2021 Curriculum learning syllabus: stage 3 special interest areas

Published: 25/02/2021

Transfer Medicine

Provides safe and effective multi-disciplinary care to all patients requiring retrieval and/or transfer, however complex, independently
Is capable of leading the delivery of care in this area of anaesthetic practice, to the benefit of both patients and the organisation

A	Leads the clinical care of complex patients requiring transfer or retrieval by road or air
B	Works safely in the prehospital environment to resuscitate and stabilise patients
C	Communicates and works effectively with multiagency partners
D	Can triage casualties appropriately for evacuation by road or air
E	Can prepare, package and transfer patients appropriately by air safely
F	Is familiar with aircraft operating and safety procedures, crew communications systems, and emergency procedures
G	Describes relevant law and procedures in relation to international medical transfers and repatriations
H	Is able to co-ordinate transfer and retrieval services across an area or network Including ability to liaise with road or air transport providers, transfer teams, and referring and receiving hospitals

logbook demonstrating experience managing transfer of patients of all ages across a range of transport modalities.

strategies for optimising a patient’s physiology prior to transfer
ability to coordinate and plan patient transfer demonstrating concurrent activity in managing clinical and non-clinical aspects of the transfer
consideration for ethical challenges posed by inter-facility transfer
understanding of the regulations related to land Ambulance, HEMS and Air Ambulance deployment
ability to differentiate the risks and benefits of road, helicopter and fixed wing transport modalities
knowledge of the physiological effects of transfer and how these can be effectively minimised
ability to undertake safe transfer of all age groups of ventilated patients
knowledge of the potential patient and operational complications with transfer, and how to prepare/mitigate these
understanding of minimum standards of monitoring during transfer
clear understanding of the law and principles related to safety; actions taken to ensure safety of both patient and crew
acknowledgment of futility and avoidance of inappropriate inter-facility transfer.

satisfactory MSF
suggested (optional) further qualifications:
- Diploma in Immediate Retrieval and Transfer from the Royal College of Surgeons of Edinburgh
- Diploma in Immediate Medical Care from the Royal College of Surgeons of Edinburgh
- Fellowship in Immediate Medical Care from the Royal College of Surgeons of Edinburgh.

4 - should be able to manage independently with no supervisor involvement (although should inform consultant supervisor as appropriate to local protocols).