Clin Exp Emerg Med.  2016 Jun;3(2):81-87. 10.15441/ceem.15.091.

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

Affiliations
  • 1Department of Emergency Medicine, Chungnam National University School of Medicine, Daejeon, Korea. mp5medical@naver.com

Abstract


OBJECTIVE
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.
METHODS
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.
RESULTS
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).
CONCLUSION
The ETAD was convenient to use, reduced the time to arrange medical tubings, and is expected to assist medical staff during intra-hospital transport.

Keyword

Critical illness; Equipment and supplies; Transportation of patients

MeSH Terms

Cardiopulmonary Resuscitation
Critical Illness
Equipment and Supplies
Hemodynamics
Humans
Manikins
Medical Staff
Methods
Prospective Studies
Transportation of Patients
Volunteers
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