ICM - OSCE - Equipment - Transfer

Question 1

Considerations for transfer

Answer 1

History of the patients, review relevant Ix
ABC approach
What airway do they have - spare trache’s etc
Team roles
What are their vent settings - spare oxygen etc
What vaso-actives are they on and do you have spares
Sedation +/- NMBD

Are they stable enough to be transferred?
Can they go on a transport vent
Spare pumps/drugs/airway kits - stop uneeded kit

Monitoring as per AAGBI
Cylinders
Resus bag/water’s circuit
Familiar with the CT suite

Question 2

What are the oxygen requirements of a transfer

Answer 2

Oxygen needs = MV x FiO2 x time

Carry double what is needed

E.g a 30 minute transfer at 60% with MV of 8 litres

8 x 0.6 x 30

Question 3

Cylinder sizes

Answer 3

C = 170
D = 340
E = 680
F 1360

Just know E is 680 and double/half from there