With Jamie Eastman, CFRN, FP-C and Jon Behuniak, SP, IP
The DUSTOFF mission doesn’t end when the battlefield is cleared. We have the unique responsibility of transporting post-surgical patients from Role II to Role III facilities, and this is arguably the phase of en route care where the big-brain medicine happens. Jamie and Jon are back for the final installment of the three-part AAR series to talk about the interfacility transfer of their critically injured patients.
Outside of the tactical context, make decisions based on what will optimize patient outcomes. There is little use in getting out of bed for a mission if your decision-making leads to the patient dying. Whether this is accidental extubation during a tail-to-tail, or mistakes caused by poor patient hand-off between providers. Take the time to make the decisions that will benefit your patient.
Make changes to the patient’s care that will keep them stable in the out-of-hospital environment. Taking a patient from the calm, well-lit, and well-resourced hospital into the noisy, dark, vibrating out-of-hospital setting is a gamble. You have the opportunity to optimize the patient for transport when you are standing at the bedside. Talk with the providers, use your pre-transport checklist, and give your patient the best opportunity for survival.
Check out the episode below, or wherever you listen!