A process of patient transportation whereby skilled teams are deployed from a central location or hospital to a peripheral hospital to provide preliminary care prior to transportation. An essential element is the principle that the level of care is higher during the transport process than in the referring facility. Typically, such transportation is between hospitals or 'inter-hospital' rather than 'pre-hospital'. Pre-hospital patient transportation includes scene rescue or 'EMS'. Clinicians (eg. paramedics) who are already in the field treat and transport to the nearest appropriate hospital. History In response to deterioration or even death during transfer between hospitals, improvements were achieved by sending skilled assistance to the patient before the patient was moved rather than relying on such skills being relied on to correct such deteriorations at the end of the journey. Newborn Emergency Transport Services developed in the 1970's were good examples. More recently, similar services and associated medical retrieval coordination centres were established for adult medical retrieval.
Services Examples of Medical Retrieval Services include the Royal Flying Doctor Service RFDS, NETS, CareFlight and EMRS in (Scotland).
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