중증 환자를 전원 시킬 준비가 되었습니까?

Abstract

Purpose: This study is designed to evaluate the current situation of interhospital transports of critical ill patients requiring emergency care.

Methods: Using a clinical prospective 162 interhospital transports of ill patients by ambulance were evaluated in 2 hospitals. Patients were divided into severe & mild to moderate group by modified-ESI. We evaluated the state of patients, vital sign, monitoring of patient’s state, hospitalization or transportation. Data were collected by mean of comprehensive form filled by a physician at the receiving hospital.

Results: The receiving hospital were notified prior to the transport in 57.4%. Pretransport information about the patients were adequate in 75% and no data in 9.9%. In 10.4% of the transports, the patients arrived at the receiving hospital in an agonized state. In 80.8% of the transports admitted and 7.4% of the patients were transfer to the other hospital.

Conclusion: It appears that there are no established guidelines for the emergency transport of critical ill patients in Korea.