Patient Transportation☆

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Dear Editor:

I read with interest the article by Chang et al¹ concerning improving safety of critically ill patient transportation in the emergency department.

I recognized the same problems we addressed 25 years ago when I wrote “Design and Use of an ACLS Transport Cart” in the November/December 1985 issue of the Journal.² Even after 25 years, some things never change, or change very little, and it appears that this group was “reinventing the wheel” so to speak, especially when discussing the need for a portable blood pressure monitor, ECG, pulse oximeter, oxygen tank, and “medications in a resuscitation bag.” If they were using an advanced cardiac life support transport cart, that stuff would already be in place and ready to go. We used to admit some critical patients directly to the cart, which saved moving them from gurney to gurney.

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References 

1. Chang Y-N, Lin L-H, Chen W-H, H-Y Liao P-H Hu, Chen S-F. Quality control work group focusing on practical guidelines for improving safety of critically ill patient transportation in the emergency department. J Emerg Nurs. 2010;36(2):140–145
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2. Design and use of an ACLS transport cart. J Emerg Nurs. 1985;
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