Queensland Paediatric Transport Triage Tools Queensland Paediatric Transport Triage Tools

Queensland Paediatric Transport Triage Tool

Does my paediatric patient need a critical inter-hospital transfer?

Discuss with your local paediatric service. Use the Queensland Paediatric Transport Triage Tool developed by the Children’s Advice and Transport Co-ordination Hub (CATCH) and Retrieval Services Queensland (RSQ) to help you identify children who are critically unwell or have the potential to deteriorate during an inter-hospital transfer. The tool uses a combination of individual physiological parameters, the total Children’s Early Warning Tool (CEWT) score and specific condition triggers to identify children who require a critical transfer.

Queensland Paediatric Transport Triage Tool – Medical

The Queensland Paediatric Transport Triage Tool – Medical has been validated on 2,056 children transferred into and out of Queensland Children’s Hospital. The tool had a negative predictive value of 97.7% demonstrating that it can be used to identify children who can be safely transferred as an acute patient.

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Paediatric emergency care resources are available online

Including: Guidelines and flowcharts, Resuscitation drug and equipment guide (CREDD), Resuscitation eLearning including CREDD education, Transport triage tool, Parent fact sheets and more.

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Changes to paediatric retrievals for critically ill children and young people

The Children’s Health Queensland Retrieval Service (CHQRS) has partnered with Retrieval Services Queensland (RSQ) to streamline the way retrieval services are coordinated for critically ill and injured children and young people across Queensland and northern New South Wales.

From 31 October 2022, a single statewide model of care will guide the triage and transportation of critically ill or injured children and young people referred for retrieval.
The consistent approach aims to:

  • provide a single point for accessing paediatric retrievals and advice
  • involve local clinicians and intensivists in decision-making
  • deliver care closer to home where available and appropriate
  • expedite specialised paediatric transport to critical care centres.

What’s changed
Under the new model, a Children’s Health Queensland Paediatric Medical Coordinator (PMC) will coordinate all critical cases across Queensland and northern New South Wales, while non-critical or acute cases will be managed by a RSQ medical coordinator or a nurse from CHQ’s Children’s Advice and Transport Coordination Hub (CATCH), no matter where in the state the call is coming from.

Urgent referrals

There is no change to the way requests for retrieval for a critical patient are initiated. Clinicians should continue to contact local RSQ Nurse Coordinators (NCs) on 1300 799 127 for critical or time-critical referrals. RSQ will connect clinicians with the Children’s Health Queensland Retrieval Service PMC for critical care advice and consideration of retrieval.

More information
Children’s Health Queensland Retrieval Service
t: 07 3068 1510 (administration)
e: chqrs@health.qld.gov.au