Emergency evacuation
Anaesthetised or sedated patient requires unplanned transfer because of environmental hazard (e.g. flood, fire, smoke, structural collapse, noxious gas).
Ensure adequate depth of anaesthesia.
Ensure adequate reserve: 100% oxygen, low flow, fill vaporiser.
Ensure adequate neuromuscular blockade if relevant.
Evacuate all staff, including anaesthetist when indicated.
Inform rescue services and theatre coordinator.
Drugs may not be readily available at muster point.
Aim to take:
Oxygen
Propofol / other hypnotic
Neuromuscular blockade
Vasopressor(s)
Analgesics
i.v. fluids
Neuromuscular reversal if extubation anticipated
Able bodied → adjacent safe zone.
Anaesthetised/sedated patient → area with appropriate access to oxygen and medications, e.g. theatre, recovery or critical care area in a safe zone.
Inform rescue services and relevant coordinator of location.
Ensure route avoids original hazard and any consequent ones.
Caution using lifts, especially in fire.