S3.4: Current Plans For A Retrieval System In Malaysia
With the regionalization of Pediatric and neonatal intensive care services it follows logically to develop a regional transport services. This will be developed in phases and would be in accordance with the development of Pediatric and neonatal Intensive care services. Training of the Pediatric intensivist and Neonatologist will be intensified to lead such teams In future each state will have a PICU and level 3 NICU and with that a regional transport team. This would need a specialized pediatric transport team where the personnel are adequately trained and equipped to provide critical care interventions in the out-of-hospital setting capable of continuing and intensifying goal-directed therapy for a wide range of critical conditions. They are mobile ICU teams, delivering state-of-the-art critical care in the transport environment and will need to fulfill stringent qualifications. A better outcome would be achieved with an early goal directed therapy approach in which pediatric transport team is an extension of the ICU setting. The scoop and run mentality which was practiced before will have to be abandoned in favour of the goal directed therapy which has been shown to improve survival by nine fold. Other aspects that will be looked into include proper ambulances which are well equipped, adequate monitoring, training of staff and maintenance of their skill, certification in relevant pediatric resuscitation course, BLS, NRP, PALS and APLS. In future transport course will be introduced. Safety issues and challenges of transport from remote areas and islands will be discussed. Audit and research will also be an important component.