Successful transfer of pressurised stretcher from rescue vessel to university hospital

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To our knowledge such transport is seldom performed, and in this case in a complex exercise. The met office warned low pressure and rain from the North Sea.

On May 23rd The “Belos” hosted the medical team of transfer: commander Hans Grönquist, Swedish Navy, commander Gary Latson USN, who is responsible for the operations with the “Hyperlite” pressurized stretcher, commander Hans Ole Bisgaard Frantzen Danish Navy , trauma- and hyper baric specialist Claus Skak and Christian Risby Mortensen consultant in anesthesia and hyper baric medicine, Rigshospitalet, Copenhagen University Hospital.

 

First step of exercise was to transfer the “Hyperlite” through “pressurized” corridors and chambers of the Belos. Not easy with a 75 kg mannequin inside and very little space in the narrow entrances.

 

 

Transport from ambulance to stretcher

 

However after strenuous work the stretcher surfaced on the helicopter deck. 
The twin rotor helicopter of the Swedish forces lifted the stretcher into the bay and went off for Copenhagen.

 

 

Moving portable chamber into hospital chamber.

 

The Rigshospitalet, Copenhagen University Hospital has no helipad, most often a nearby public park is used as landing site. On this day a military airfield some 30 ambulance-minutes away was chosen.

For further transportation a military ambulance was chosen. The pressurized stretcher was just placed on the usual stretcher of the ambulance.
At the arrival at the hospital the stretcher with the “patient” was received by the staff of the hyper baric unit and the trauma team leader, as all diving accidents and all major injuries are seen by the trauma team and reviewed with the hyper baric specialist or diving medical officer.

 

The Hyperlite chamber, the air and oxygen bottles, communication system and two attendants were transported on a regular bed transporter though the corridors of the hospital. An ideal situation for observation of the “patient” and the chamber.  


 

 

 

 

 

Inside the hospital chamber the patient is moved from the transport chamber and can be given  intensive care.

 

The hospital chamber is a 2 bed or 8 seat typical hospital chamber with 72 cm wide rectangular doors The chamber is equipped for intensive care, - 
including respirator, infusion pumps etc.

 

The ambulance stretcher and the Hyperlite was easily rolled into the chamber, and the doors of the main chamber was closed. Then the pressure was increased until it was equal to the pressure of the Hyperlite, - which then was soft, and the ends of the pressurerised Hyperlite stretcher was easily removed. Now the patient was taken out, and the Hyperlite was taken out through the entry lock. The patient was on the bunk 
and fully monitored 29 minutes after arrival to the hospital.

 

 

 

 

The transport chamber was deflated 
and then moved through the entry lock. 
 Now the chamber is reassembled. 
The patient is in treatment 
inside the hospital chamber, and the transport chamber is ready for action. 


Photo: K. Saad, Rigshospitalet.dk

 

The hyperlite was new to Erik Jansen, director of hyper baric medicine and Tejs Jansen, off-shore diver and medical student. Thorough the guidance from outside by Gary Latson and Hans Grönquist it was relatively easy to perform this transfer.
Several lessons were learned, - the most essential, - that the Hyperlite stretcher can work in conjunction with a typical hospital hyper baric chamber.

 

Erik C. Jansen, Dr.med. Sci,
Department of Anesthesia,
Center for Head and Orthopedics,
Rigshospitalet, Copenhagen University Hospital,
Denmark.

 

Pictures from Rigshospitalet, Copenhagen University Hospital.

SORO 2002 exercise., May 22, 2002.


HBO@rh.dk

 

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Last updated: 11 June, 2002.

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