Waiting for the team

The CATS team will provide ongoing advice on acute management and stabilisation while en route to the patient. Advice will always be tailored to the clinical scenario and therefore will vary from case to case, but the basic principles of stabilisation at the referring hospital, while waiting for the retrieval team, are covered below:

1. Experienced team
Senior and experienced clinicians need to be closely involved in the acute management of a sick child. In addition to the paediatric team, CATS recommend that the anaesthetic team is involved in most cases, in order to provide airway/respiratory support. Other specialists such as ENT surgeons may need to be involved in cases where a difficult airway is encountered.
2. The right equipment
A well-stocked paediatric resuscitation trolley with airway, breathing and circulation equipment is a pre-requisite for acute stabilisation. Multi-parameter patient monitoring (including end-tidal CO2 measurement), a mechanical ventilator and IV infusion pumps are required in most cases.
3. Patient management
This should follow the established principles of ABCDE. View our CATS Guideline on “Waiting for the retrieval team” for more details.
4. Good communication
Please ensure that copies of relevant patient notes (and hard copies of x-rays/scans if applicable) are ready for the CATS team. Radiology should be transferred in most cases via IEP (Image Exchange Portal) to the destination hospital or GOSH (FAO: CATS team).