Re: MDs on Transport

[Ken Lawson-Williams <Macgyver@FlightMedicMail.com>]

>I am looking to see what the "industry" standard is for utilizing MDs
>on transport for neonatal and pediatric transport teams.  

>1.  Name of your hospital/team

Medflight 

>2.  City & State

Yellowknife, Northwest Territories (Canada)

>3.  Team Composition (RN/RN, RT/RN, etc)

Any of the following, depending on patient needs and daily scheduling:
RN, PM, RN/RN, RN/PM, PM/PM

>4.  Approximate number of pediatric runs per year?

170 / 1000

>5.  Approximate number of neonatal runs per year?

100 / 1000

>6.  Do you utilize MDs on transport?

PRN

>7.  If so, what percentage of neo/ped runs are made with an MD?

15% +/- 5%

>8.  What criteria do you use to decide if MD is needed?

MD decides to go OR high risk OBS call with probability of returning with newborn OR neo with ETT in-situ already

>9.  Are your MDs inhouse or on-call for transports?

in-house GP's covering ER mostly. Occasionally (1-2%) will haveaccess to pediatrician - but that strips the hospital of theirs for next 10 hours

>10. If on-call, how long do they have to respond for the run?

30 minutes

>11. What is the MDs role on transport?

Reality - usually sit and watch or sleep. If ETT will have them manage ventilation. Occasionaly involved actively in care and treatment decisions, say 1-2% or so.

>12. What is your opinion of the pros/cons of taking an MD on
>transport?
 
95% of time for us it is a waste of space. Would rather have a second team member instead (they replace a team member) However, if we request an MD (about 1-2% of time) then want the pediatrician.... If an MD is to be assigned this sort of extra work, need to be fully oriented to program and equipment, able to function in our environment (with aeromedicine and arctic survival training) and have to ride along or go with us enough to be felt part of the team.

>Sorry for the length of the questionaire.

No problem

Ken L-W
CCEMT-P/WMT/SN

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