Sepsis, septic shock, acute abdomen? The ability of cardiac disease to mimic other medical illness.
Transport medicine offers the challenge of patient diagnosis based only on the relayed history an the impressions of referring medical personnel. A thorough pretransport review of the patient's history, physical examination, radiographs, laboratory values, and other supporting information can help avoid surprises upon arrival at the patient's bedside and lead to an appropriate diagnosis and management plan. One must approach the transported child with an open mind, however, to avoid misdiagnosis and inadequate or inappropriate intervention and management. One of the advantages of pediatric specialty transport services is the ability to critically assess a referred patient and offer diagnostic and therapeutic guidance in addition to transportation to the receiving center. These above two examples illustrate difficult cases where the diagnostic skills of the transport medical personnel enabled the patients to receive appropriate acute interventional and specific disease-related therapy.
Mahle
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WT
Children's Hospital of Philadelphia, Department of Pediatrics, PA 19104, USA.
Forkey
H C
HC
Wernovsky
G
G
Rhodes
L A
LA
D000006:Abdomen, Acute / Q000175:diagnosis*; D002309:Cardiology; D003937:Diagnosis, Differential; D004635:Emergency Medicine; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010372:Pediatrics; D012017:Referral and Consultation; D018805:Sepsis / Q000175:diagnosis*; D012772:Shock, Septic / Q000175:diagnosis*; D014187:Transportation of Patients