Before transferring a critically injured patient to a higher-level care facility, what should be done first?

Before transferring a critically injured patient to a higher-level care facility, it is essential to communicate with the receiving hospital and speak with the surgeon on call. This step ensures that the receiving facility is prepared for the patient's arrival and has the necessary resources, including surgical personnel, ready to address the patient's injuries. Establishing this communication helps facilitate a smooth transfer, allowing the receiving team to anticipate the patient's needs based on the information provided.

While other interventions, such as intubation or applying a pneumatic antishock garment, may be important for managing the patient's immediate condition, they do not replace the necessity of alerting the receiving hospital. Diagnostic procedures like a diagnostic peritoneal lavage are also not prioritized during the transfer process compared to ensuring that the receiving team is informed and ready for the patient's arrival. Timely communication helps optimize patient care and outcomes by ensuring that all parties involved are aligned and prepared for the ongoing management of the patient.