Pracher, Florian

Agarwal, Sidharth

Goldrick, Paul

Davies, Jane

2022-05-01

We report on the international retrieval of a critically ill, ventilated, coronavirus disease 2019-positive patient from Dili, East Timor, into the intensive care unit of the Royal Darwin Hospital in Australia. The patient had severe respiratory failure, and the medical team in Dili was struggling to maintain adequate oxygenation with a fraction of inspired oxygen of 1 most of the time. This occurred during an outbreak of coronavirus disease 2019 in East Timor, placing strain on the local health system. Therefore, it was decided to transfer the patient to Australia. Given the closed international borders of Australia, organization of the retrieval and infection control measures were challenging and are described in the article. We discuss the need for a pathway to retrieve critically ill patients into a well-resourced country during a pandemic and the importance of public health measures including a robust vaccination program.

Careflight, Darwin, Australia; Royal Darwin Hospital, Tiwi, Northern Territory, Australia. Electronic address: florian.pacher@careflight.org.

Royal Darwin Hospital, Tiwi, Northern Territory, Australia.

Royal Darwin Hospital, Tiwi, Northern Territory, Australia; Menzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, Australia.

Air Med J . 2022 May-Jun;41(3):323-325. doi: 10.1016/j.amj.2022.01.002.

https://pubmed.ncbi.nlm.nih.gov/35595343/?otool=iaurydwlib

https://hdl.handle.net/10137/12172

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Humans

Public Health

Critical Illness

Timor-Leste

Pandemics

COVID-19

Intensive Care Units

Disease Outbreaks

Australia

Vaccination

Repatriation of a Critically Ill Coronavirus Disease 2019-Positive Patient Across Closed Borders.

Journal Article

Publication