The authors reply:

摘要

Drs. Crowe and Tan raise important points in response to our article on the stabilization of critically ill children before intensive care transfer (1). We agree that, due to ongoing centralization of specialist services such as pediatric anesthesia and intensive care, many community hospitals are concerned about their ability to perform advanced interventions such as central venous access and commencement of inotropic agents before in-terhospital transfer. Yet, maintenance of competencies in pediatric stabilization is likely to remain an ongoing priority for staff at referring hospitals, since even the most efficient retrieval team may take 90-120 mins to reach the local hospital, and team response times may be even longer at times of high demand (2).