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Minimum transfer monitoring standards — DIPIMC MCQ

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ModerateRetrieval and TransportMinimum transfer monitoring standardsDIPIMCDipIMC

A ventilated, intubated trauma patient is being transferred by road to a major trauma centre, and you are confirming that minimum monitoring standards are in place for the journey. Which monitoring set is most appropriate as the minimum standard?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Continuous ECG, pulse oximetry, blood pressure, and continuous waveform capnography

The minimum monitoring for a ventilated, intubated patient during transfer comprises continuous ECG, pulse oximetry, blood pressure (non-invasive as a minimum, invasive arterial if available and time permits) and continuous waveform capnography, which confirms tube placement and guides ventilation to maintain normocapnia. Capnography is mandatory for any intubated transfer and cannot be deferred until arrival. Clinical observation by itself is inadequate for a sedated, ventilated patient. Pearl: secure the tracheal tube, confirm its position with capnography before departure, and document baseline observations so deterioration in transit is recognised promptly.

Reference: Faculty of Pre-Hospital Care (RCSEd); ATACC