If a maternity patient requires transport and it will take longer than 45 minutes, where should they go?

In the context of maternity care and transport logistics, selecting an appropriate facility is critical for ensuring patient safety and managing potential risks. The recommendation to transport a maternity patient to the nearest alternative high level of trauma service is grounded in the need for comprehensive care.

High level trauma services are equipped to handle complex cases, including those involving obstetric emergencies. These facilities typically have the necessary resources, such as specialized maternity units, skilled personnel, and access to surgical interventions. When a transport time exceeds 45 minutes, it is essential to avoid a scenario where the patient might require critical care that is unavailable at a less equipped facility.

Transporting to a secondary care facility might not provide the extensive support needed in emergencies, and while private hospitals may be appropriate in some situations, their capabilities can vary greatly. The Royal Melbourne Hospital, while a reputable option, may not always be the closest or most suitable choice depending on the patient's immediate needs and geographical location.

Thus, directing the patient to the nearest alternative high level trauma service is the most prudent choice, ensuring that all necessary medical resources and expertise are readily available in case of any complications during transport or upon arrival.