Transferring critically ill patients is common and the transfer process itself carries risk. This video highlights why we should worry about moving these patients.
Once the decision to transfer a critically ill patient has been made, what are the four key principles that should be applied before moving the patient?
Movement can lead to significant alteration in the critically ill patient’s condition. This video looks at the physiological effects and how you can plan for and mitigate these effects prior to and during the transfer.
How do you decide whether to “stay and play” or “scoop and run” with the patient in front of you? This video outlines the risks / benefits to consider and the key principles of stabilising critically ill patients prior to transfer.
This video covers the most common questions asked by trainees about the legal aspects of transfers. Who is responsible and what standards should be applied?
Do you understand crisis resource management (CRM) and its application to critical care patient transfers? This video outlines CRM skills and provides a CRM strategy to facilitate smooth, swift and safe transfers for these patients.
Remember, blood in the wrong place hurts. Patients with aortic emergencies are extremely unstable and time is of the essence. In this video, learn more about the preparation and management of these challenging critical transfers.
Time is Brain. This video explains the process of determining the injury, referral to the neurosurgical centre and the clinical management for neurosurgical emergency patients before and during transfer.
Do you know your Major trauma pathway? Dr Jonathan Handy and Dr Fionna Moore discuss the roles of the Major Trauma Centres and the Trauma Units in London and describe the designated and commissioned Major Trauma pathway in London.
This film looks at the process for transferring patients with severe acute respiratory failure who may be suitable for extracorporeal membrane oxygenation (ECMO). This film is aimed at clinical staff including doctors, nurses, allied healthcare professionals, ambulance crews and managers who might be involved caring for these critically ill patients pending transfer.
How well do you know your equipment? Critical care equipment is complex and challenging to use. This video addresses some common equipment problems encountered by clinical staff.
Getting the right ambulance. This video explains the “immediate” and “critical” transfer categories, equipment requests (e.g. balloon pumps) and describes how the ambulance crew can support you and your patient.
Documenting transfers is essential for patient safety. This video describes the audit and governance in place using Network transfer documentation and how you can help influence provision of equipment, training for staff and bed capacity in North west London.
Familiarity with environment, processes and equipment reduces the risk inherently associated with critical care transfers. Therefore, the North West London Critical Care Network decided to create a standardised ideal transfer bag and contents to improve patient safety. The Patient Transfer Bag is now in use in all Emergency Departments, Critical Care and High Dependency units in every Hospital in North West London. This film demonstrates the key features of the Patient Transfer Bag and how to use it when transferring critically ill patients.
Transferring critically ill patients is not without its risks, and whether transferring them 100 yards or 100 miles the same principles should be applied. This film demonstrates the challenges posed when transferring critically ill or injured patients and highlights the important clinical and logistical aspects that should be considered. Further training videos are available that provide more in-depth consideration of the most important issues.
The Network is a strategic collaboration of multi- professional clinicians, managers and commissioners. Hear directly from Network members about why people get involved and what collaboration delivers for patients and for staff across North West London.
Evacuation of any healthcare site is much more complicated than evacuating a normal building. The occupants are already sick and will be dependent to varying degrees on staffing, observation, treatment, equipment and infrastructure. Learning from those involved in two separate fires in hospitals in North West London has helped to inform this video. It covers the principles of evacuation and shelter for critically ill and injured hospitalised patients. This video is for anyone who may be involved in a hospital evacuation. It will assist clinicians, emergency planners, and the wider emergency services to understand the risks/benefits of moving such patients, the command and control required and the advance preparation that could help.
Rehabilitation After Critical Illness
Steve Brett Consultant ICM, President of the ICS 2014-16, talks to a conference hosted by RCPsych Liaison Faculty about research into surviving critical illness and what patients, their carers and Healthcare professionals can expect – and offers some consideration as to what might help.
Steve Brett Consultant ICM, Dr Mo Ali Lead GP in NWL discuss opportunities collaboration between Primary Care and Critical Care North West London to support Patients and their families after surviving critical illness.
Duncan Wells tells of his experiences in critical care. Duncan is the Patient member on the North West London Critical Care Network JCFB and also a Member of the ICS council.
Eve Corner Consultant Physio, Wendy Willingham senior Physio and Lauren Maher Occupational therapist discuss the AHP role and input for patients whilst they are in critical care and how AHPs continue to support patients after critical care (whilst in the hospital ) and then when they are discharged home.
Drs Anthony Bastin, Consultant ICM and Julian Letainge, Clinical Fellow in critical care, discuss patient experience and stories from their Follow up clinic.