Transport of Patients in Prone Position - Respiratory

Question 1

What is the 1 indication for transport of patients in the prone position as per the MDSO?

Answer 1

Severe ARDS (P/F <150, FiO2 >0.6, PEEP >5 cm H2O with failed supine ventilation)

Question 2

What is the target sedation score for transport of patients in the prone position as per the MDSO?

Answer 2

-4 (deep sedation) and maintain paralysis during transport

Question 3

What are the 2 options for paralysis when transporting a prone patient as per the MDSO? Is it a patch point?

Answer 3

Yes, mandatory patch

Rocuronium OR
Cisatracurium

Question 4

What is the procedure if a patient goes into cardiac arrest while being transported in the prone position?

Answer 4

Ensure defib pads are in anterior-posterior position prior to transport
Immediate defibrillation if applicable
CPR in prone position, do not attempt to roll pt. supine