Reduction of intra-hospital transport time using the easy tube arrange device

Critically ill patients sometimes require transport to another location. Longer intra-hospital transport time increases the risk of hemodynamic instability and associated complications. Therefore, reducing intra-hospital transport time is critical. Our objective was to evaluate whether or not a new...

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Bibliographic Details
Published in:	Clinical and experimental emergency medicine Vol. 3; no. 2; pp. 81 - 87
Main Authors:	Joo, Ki Hyuk, Yoo, In Sool, Lee, Jinwoong, Kim, Seung Whan, Ryu, Seung, You, Yeon Ho, Cho, Yong Chul, Jeong, Woon Jun, Ahn, Byung Jun, Cho, Sung Uk
Format:	Journal Article
Language:	English
Published:	Korea (South) The Korean Society of Emergency Medicine 01-06-2016 대한응급의학회
Subjects:	critical illness equipment and supplies Original transportation of patients 응급의학 Critical illness Equipment and supplies Transportation of patients
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Summary:	Critically ill patients sometimes require transport to another location. Longer intra-hospital transport time increases the risk of hemodynamic instability and associated complications. Therefore, reducing intra-hospital transport time is critical. Our objective was to evaluate whether or not a new device the easy tube arrange device (ETAD) has the potential to reduce intra-hospital transport time of critically ill patients. We enrolled volunteers for this prospective randomized controlled study. Each participant arranged four, five, and six fluid tubings, monitoring lines, and therapeutic equipment on a cardiopulmonary resuscitation training mannequin (Resusci Anne). The time required to arrange the fluid tubings for intra-hospital transport using two different methods was evaluated. The median time to arrange four, five, and six fluid tubings was 86.00 (76.50 to 98.50), 96.00 (86.00 to 113.00), and 115.50 (93.00 to 130.75) seconds, respectively, using the conventional method and 60.50 (52.50 to 72.75), 69.00 (57.75 to 80.80), and 72.50 (64.75 to 90.50) seconds using the ETAD (all P<0.001). The total duration (for preparing the basic setting and organizing before and after the transport) was 280.00 (268.75 to 293.00), 315.50 (304.75 to 330.75), and 338.00 (319.50 to 360.25) seconds for four, five, and six fluid tubings, respectively, using the conventional method and 274.50 (261.75 to 289.25), 288.00 (271.75 to 298.25), and 301.00 (284.50 to 310.75) seconds, respectively, using the new method (P=0.024, P<0.001, and P<0.001, respectively). The ETAD was convenient to use, reduced the time to arrange medical tubings, and is expected to assist medical staff during intra-hospital transport.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 G704-SER000004609.2016.3.2.005 http://ceemjournal.org/journal/view.php?number=83
ISSN:	2383-4625 2383-4625
DOI:	10.15441/ceem.15.091