Table 2.
The 16 case vignettes. Basic structure of each case vignette: patient admitted to ICU after initial presentation in the emergency department with severe sepsis (probably pneumococcal), Acute Physiology and Chronic Health Evaluation II of 18, mean arterial pressure of 70 mmHg after adequate fluid-resuscitation, endotracheally intubated and mechanically ventilated with 50% FIO2 and after 6 h in the ICU need for interhospital transport [VT, ventricular tachycardia (self terminating); MICU, mobile ICU]
Patients characteristics | Transport conditions | |||||||
---|---|---|---|---|---|---|---|---|
Age (years) | paO2 (kPa) | PEEP (cmH2O) | Noradrenaline (μg/kg per minute) | Arrhythmia | Equipment | Escorting personnel | Indication for transport | |
1 | 30 | 16.5 | 18 | 0.12 | VT < 24 h | MICU trolley | IC nurse | Lack of ICU beds |
2 | 30 | 16.5 | 8 | 0.12 | None | Basic ambulance | IC physician and IC nurse | Intervention elsewhere |
3 | 30 | 16.5 | 18 | 0.6 | None | Basic ambulance | Paramedic | Lack of ICU beds |
4 | 30 | 7.5 | 8 | 0.6 | None | Basic ambulance | IC physician | Lack of ICU beds |
5 | 30 | 7.5 | 8 | 0.12 | VT < 24 h | MICU trolley | IC physician and IC nurse | Lack of ICU beds |
6 | 80 | 7.5 | 8 | 0.6 | VT < 24 h | Basic ambulance | IC nurse | Intervention elsewhere |
7 | 80 | 16.5 | 8 | 0.12 | VT < 24 h | Basic ambulance | Paramedic | Lack of ICU beds |
8 | 60 | 7.5 | 8 | 0.12 | none | MICU trolley | Paramedic | Intervention elsewhere |
9 | 30 | 7.5 | 18 | 0.12 | none | Basic ambulance | IC nurse | Intervention elsewhere |
10 | 30 | 7.5 | 18 | 0.60 | VT < 24 h | MICU trolley | Paramedic | Intervention elsewhere |
11 | 30 | 16.5 | 8 | 0.60 | VT < 24 h | MICU trolley | IC physician | Intervention elsewhere |
12 | 60 | 16.5 | 18 | 0.60 | VT < 24 h | Basic ambulance | IC physician and IC nurse | Intervention elsewhere |
13 | 80 | 16.5 | 18 | 0.12 | none | MICU trolley | IC physician | Intervention elsewhere |
14 | 60 | 7.5 | 18 | 0.12 | VT < 24 h | Basic ambulance | IC physician | Lack of ICU beds |
15 | 60 | 16.5 | 8 | 0.60 | none | MICU trolley | IC nurse | Lack of ICU beds |
16 | 80 | 7.5 | 18 | 0.60 | none | MICU trolley | IC physician and IC nurse | Lack of ICU beds |