Impact of specialised paediatric retrieval teams

doi:10.1136/bmj.312.7023.119

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A regionally based retrieval service is warranted

Quen Mok,
Robert Tasker,
Duncan Macrae,
Ian James

Consultant paediatrician in intensive care Consultant paediatrician in intensive care Consultant intensivist Director of intensive care services Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children, London WC1N 3JH

EDITOR,—Joseph Britto and colleagues' study has an inherent flaw because it used a scoring system that has not been validated for use more frequently than at 24 hour intervals.1 Nevertheless, we agree with the authors' view that critically ill children can be transferred by specialist paediatric retrieval teams with minimal morbidity and mortality. We carried out a prospective audit of 302 retrievals over 27 months, which showed only two critical incidents, both of which were detected and successfully managed by our …