Literature DB >> 19913973

Timing and interventions of emergency teams during the MERIT study.

Arthas Flabouris1, Jack Chen, Ken Hillman, Rinaldo Bellomo, Simon Finfer.   

Abstract

AIMS: To examine interventions and timing of emergency team calls in hospitals with or without a medical emergency team (MET).
METHODS: Interventions were recorded, categorized and classified as critical care interventions (e.g. airway intervention, ventilation and use of inotropic drugs); ward level interventions (e.g. fluids, oxygen by mask); assessment, physical examination and investigations.
RESULTS: Only 5 of the 2376 calls were free of critical care interventions. For non-cardiac arrest-related calls, MET hospitals had a lower proportion of airway, circulation and drug-related interventions and a higher proportion of ward level interventions. The majority of calls were between 0601 and 1200 h and cardiac arrest survival was greatest in the 1200-2400 h period. Overall median time at the scene was 25 min.
CONCLUSIONS: Nearly all emergency team calls required critical care type interventions. Emergency team calls show a unique temporal pattern for both MET and control hospitals. These findings have important organizational and resource-related implications for hospitals evaluating and establishing rapid response systems. Crown Copyright 2009. Published by Elsevier Ireland Ltd. All rights reserved.

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Year:  2009        PMID: 19913973     DOI: 10.1016/j.resuscitation.2009.09.025

Source DB:  PubMed          Journal:  Resuscitation        ISSN: 0300-9572            Impact factor:   5.262


  9 in total

1.  Medical emergency team response for the non-hospitalized patient.

Authors:  Tracey A Dechert; Babak Sarani; Michelle McMaster; Seema Sonnad; Carrie Sims; José L Pascual; William D Schweickert
Journal:  Resuscitation       Date:  2012-07-06       Impact factor: 5.262

2.  Variability in case-mix adjusted in-hospital cardiac arrest rates.

Authors:  Raina M Merchant; Lin Yang; Lance B Becker; Robert A Berg; Vinay Nadkarni; Graham Nichol; Brendan G Carr; Nandita Mitra; Steven M Bradley; Benjamin S Abella; Peter W Groeneveld
Journal:  Med Care       Date:  2012-02       Impact factor: 2.983

3.  Pediatric Medical Emergency Team Events and Outcomes: A Report of 3647 Events From the American Heart Association's Get With the Guidelines-Resuscitation Registry.

Authors:  Tia T Raymond; Christopher P Bonafide; Amy Praestgaard; Vinay M Nadkarni; Robert A Berg; Christopher S Parshuram; Elizabeth A Hunt
Journal:  Hosp Pediatr       Date:  2016-02

4.  Timing and Location of Medical Emergency Team Activation Is Associated with Seriousness of Outcome: An Observational Study in a Tertiary Care Hospital.

Authors:  Takeo Kurita; Taka-Aki Nakada; Rui Kawaguchi; Koichiro Shinozaki; Ryuzo Abe; Shigeto Oda
Journal:  PLoS One       Date:  2016-12-28       Impact factor: 3.240

5.  The effectiveness of a national early warning score as a triage tool for activating a rapid response system in an outpatient setting: A retrospective cohort study.

Authors:  Jun Ehara; Eiji Hiraoka; Hsiang-Chin Hsu; Toru Yamada; Yosuke Homma; Shigeki Fujitani
Journal:  Medicine (Baltimore)       Date:  2019-12       Impact factor: 1.817

6.  Type of Track and Trigger system and incidence of in-hospital cardiac arrest: an observational registry-based study.

Authors:  Helen Hogan; Andrew Hutchings; Jerome Wulff; Catherine Carver; Elizabeth Holdsworth; Jerry Nolan; John Welch; David Harrison; Nick Black
Journal:  BMC Health Serv Res       Date:  2020-09-18       Impact factor: 2.655

7.  The predictive power of the National Early Warning Score (NEWS) 2, as compared to NEWS, among patients assessed by a Rapid response team: A prospective multi-centre trial.

Authors:  Anna Thorén; Eva Joelsson-Alm; Martin Spångfors; Araz Rawshani; Thomas Kahan; Johan Engdahl; Martin Jonsson; Therese Djärv
Journal:  Resusc Plus       Date:  2021-12-24

8.  NEWS2 versus a single-parameter system to identify critically ill medical patients in the emergency department.

Authors:  Stine Engebretsen; Stig Tore Bogstrand; Dag Jacobsen; Valeria Vitelli; Rune Rimstad
Journal:  Resusc Plus       Date:  2020-08-06

9.  Does the Time of Solitary Rapid Response Team Call Affect Patient Outcome?

Authors:  Manoj Y Singh; Ramprasad Vegunta; Krishna Karpe; Sumeet Rai
Journal:  Indian J Crit Care Med       Date:  2020-01
  9 in total

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