Inter Hospital Transfer
Not much research has been done in this area relating to interhospital transport, but a lot of good practice from the hospital can apply to us. You obviously have fews sedating medications available but the principle remains the same. Take your safety into account and if your concerned raise it with your partner, the sending and receiving hospitals. It takes a few minutes to sort out any issues and can prevent a major mishap further down the road. All view and opinions are my own, always observe local protocols and procedures. Work Hard and be good to your patients!
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What to read; ABC’s Transfer and Retrieval Medicine; Chapter 42, Acute Behavioural Disturbance M. Le Cong ABC’s Prehospital Emergency Medicine; Chapter 4, Scene Safety V. Calland & P. Williams What evidence exists about the safety of physical restraint when used by law enforcement and medical staff to control individuals with acute behavioural disturbance? Peter Day http://www.otago.ac.nz/christchurch/otago014012.pdf
Psychiatric Services 1999 50:12, 1553-1554 http://ps.psychiatryonline.org/action/showCitFormats?doi=10.1176%2Fps.50.12.1553 Jennifer Rossi, Megan C. Swan, Eric D. Isaacs, The Violent or Agitated Patient, Emergency Medicine Clinics of North America, Volume 28, Issue 1, February 2010, Pages 235-256, ISSN 0733-8627, http://dx.doi.org/10.1016/j.emc.2009.10.006. (http://www.sciencedirect.com/science/article/pii/S0733862709001242) Keywords: Violent; Agitated; Sedation; Restraints; Psychiatric; Substance abuse