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UW Health SMPH
American Family Children's Hospital
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When and How to Contact Critical Care Transport

Arranging Emergency Transport
 
(800) 472-0111
Specialized pediatric critical care services are available through Critical Care Transport and Med Flight. Equipment specific to the needs of critically ill and injured neonates and pediatric patients are provided by the pediatric critical care team.
 
These include:
  • A state-of-the-art neonatal transport isolette
  • Neonatal and pediatric mechanical ventilators
  • The ability to deliver inhaled nitric oxide for infants with pulmonary hypertension
  • The ability to deliver non-invasive positive pressure ventilation and heliox
    for children with severe asthma
  • Invasive monitoring capability
  • Advanced airway adjuncts
  • And a wide array of pharmacologic agents

All of these services are designed to bring pediatric critical care to the bedside of these children in the community or referring hospital.

 

The following pediatric and neonatal clinical conditions are appropriate times to consider calling for a Critical Care Transport:

  • Any pediatric or neonatal transport
  • Cardiopulmonary arrest 
  • Respiratory failure 
  • Air-leak syndromes (pneumothorax)
  • Acute Respiratory Distress Syndrome (ARDS)
  • Pulmonary edema/pleural effusions
  • Status asthmaticus 
  • Congestive heart failure 
  • Cardiac dysrhythmias 
  • Congenital heart disease 
  • Pulmonary hypertension 
  • Shock 
  • Sepsis and other life-threatening infections
  • Altered mental status 
  • Toxic ingestions 
  • Seizures 
  • Status epilepticus 
  • Increased intracranial pressure
  • Intracranial hemorrhage 
  • Trauma
  • Near-drowning and other global hypoxic-ischemic injuries
  • Hematologic emergencies, including coagulopathies
  • Metabolic disorders, including diabetic ketoacidosis
  • Acute renal failure 
  • Acute abdominal emergencies (omphalocele, gastroschisis, intestinal obstruction and/or perforation)
  • Non-accidental trauma 
  • Any conditions requiring ECMO (extracorporeal membrane oxygenation)
How to Contact Critical Care Transport
 
To arrange a transport or to speak with a pediatric critical care physician regarding a patient, call the Access Center at (800) 472-0111.
 
Decisions regarding team composition and mode of transport will be made by the attending pediatric critical care physician based on the acuity of the patient, the comfort level of the referring physician, the availability of the helicopter and the distance.
 
If available, please have the following patient information when initiating a transport:
  • Patient name, date of birth, age and weight
  • Patient's physician, hospital, city and return telephone number
  • Reason for transport 
  • Airway status 
  • Procedures completed

The Access Center will then connect you with the appropriate physician who will assist you in determining the most appropriate mode of transport and estimated time of arrival.

 

Forms needed for the Critical Care Transport team (if copies are available):

  • EMTALA/COBRA transfer form
  • Admission data sheet 
  • History and physical 
  • Physician progress notes 
  • Nurses' notes
  • Laboratory results 
  • X-rays/CT Scan/Ultrasound

Information for neonatal transports:

  • Copies of infant's X-rays
  • Mother's chart
  • Infant's chart