Specialised transfer teams can operate effectively from district general hospitals

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7108.605 (Published 06 September 1997) Cite this as: BMJ 1997;315:605
  1. K J Bannell, Senior house officer in intensive carea,
  2. J M Fielden, Specialist registrar in intensive carea,
  3. B L Taylor, Consultant in intensive care and anaesthesiaa,
  4. G B Smith, Director of intensive care unita
  1. a Department of Intensive Care Medicine, Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY

    Editor—Peter A Mackenzie and colleagues estimate that 11 000 interhospital transfers of critically ill patients are needed annually in the United Kingdom, yet many respondents in their survey expressed dissatisfaction with transfer facilities.1 The authors also highlight the reliance on inexperienced junior trainees as medical escorts in these transfers.

    We agree that the training and supervision of the accompanying doctor are paramount. However, although it is intuitive that the seniority of the transfer doctor reduces complications, the evidence for this is limited. …

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