TY - CHAP M1 - Book, Section TI - Interfacility Transport A1 - Sheehan, Maeve A1 - Huang, Craig J. A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. Y1 - 2014 N1 - T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - Outcomes for critically ill and injured children improve when treatment is provided by skilled pediatric specialist transport teams.Appropriate medical care for any patient with an emergent condition should never be delayed because of inability to find a caregiver or guardian to give consent for treatment.The referring physician is responsible for stabilizing the patient's condition, within the capabilities of the referring institution, before the patient is transferred to another institution.Limitation of resuscitation orders (DNR) may be revoked at any time according to the parents or legal guardians' wishes.Composition of team personnel is driven by the needs of the patient being transported.Transport personnel must be familiar with their protocols and the limitations and responsibilities of their specific profession's scope of practice.A quality management program is essential for a well-run transport service.Stresses of flight affect both the patient and crew members and should always be taken into consideration when transporting a patient.At high altitude, a child may become hypoxic and pneumothoraxes can expand. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1105688412 ER -