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Inter-Hospital Transfer of the Critically Ill COVID-19 Patient
Book chapter

Inter-Hospital Transfer of the Critically Ill COVID-19 Patient

Adam B. Schlichting, Zeid Kalarikkal and Nicholas M. Mohr
Critical Care of COVID-19 in the Emergency Department, pp.175-187
Springer International Publishing
11/18/2021
DOI: 10.1007/978-3-030-85636-6_17

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Abstract

Previous chapters of this book have focused on the emergency department management of the critically ill patient with COVID-19. Unfortunately, the continued management of these patients may exceed the capacity or capability of the hospital to which the patient presented. Inter-facility transfer of a critically ill patient with COVID-19 may therefore be necessary. Multiple models for transfer of pediatric, ST-elevation myocardial infarction, and trauma patients have existed for decades in the United States, and the experience of decades of transfer procedures can be applied to COVID-19 care. The Emergency Medical Treatment and Active Labor Act (EMTALA) also very clearly defines processes and procedures for transferring a patient between hospitals. Extrapolation from these existing models for inter-hospital transfer can serve as a framework for inter-hospital transfer of the critically ill patient with COVID-19.
Ambulance COVID-19 Critical illness EMTALA Helicopter Inter-hospital Regionalized care Transfer Transport

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