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1

American Academy of Orthopaedic Surgeons. Critical care transport. Edited by American College of Emergency Physicians. Sudbury, Mass: Jones and Bartlett Publishers, 2011.

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2

The Norfolk Ambulance National Health Service Trust (Transfer of Trust Property) Order 1992 (Statutory Instruments: 1992: 493). Stationery Office Books, 1992.

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3

The Kent Ambulance National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 1911). Stationery Office Books, 1995.

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4

The Dorset Ambulance National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 896). Stationery Office Books, 1994.

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5

Britain, Great. The Oxfordshire Ambulance National Health Service Trust (Transfer of Trust Property) Order 1996 (Statutory Instruments: 1996: 1777). Stationery Office Books, 1996.

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6

American Academy of Orthopaedic Surgeons. and American College of Emergency Physicians., eds. Critical care transport. Sudbury, Mass: Jones and Bartlett Publishers, 2010.

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7

Jenkins, Ian A., and David A. Rowney. Resuscitation, stabilization, and transfer of sick and injured children. Edited by Jonathan G. Hardman and Neil S. Morton. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0074.

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Even though anaesthetists may not regard themselves as specialists in the care of critically ill children, they are still at the forefront of the immediate care of critically ill children. Whether they have developed an interest in paediatric anaesthesia or because they have subspecialized in general intensive care, anaesthetists will find themselves called upon by colleagues in the emergency department or in paediatrics to exercise the knowledge and skills that no other group in the hospital possess. Additionally, when these children need to be moved either to a scanner or hyper-acutely to a tertiary unit (e.g. for neurosurgical intervention), then the skills and specific knowledge of the anaesthetist will be called upon again. These elements are recognized in the syllabi of both the Fellowship of the Royal College of Anaesthetists and the Fellowship of the Faculty of Intensive Care Medicine. This chapter gives the background to the characteristics of critically ill children, sets out the important elements of the conditions that will be commonly encountered, and provides a full résumé of the preparations that transferring teams will need in terms of personnel, their knowledge, skills, and equipment, and also a full exploration of the various methods of transport, road ambulance, rotary- and fixed-wing aircraft, and what all these entail for the clinical team.
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8

The West Wales Ambulance National Health Service Trust (Transfer of Trust Property) Order 1996 (Statutory Instruments: 1996: 522). Stationery Office Books, 1996.

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9

The Humberside Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 489). Stationery Office Books, 1994.

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10

The East Anglian Ambulance National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 2689). Stationery Office Books, 1994.

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11

The Hampshire Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 664). Stationery Office Books, 1994.

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12

The Essex Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1992 (Statutory Instruments: 1992: 2758). Stationery Office Books, 1992.

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13

The Gloucestershire Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 1571). Stationery Office Books, 1994.

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14

The Lancashire Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 344). Stationery Office Books, 1995.

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15

The North Wales Ambulance National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 567). Stationery Office Books, 1995.

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16

The Warwickshire Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 2150). Stationery Office Books, 1995.

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17

The Devon Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1992 (Statutory Instruments: 1992: 1444). Stationery Office Books, 1992.

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18

The Two Shires Ambulance National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 989). Stationery Office Books, 1994.

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19

The Westcountry Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 1086). Stationery Office Books, 1994.

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20

The Royal Berkshire Ambulance National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 1298). Stationery Office Books, 1994.

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21

The Nottinhgamshire Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 2342). Stationery Office Books, 1994.

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22

The Cumbria Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 1493). Stationery Office Books, 1995.

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23

The Mid Glamorgan Ambulance National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 2491). Stationery Office Books, 1995.

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24

The Surrey Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 387). Stationery Office Books, 1995.

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25

The Westcountry Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 36). Stationery Office Books, 1994.

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26

The Westcountry Ambulance Services National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 1259). Stationery Office Books, 1995.

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27

The Sussex Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1996 (Statutory Instruments: 1996: 91). Stationery Office Books, 1996.

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28

The Avon Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 1310). Stationery Office Books, 1994.

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29

The Sussex Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 3182). Stationery Office Books, 1995.

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30

The Wiltshire Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 1332). Stationery Office Books, 1994.

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31

The Derbyshire Ambulance Service National Health Service Trust (Transfer of Trust Propery) Order 1995 (Statutory Instruments: 1995: 1468). Stationery Office Books, 1995.

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32

The Mersey Regional Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1993 (Statutory Instruments: 1993: 154). Stationery Office Books, 1993.

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33

The North Yorkshire Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 490). Stationery Office Books, 1994.

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34

The Mersey Regional Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1992 (Statutory Instruments: 1992: 2838). Stationery Office Books, 1992.

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35

The West Midlands Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 2434). Stationery Office Books, 1995.

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36

The Greater Manchester Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 2149). Stationery Office Books, 1995.

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37

The Durham County Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 1318). Stationery Office Books, 1994.

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38

The Leicestershire Ambulance and Paramedic Service National Health Service Trust (Transfer of Trust Propery) Order 1995 (Statutory Instruments: 1995: 1466). Stationery Office Books, 1995.

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39

The Two Shires Ambulance National Health Service Trust (Transfer of Trust Property) (No. 2) Order 1994 (Statutory Instruments: 1994: 1294). Stationery Office Books, 1994.

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40

The Hereford and Worcester Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 1333). Stationery Office Books, 1994.

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41

The West Wales Ambulance National Health Service Trust (Transfer of Trust Property) (No. 2) Order 1996 (Statutory Instruments: 1996: 523). Stationery Office Books, 1996.

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42

The South and East Wales Ambulance National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 1088). Stationery Office Books, 1995.

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43

The North Wales Ambulance National Health Service Trust (Transfer of Trust Property) (No. 2) Order 1995 (Statutory Instruments: 1995: 1121). Stationery Office Books, 1995.

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44

Sabbe, Marc, K. Bronselaer, and O. Hoogmartens. The emergency medical system. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0007.

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The mission of the emergency medical services is to promote and support a system that provides timely, professional, and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time or location and at any phase of the emergency incident. These phases include lay people’s prevention and preparedness, occurrence of the problem, its detection, alarming of trained responders, help provided by bystanders and trained pre-hospital providers, transport to the appropriate hospital, and, if necessary, admission or transfer to a more appropriate hospital. In order to meet the goal outlined, emergency medical services must work closely with local and state officials—fire and rescue departments, other ambulance providers, hospitals, and other agencies—to foster a smooth functioning network. The term emergency medical services evolved to reflect a change from a simple system of ambulances, providing only transportation, to a system in which actual medical care is given at the scene and during transport. Medical supervision and/or participation of emergency medicine physicians in the emergency medical services systems contribute to the quality of medical care. This emergency medical services network must be capable of responding instantly and reliably around the clock, with well-trained, well-equipped personnel linked, as needed, through a strong communication system. Research plays an important role in conserving resources and improving the delivery of health care. This chapter gives an overview of the different aspects of emergency medical services and calls for high-quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.
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45

Britain, Great. The Lincolnshire Ambulance and Health Transport Service National Health Service Trust (Transfer of Trust Property) Order 1998 (Statutory Instruments: 1998: 896). Stationery Office Books, 1998.

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46

The Lincolnshire Ambulance and Health Transport Service National Health Service Trust (Transfer of Trust Property) Order 1993 (Statutory Instruments: 1993: 2696). Stationery Office Books, 1993.

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47

The Bedfordshire and Hertfordshire Ambulance and Paramedic Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 661). Stationery Office Books, 1994.

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48

The Bedfordshire and Hertfordshire Ambulance and Paramedic Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 1343). Stationery Office Books, 1994.

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49

The South and East Wales Ambulance National Health Service Trust (Transfer of Trust Property) (No. 2) Order 1995 (Statutory Instruments: 1995: 1234). Stationery Office Books, 1995.

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50

The South Yorkshire Metropolitan Ambulance and Paramedic Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 492). Stationery Office Books, 1994.

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