ABC of Transfer and Retrieval Medicine provides the key information required to help health care professionals involved in the movement of critically ill patients to do so safely, correctly and with confidence.

Beginning with the practical and clinical considerations to be taken into account during patient transfer and an overview of transfer equipment, it then addresses pharmacological aspects of patient transfer, the roles and responsibilities of the transfer team, and the requirements of neonatal, paediatric and specialist transfers.

Mapped against the syllabus for the Diploma of Retrieval and Transfer Medicine (DRTM), it has been developed as a core resource for the DRTM and also serves as an invaluable resource for any healthcare professional involved in the transfer of critically ill patients including anaesthetists, intensivists and nurses from ITU/A&E and paramedics. It also includes frameworks for radiology and arterial blood gas interpretation, guidance on patient triage, transfer checklists and equipment checklists, and a summary of the relevant national guidelines.

From a multidisciplinary author team, this new addition to the ABC series is useful resource for all health care professionals involved in the transfer of patients. It is also relevant for anaesthetists, intensivists, critical care and emergency department nursing staff who are required to take part in intra and inter hospital transfers.

1 Introduction
Adam Low and Jonathan Hulme

Section 1: Physiology of Transfer Medicine

2 Acceleration, Deceleration and Vibration
Mark Sheils and Craig Hore

3 Environmental Exposure and Noise
Peter Paal and Matthias Helm

4 Altitude Physiology
Yashvi Wimalasena and Catriona Duncan

Section 2: Clinical Considerations

5 Resuscitation and Stabilisation
Clifford Reid and Karel Habig
  
6 Patient Packaging and Nursing Care
Charlotte Small and Felicity Clark

7 Mode of Transport
Andrew J. Cadamy and Terry Martin

8 International Repatriations
Bettina Vadera

9 Critical Incidents
Joep M. Droogh and Jan G. Zijlstra

Section 3: Transfer Equipment

10 Electrical Supply and Batteries
Gareth Roberts and Jonathan Hulme

11 Transfer Ventilators and Medical Gas supply
Jon Bingham

12 Monitoring
Alasdair Corfield and Stephen Hearns

13 Drug Delivery
James Cuell and Michael McCabe

14 Near Patient Testing and Imaging
Adam Low and Tim Harris

15 Haemorrhage Control and Splinting
Amy Hughes and Anne Weaver

16 Stretchers, Incubators and Vacuum Splints
Hannah Bawdon and Mathew Ward

17 Personal Protective Equipment
Clare Bosanko and Scott Hepburn

18 Communication and Navigation
Ian Locke

Section 4: Pharmacology of Transfer Medicine

19 Routes of Administration
Tim Nutbeam and Rob Fenwick

20 Pre-Hospital Sedation and Analgesia
Jonathan Hulme

21 Sedation and Neuromuscular Blockers
Emma L. Joynes and Blair Munford

22 Inotropes and Vasopressors
Anna Fergusson and Robert Tipping

23 Specialist Pharmacology: Haemostatics and Uterotonics
Patrick Morgan and David Lockey

Section 5: The Transfer Team

24 Managing and Leading a Transfer
Daniel Ellis & Stefan Mazur

25 Teamwork and Communication
Carl McQueen and Karl Thies

26 Non-technical Skills and Sources of Error
Carl McQueen and Martin Horton

27 Standard Operating Procedures, checklists and documentation
Stephen J.M. Sollid and Oddvar Uleberg

28 Audit, Medico-legal and Ethical Aspects of Transfer medicine
George Evetts, Stuart Cox and Robert Tipping

29 Training for Transfers
Jon Warwick and David Quayle

Section 6: Neonatal and Paediatric Transfers

30 Anatomical & Physiological Considerations
Sanjay Revanna

31 Neonatal Medical Retrievals
Lesley Jackson

32 Pediatric Medical Transfers
Samiran Ray & Eithne Polke

33 Paediatric Trauma Retrievals
Mary Montgomery

34 Additional Considerations
Heather McNeilly and Jo Hegarty

Section 7: Specialist Transfers

35 Head and Spinal Injuries
Richard Protheroe and Fiona Lecky

36 Burns
Thomas Muehlberger, Michael Büeschges, Christian Ottomann

37 Polytrauma & Military Retrievals
Damian Keene and Oliver Bartels

38 Obstetrics Transfers
Helen Simpson

39 Cardiac Transfers
Claire Westrope and Chris Harvey

40 Contagious Patients
Russell D. MacDonald

41 Bariatric Patients
Zoey Dempsey and Mark Ross

42 Acute Behavioural Disturbances
Minh Le Cong

43 Considerations regarding organ donation
Anders Aneman and William O’Regan

Appendices
Adam Low

Appendix 1: Framework for radiology interpretation

Appendix 2: Framework for interpretation of Arterial blood gases.

Appendix 3: Example of a Triage Sieve

Appendix 4: Example of a transfer checklist

Appendix 5: Example of Equipment inventory

Appendix 6: Summary of National Guidelines

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