, intubate the patient before transport.

2. Transport only stable patients (unless the role of transport is to provide a life-saving intervention).

3. Pay attention to IV catheters and pumps and their connections.

4. Bring sufficient oxygen, IV fluids, medications, etc.

5. Adequate assistance must be available to safely transport the patient and associated equipment; the destination should be prepared to accept the patient.

6. Expect the unexpected; have personnel, equipment, and supplies available that can make the difference in a crisis (eg, drugs and equipment for reintubation, bag valve mask).