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Once intubated and stable, patient should be transferred via fastest route avail­ able to a hospital with a burn center, accompanied by skilled personnel and all the necessary equipment for a safe transfer. S E C T I O N I I : C L I N I CA L CAS E S � Tra n s po rt of the critica l ly i l l patients has beco me a n eces s a ry and i m por­ ta nt pa rt of cl i n ical p ractice. � Phys i o l ogic d e ra n gem ents d u ri n g tra n s po rt a re seen s l ightly m o re fre­ q uently t h a n i n the statio n a ry I C U patient.

85 M odified from SAPS I I . 84 A second score at 24 hou rs after a d m ission; include 8 additi o n a l variables Research; bench m a rki n g fo r q u a l ity i m p rove ment L- a R O C , a rea u n d e r rece iver operat i n g c u rve; A PAC H E, acute phys i o l ogy a n d c h ro n i c health eva l u ation; SAPS, s i m p l ified acute phys i o l ogy score ; M P M , m o rtal ity pred iction m o d e l ; ROC, receiver operat i n g cu rve. • CLINICAL CAS E CORR ELATION See also Case 1 (Early Awareness of Critical Illness ) , Case 2 (Transfer of Critically Ill Patients) , and Case 4 (Monitoring) .

In cases of sepsis and acute lung injury, the death rate can approach 50%. Critical care is extremely costly and ICU costs represent about 1 5 % of all hospital expenses. The recently developed rapid response teams or medical emergency teams which consist of a group of clinicians and nurses, brings critical care expertise to the bedside. Their early intervention with IV fluids and antibiotics for hospitalized patients who show early signs of sepsis with hemodynamic deterioration, such as tachycardia, low blood pressure, low urine output, fever, and changes in mental status has markedly lowered both morbidity and mortality.

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