Initial management and stabilization: Emergency department transport

Corina Noje, Kelly A. Swain, Autumn K. Peterson, Edd Shope, Jennifer L. Turi

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Infants and children with congenital and acquired heart disease frequently present with nonspecific complaints, and therefore it is essential to have a high index of suspicion for a cardiac cause. This is particularly true for a neonate presenting with severe cyanosis or cardiovascular collapse. A thorough knowledge of pediatric cardiac physiology and O2 delivery are required to accurately evaluate and effectively stabilize these patients. The safe transport of patients with known or suspected cardiac disease requires a clear understanding of the transport environment’s unique features and an appreciation of the challenges that these may pose. Effective triage and communication is essential to assessing the patient’s severity of illness and clinical stability before transport and to determining what interventions and/or therapies will be needed on arrival to the referring facility, during transport itself, and immediately upon return to the receiving institution.

Original languageEnglish (US)
Title of host publicationCritical Heart Disease in Infants and Children
PublisherElsevier
Pages525-535.e1
ISBN (Electronic)9781455707607
ISBN (Print)9781455751006
DOIs
StatePublished - Jan 1 2018

Keywords

  • Elective intubation
  • Oxygen delivery
  • Prostaglandin E
  • Pulmonary blood flow
  • Systemic blood flow
  • Transport
  • Triage

ASJC Scopus subject areas

  • Medicine(all)

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