Table 4.

Patient characteristics and cause of death of patients deceased within 24 h after transport

n	Major diagnosis before transport	SOFA score	Reason for transfer	Special remarks	Cause of death
1	Cardiogenic shock, severe aortic valve stenosis	13	Further treatment in EC		Refractory cardiogenic shock, no surgical options
2	Postcardiotomy left ventricular failure	17	Further treatment in EC	Transport with V-A ECMO and IABP	Perioperative death (LVAD)
3	Cardiac arrest caused by MI	12	No ICU beds available at tertiary centre		Withdrawal of therapy because of persistent cardiogenic shock and anoxic encephalopathy
4	Hypovolemic shock caused by bleeding pancreatic tumour	11	Further treatment in EC		During transfer from patient bed to transport trolley a massive rebleeding occurred, after discussion with intensivist from local hospital transport was cancelled
5	Cardiogenic shock after MI and CPR	12	Further treatment in EC	IABP (placed by MICU team)	Withdrawal of therapy because of MOF and poor preadmission performance
6	Cardiogenic shock after MI with RF	7	Further treatment in EC	Transport on NIV	Refractory cardiogenic shock
7	MOF/severe liver failure	20	Further treatment in EC		PEA due to MOF
8	CPR due to VF	10	No ICU beds available at local hospital		Withdrawal of therapy because of poor neurological prognosis and poor preadmission performance
9	Severe mitral valve insufficiency	14	Further treatment in EC		Refractory cardiogenic shock, no surgical options
10	Postcardiotomy left ventricular failure	15	Further treatment in EC	Transport with V-A ECMO and IABP	Perioperative death (LVAD)
11	CPR due to hypoxaemia	8	No ICU beds available at local hospital	10 min delay before BLS	Withdrawal of therapy because of poor neurological status with brainstem dysfunction
12	Traumatic brain injury	15	Further treatment in trauma centre		Withdrawal of therapy because of severe traumatic brain injury with brainstem dysfunction, no surgical options
13	Respiratory failure after aspiration MRSA+	12	No isolation bed available at local ICU (MRSA patient)	6 h treatment at isolation box on general ward at local hospital with MICU equipment by MICU/local ICU team	Unless maximum therapy further deterioration occurred, patient died due to refractory hypoxaemia
14	MOF due to legionella pneumonia	17	Further treatment in EC		PEA due to MOF

BLS, basic life support; CPR, cardiopulmonary resuscitation; EC, expertise centre; IABP, intra-aortic balloon counter pulsation; ICU, intensive care unit; LVAD, left ventricular assist device; MI, myocardial infarction; MICU, mobile intensive care unit; MOF, multiorgan failure; MRSA, methicillin-resistant Staphylococcus aureus; NIV, non-invasive ventilation; PEA, pulse less electric activity; RF, respiratory failure; SOFA, Sequential Organ Failure Assessment; V-A ECMO, veno-arterial ECMO; VF, ventricular fibrillation.