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Paeds Casesacute-care-resuscitation-and-toxicology

Paeds Cases · acute-care-resuscitation-and-toxicology

Bring intensive care to the child — rural retrieval of a deteriorating child

A bedside structured clinical encounter testing recognition of a deteriorating child in a rural hospital, the stay-and-stabilise retrieval principle, a pre-transport stabilisation checklist, management of the physics of altitude, vibration and cold, the choice of mode and escort, communication, a rehearsed contingency, and a structured handover.

structured clinical encounter (retrieval team leadership)4 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A four-year-old in a rural hospital three hours by road from the paediatric intensive care unit is deteriorating with pneumonia and septic shock, and needs safe retrieval to the tertiary centre.

Station status

This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. The encounter assesses first-impression recognition, the stay-and-stabilise retrieval principle, a pre-transport stabilisation checklist, management of the physics of altitude vibration and cold, the choice of mode and escort, communication, a rehearsed contingency, and a structured handover. [1] [4]

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References6ShowHide
  1. [1]Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neonatal interfacility transport: results from a national consensus conference Pediatrics, 2013.PMID 23821698
  2. [2]Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review Anesthesia and analgesia, 2020.PMID 32925334
  3. [4]Wilcox SR, Wax RS, Meyer MT, et al. Interfacility Transport of Critically Ill Patients Critical care medicine, 2022.PMID 36106970
  4. [6]Thirnbeck CK, Espinoza ET, Beaman EA, et al. Interfacility Referral Communication for PICU Transfer Pediatric critical care medicine, 2024.PMID 38483193
  5. [8]Noje C, Rozenfeld R, Holcomb RG, et al. Consensus on Neonatal and Pediatric Interfacility Transport Air medical journal, 2026.PMID 42331499
  6. [12]Gleich SJ, Myers LA, Montgomery MD, et al. Low Utilization of Synchronous Telemedicine in Pediatric Critical Care Interfacility Transport: Barriers and Lessons Air medical journal, 2022.PMID 35750446
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