Services Offered with Rocky Mountain Critical Care Transport

• Transport of patients who are vented, intubated or trached. Sedation and paralysis can be initiated or continued while en route to facilitate ventilator compliance and patient safety.
• Transport of patients on complex mechanical devices such as Intra-Aortic Balloon Pumps, LVADS, RVADS, External Pacemakers.
• Transport of patients who require invasive hemodynamic monitoring, arterial and central lines, pulmonary arterial catheters, and intra-cranial pressure monitors such as EVD and camino bolts.
• Transport of patients who are less than 24 hours post Cardiac Cath Lab procedure regardless of interventions performed.
• Transport of patients receiving any drip medication possibly requiring titration, blood and blood products, antibiotics, and any patient requiring intervention and continuation of early goal directed therapies initiated at sending facilities.
• Transport of any patient deemed to have a high probability to “crash” while en route to receiving facility, and any patient receiving therapies deemed “advanced” and that require monitoring by a registered nurse.
• NEW!! RMCCT has added BiPap (Bi-level Positive Airway Pressure) to its equipment list so we may now transport these patients without borrowing hospital equipment

Critical Care Transport Patients are those who:

• Have been received in the emergency room and aggressively resuscitated.
• Have been electively or emergently intubated
• Have any early goal directed therapies in play, septic shock, spinal cord injury, or post MI.
• Require ventilator support, sedative, paralytic, inotropic, vasoactive or thrombolytic drips.
• Require invasive hemodynamic monitoring such as arterial lines, Swan-Ganz catheters, central venous catheters, and intra-ventricular catheters, camino bolts and cerebral perfusion monitors.
• Require repatriation after surgical procedures in specialty hospitals.
• Require monitoring and special bedside care in diagnostic procedure areas and who require “wait and return” necessitating RN attendance such as in cases of conscious sedation or post general anesthesia.
• Any patient who is post cardiac cath lab procedure and has one or more sheath introducer's remaining.
• Any patient who has spent significant time in an ICU and is being transferred to a Long Term Acute Care facility who requires an RN in attendance to facilitate and protect the integrity of RN level bedside care.
• Any multi-trauma patient who requires transfer to trauma center and has high probability to “de-stabilize” while en route.
• Any patient who the physician or RN deems appropriate for critical care transport.