Apollo Hospitals, Chennai – Raipur | ICU Train Ambulance Transfer



Long distance transport for neuromuscular patients demands uninterrupted respiratory support and precise clinical coordination. Life Savers Ambulance Services managed a carefully planned ICU train ambulance transfer from Apollo Hospitals, Chennai to Raipur, ensuring stable, bed to bed continuity of care.
Case Overview
A 32 year old female diagnosed with Myasthenia Gravis required intercity transfer from Apollo Hospitals, Chennai to Raipur for continued neurological and respiratory management. Owing to prolonged illness and ventilatory dependence, a rail based ICU environment was selected to ensure safety and stability throughout the journey.
Patient Condition
The patient was clinically fragile with the following requirements:
- Tracheostomy in situ for airway protection
- Continuous BiPAP support with settings of 18 by 6
- High risk of respiratory fatigue due to neuromuscular weakness
- Requirement for close monitoring during movement and position changes
- Given these factors, routine road transport or commercial travel was not considered appropriate.
Transport Decision
An ICU Train Ambulance was chosen as the safest option for long distance transport. The rail platform allowed:
- Continuous non invasive ventilatory support without interruption
- Adequate space for ICU equipment and medical personnel
- Reduced physiological stress compared to prolonged road transfer
Life Savers Ambulance Services coordinated a fully medicalized train compartment to support true bed to bed transport.
Medical Setup Onboard
The train ambulance functioned as a mobile ICU with:
- Continuous BiPAP support maintained at prescribed settings
- Multiparameter monitoring including oxygen saturation heart rate and blood pressure
- Tracheostomy care with suction readiness
- Emergency airway and resuscitation equipment
- Redundant oxygen supply and power backup
Medical Team and Execution
A trained critical care team from Life Savers accompanied the patient throughout the journey. Continuous monitoring and periodic respiratory assessments were carried out to prevent fatigue or decompensation. Care delivery remained uninterrupted from departure at Apollo Hospitals, Chennai until arrival in Raipur.
Arrival and Handover
On reaching Raipur, a pre coordinated ICU road ambulance ensured seamless bed to bed transfer to the receiving hospital. A detailed clinical handover was completed, maintaining full continuity of respiratory and neurological care.
Clinical Perspective
This case highlights the role of ICU Train Ambulance services in safely transporting patients with chronic neuromuscular disorders requiring sustained ventilatory support. With structured planning, experienced teams, and ICU grade infrastructure, Life Savers Ambulance Services enables long distance critical care transport without compromising patient safety or dignity.



