Table 1

Reasons for the secondary transport of the critically ill adult

Reason for transferDefinition
No critical care facilitiesNo critical care facilities on hospital site at any time, for example, cottage or private hospital
InvestigationNeed for specialist investigational facilities, for example, angiography or referral centre (imaging?) diagnostic facilities unavailable
Absence of normal clinical expertiseNormal medical expertise not available at referral site, usually because of medical staff absence, for example, vascular surgeon on holiday
Specialist facilitiesMedical expertise or therapeutic intervention
RepatriationThis can be local, regional, or international. Either because the patient was originally transferred from their local hospital or because they became ill at a remote site
Non-clinical transferCurrent unavailability of an appropriately staffed critical care bed at referring site