Transfer to Definitive

Care

Department of Anesthesiology & Intensive

Therapy
Waled General Hospital
Cirebon

Transfer Principles
Know institutional capabilities.
Be prepared and anticipate patient
needs.
Do no further harm.
Identify patients whose needs
exceed local resources.

Transfer Principles
Perform only essential procedures.
Establish direct communication
between referring and receiving
doctors.
Transport to closest, appropriate
facility.
Use most appropriate mode of
transport.

Transfer
Decisions
Whom do I transport?
Patients with multiple
injuries
Patients whose needs
exceed institutional
capabilities
Patients with
comorbidities
Extremes of age
Preexisting disease

Transfer Decisions
Where should I send the patient?
Transfer to an institution
capable of providing equipment
and resources
Transfer to an appropriate,
qualified physician who can:
Make the diagnosis
Treat the patients injuries
Provide commitment and
resources

Transfer Decisions
When should I transport the
patient?
Transfer after life-threatening
problems are managed.
Transfer after disabling injuries are
stabilized.
Transfer after arrangements are
made.
Transfer before performing
unnecessary tests and procedures.
Avoid
delay!

Transfer Decisions
How should I transport the
patient?
Determine by:
Care required en
route
Patient destination
Available resources
Existing transfer
agreements

Summary
What is the problem?
Not all hospitals can care for all
trauma patients.
Whom do I transfer?
Patients whose needs exceed
local resources.
Where should I send the
patient?
Ideally, to a verified trauma
center.

Summary
When should I transport the
patient?
After immediate, life-threatening
injuries are addressed.
How should I transport the
patient?
According to the patients needs
and available resources.

time saving is life and limb

saving
The Right Patient to The Right
Place in The Right Time
Preparedness, prevention,
mitigation, quick response dan
rehabilitation

Thank you