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Infants may also lose heat rapidly when moving from the warm ward to the ambulance outside the hospital, often with its doors open and a wind blowing through it. When you are nearly ready to leave the referring hospital, it is sensible to ask one of the ambulance crew to go back to the ambulance, shut the doors and run the engine with the heating full on to warm the ambulance up prior to loading the child. 2. By conduction directly from the patient to cold objects placed in contact, such as cold blankets.
The aim, as outlined in the Paediatric Intensive Care Society’s “Paediatric Intensive Care Standards”, should be to recreate intensive care for the child within the ambulance, to “provide intensive care on the move”. Although this chapter discusses issues in the planning and design of transport vehicles, it must be borne in mind that these are all only as good as the personnel using them. The “Transport of Neonates in Ambulances (TINA)” report highlighted this issue, recommending that teams “should ensure that suitably skilled staff, together with equipment and vehicles are available to ensure the demands of neonatal transport are met efficiently”.
Subtle symptoms include drowsiness and decreased performance. The physiological problems caused by hypoxia at altitude and expansion of air spaces and body parts should be understood and anticipated. 3 The ambulance environment Objectives This chapter is concerned with transfers in ground ambulances, both planning for transport and the practicalities of working in ambulances. It is important to appreciate the safety-focused legislative frameworks that cover ambulance transfers, as well as understanding the constraints imposed on practice by the environment.
Transport theory by Duderstadt