Master in Public Administration Major in

Health Emergency and Disaster Management

Transport
 Session Objectives

• Define transport
• Discuss the principles involved in transport
• Explain the procedures used in transport triaging
 Transfer Organization
• Procedures used to ensure that victims of a MC
situation is safely, quickly and efficiently
transferred by appropriate vehicles to the
appropriate and prepared facility.
• Preparation for Transport:
– Single Reception Facility
– Multiple Reception Facilities
• Type of vehicle required
• Type of escort required
• Destination
 Transfer Organization
• Preparation for Transport
– Transport Officer reports to Medical Officer:
• Assess patient’s status: vital signs, ventilation/haemostasis
• Check security of equipment & accessories
• Ensuring efficiency of immobilization measures
• Ensure triage tags: secure & clearly visible
• Evacuation Procedures: Regulation Principles
– Not to overwhelm care facility
– Avoid spontaneous evacuation of unstable patients
 Transfer Organization
• Evacuation Procedures: Regulation
– Rules
• Victim should be as much as possible in a
stable condition
• Ambulance is adequately equipped for
transfer
• Receiving facility correctly informed and ready
• The best possible vehicle and escort -
available
 Transfer Organization
• Victim Flow
– “Noria Principle” Spanish word for “wheel”
– WWI Battle of Chemin de Dames, Verdun, France

– Conveyor belt flow from first aid to the most

sophisticated care level
Transport Organization
 Victim Flow
• Ambulance Traffic Control
– Radio Links:
• Transport Officer at AMP
• Hospital Admission / ER Department
• Command Post
• Ambulance Headquarters

– Responsibility of Ambulance Driver

• Takes order from the Transport Officer
 Guidelines
 Setup a one-way in / one-way out “round robin”
ambulance loading zone at the exit of the
treatment area
 Notify the hospital as soon as possible
 Assign patients to ambulances and helicopters
based on severity and most appropriate vehicles
available
 Move minors (green) as soon as possible to
vehicles such as buses
 Guidelines
• Have porter teams move patients from treatment to
the ambulance loading zone
• Load patients head first into the ambulance and
direct ambulance to the appropriate hospital
• Remind ambulance driver not to drive backwards
when loading patients.
• The driver should just go around and follow the
victim flow.
Any Questions?
Thank you !