Ver el código de «Harbor: Hyperbaric Transfers»

* Hyperbaric Transfer Options for Carbon Monoxide (CO) - Long Beach or UCLA Westwood
** UR coordinates the transfer - Higher Level of Care (HLOC) - needs to occur <1-2 hrs
*** Sending facility should arrange transfer
*** If UR not able to get transfer in a timely manner --> MAC (CDO) - must be approved by house supervisor & Joy; BLS/ALS/CC transport

** '''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






[[Category:Admin]]