Page 237 - 2026 SMOG

FACILITY TRANSFER CHECKLIST
DO NOW TAKE WITH IN FLIGHT
H/I: H/I: H/I:
• Conduct baseline neurologic • Collect all labs, xrays, • Assess neurologic and
exam pre-aid station/hospital sedation
• Provide eye and ear protection documentation for • Check placement of all
to the patient; HPMK, transport tubes, lines, and drains &
warmed IV fluids, blankets, • Reconcile medications; ensure proper functioning
and/or chemical heat packs. verify allergies and • Ensure all wires and tubing
• Review orders and discuss patient’s weight are accessible and have
potential enroute problems • Secure personal effects adequate slack to allow
with the transferring • Sedation meds (Propofol, monitors and IVs to be
physician. Versed, Ketamine) properly positioned and
• Ensure the patient and all • Pain meds (Fentanyl, secured.
equipment are secured Morphine, Ketamine) • Serial assessments
• Place the transport ventilator • Paralytic meds • Prepare the patient and give
on transport O 2 (Vecuronium, a report to the receiving
• Assess pain control, sedation, Rocuronium) facility.
and need for paralysis. Redose • 3% NaCl
medications if needed before
flight
• Patient loading considerations
Altitude considerations Medications Patient packaging
• Required waiting time before • Type and number of • Additional support
transport patients (medical/non-medical)
• Respiratory support • Monitoring (body • Telephonic consultation
systems, medical
interventions, etc.)
• Equipment • Thermal considerations • Transport time and route
of transfer

2026 Standard Medical Operating Guidelines (SMOG) • 229