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Anemia of Prematurity - Portal Neonatal

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MODE OF TRANSPORT Section 5 <strong>of</strong> 11<br />

Ground ambulance<br />

This mode is employed for relatively short-distance transport (up to 25 miles) when surface<br />

transportation is more probable than air transport.<br />

Advantages<br />

• Lowest transport costs<br />

• Relative immunity to weather (Table 2 summarizes weather and other considerations for<br />

each mode <strong>of</strong> transport.)<br />

• Roomy interior space allowing for improved patient access (See Image 1)<br />

Disadvantages<br />

• Slowest mode <strong>of</strong> transport<br />

• Necessity <strong>of</strong> physically securing neonatal incubator inside the transport vehicle and ensuring<br />

that neonatal-specific equipment is available if the ambulance is not dedicated to neonatal<br />

transport<br />

Rotor-wing aircraft (helicopter) transport<br />

This mode is used for medium-distance transfers (up to 150 miles).<br />

Advantages<br />

• Speed and versatility<br />

• Rapid departure and arrival <strong>of</strong> the team to the patient, decreased out-<strong>of</strong>-hospital time space<br />

Disadvantages<br />

• Need for a landing zone in close proximity to the hospital<br />

• Likelihood <strong>of</strong> grounding due to adverse weather conditions<br />

• Higher costs<br />

• Restricted patient access during flight<br />

• Compromised patient assessment and/or interventions during flight due to high environmental<br />

noise and vibration levels (See Image 2)<br />

Fixed-wing aircraft (airplane) transport<br />

This mode's defined use is for long-distance transportation (typically farther than 150 miles).<br />

Advantages<br />

• Efficient fuel costs over long distances<br />

• Interior space allowed for patient transport is adequate<br />

• Reasonable access to patient during flight<br />

Disadvantages<br />

• Requires an airport for landing and take<strong>of</strong>f operations(Image 3)<br />

• Increased time with subsequent team ground transfer

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