Harbor: Hyperbaric Transfers: Difference between revisions

Revision as of 22:15, 28 February 2023

Hyperbaric Transfer Options
- LBMMC (56x) 933-6960
  - Consult hyperbarics physician to confirm appropriateness; HBO physicians are consultants and not admitting physicians.
  - Speak to ED physician for ED to ED transfer; LBMMC Transfer Center only handles inpatient-to-inpatient transfers
  - Specify anticipated level of inpatient care (ICU), your treatment time goal (<6 hrs)
- UCLA-Westwood
  - Details TBD (Dr. Cheng working on it)
- NOT Catalina (only for dive injuries)
- Transport Options
  - UR involved ONLY if the patient has private (non-DHS) insurance; ELTC/HLOC - needs to occur <1-2 hrs
  - RoundTrip request for ALS (via AED clerk - for the desired transport level of care; all CO poisonings need ALS at minimum)
    - Immediately call the MAC CDO (866-941-4401) to request that the RoundTrip be expedited as a time-critical illness; the patient should leave Harbor’s ED within 2 hours.
    - ALTERNATE: request BLS and assemble an internal critical care transport team (RN, RT, physician, etc) with instructions to call Harbor base for base physician orders if the patient's condition changes; for a physician-led team, take the HERT medication box from the Trauma Pyxis, additional medications as necessary, and downtime order forms with instruction to call Harbor base for physician orders if necessary
  - 911 re-triage - if no ambulances and/or staff are available; discuss with Harbor AOD and LACoFD/LAFD Medical Director(s) as appropriate

Authors:

@@ Line 6: / Line 6: @@
 ** '''UCLA-Westwood'''
 *** Details TBD (Dr. Cheng working on it)
+** '''NOT Catalina''' (only for dive injuries)
 ** Transport Options
-*** UR involved ONLY if the patient has private (non-DHS) insurance
+*** UR involved ONLY if the patient has private (non-DHS) insurance;  ELTC/HLOC - needs to occur <1-2 hrs
 *** '''RoundTrip request for ALS''' (via AED clerk - for the desired transport level of care; all CO poisonings need ALS at minimum)
-**** Immediately call the CDO (866-941-4401) to request that the RoundTrip be expedited as a time-critical illness;  the patient should leave Harbor’s ED within 2 hours.
+**** Immediately call the MAC CDO (866-941-4401) to request that the RoundTrip be expedited as a time-critical illness;  the patient should leave Harbor’s ED within 2 hours.
-**** ALTERNATE:  request BLS and assemble an internal critical care transport team (RN, RT, physician, etc) with instructions to call Harbor base for base physician orders if the patient's condition changes en route or for a physician-led team, take the HERT meds box from the Trauma Pyxis and additional medications as necessary and downtime order forms with instruction to call Harbor base for physician orders if necessary
+**** ALTERNATE:  request BLS and assemble an internal critical care transport team (RN, RT, physician, etc) with instructions to call Harbor base for base physician orders if the patient's condition changes;  for a physician-led team, take the HERT medication box from the Trauma Pyxis, additional medications as necessary, and downtime order forms with instruction to call Harbor base for physician orders if necessary
 *** '''911 re-triage''' - if no ambulances and/or staff are available; discuss with Harbor AOD and LACoFD/LAFD Medical Director(s) as appropriate