ABC of Intensive Care - [unkn]

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X Monitoring attached and working? x Drugs, pumps, lines rationalised and secured? x Adequate sedation? x Still stable after transfer to mobile equipment? x Anything missed? com on 1 October 2006 ICU TRANSFER FORM Drugs TRANSFER DETAILS Name Transferring Unit Name Address Recipient Unit Name Postcode Date of Admission to Hospital Age or DOB Monitoring SaO2 ETCO2 Date of Transfer Time Male/Female ICU Transferred From: Is this a TRAUMA Yes Patient: WARD Reason for Transfer: A&E No staffed bed space in ICU No bed space in ICU No THEATRE OTHER 220 200 180 160 140 120 100 80 60 Expert Management Other (please state) HISTORY & CLINICAL FINDINGS Pre-Sedation GCS 220 200 180 160 140 120 100 80 60 Fluids STABILISATION TIME AMBULANCE DETAILS Please list any precautions taken for fractured spine at any level.

BMJ 1999;319:368-71 The ladder of truth The story of a mother and her son This story was told to me by Christopher’s mother and related to a conversation they had when he was about 6. At the time he was attending a cystic fibrosis clinic where he came to know Rosie, another patient about the same age. Sadly, Rosie died shortly afterwards. One day, a little later, while perched on the draining board watching his mother wash up, Christopher dropped his bombshell by asking whether he had cystic fibrosis, whether he would always have it, and whether he, like Rosie, would die.

X Urine volumes? x Continuing bleeding? Site? Head x Glasgow coma score? Trend? x Focal signs? x Pupillary response? x Skull fracture? Other injuries x Cervical spine, chest, ribs? x Pneumothorax? x Bleeding—intrathoracic or abdominal? x Long bone or pelvic fractures? x Adequate investigation? x Adequate treatment? Monitoring x Electrocardiography? x Pulse oximetry? x Blood pressure? x End tidal carbon dioxide pressure? x Temperature? x Central venous pressure, pulmonary artery pressure, or intracranial pressure needed?

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