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Impact of stops for road traffic accidents on the inter-hospital transport of critically ill children
  1. Sainath Raman,
  2. Padmanabhan Ramnarayan
  1. Children's Acute Transport Service, Great Ormond Street Hospital, London, UK
  1. Correspondence to Dr Sainath Raman, Children's Acute Transport Service, Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UK; sainath.raman{at}


Transport of critically ill children has become necessary following centralisation of paediatric specialist services. Children's Acute Transport Service (CATS) retrieves critically ill children in the Greater London area. Our teams have had to stop during these journeys to assist in road traffic accidents or ill passers-by. We undertook a review of our practice over a 3.5-year period. Our teams had to stop on 12 occasions over this period amounting to an incidence rate of 1 per 959 ambulance journeys. Although this is an infrequent occurrence, the impact on the retrieved patient and service delivery could be significant. We would like to direct the attention of transport services to this problem.

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