Oct 26, 2007

Medical emergency teams: current situation and perspectives of preventive in-hospital intensive care medicine

Der Anaesthesist
S G RussoA Timmermann

Abstract

Severe clinical incidents occur in up to 10% of all non-intensive care unit (ICU) patients, which have an estimated mortality of 5-8%. As in the prehospital setting, early clinical warning signs can be identified in the majority of cases. Studies suggest that introduction of an in-hospital medical emergency team (MET) which responds to objective criteria of physiological deterioration, may effectively reduce the incidence of in-hospital cardiac arrests as well as unanticipated or readmissions to the ICU. According to this concept, METs would evaluate and treat non-ICU patients at risk at an early stage before a potentially fatal deterioration of cardiorespiratory parameters occurs. This article reviews available data on preventive in-hospital intensive care medicine and reflects on the circumstances for an implementation of METs in Germany, Austria and Switzerland.

Mentioned in this Paper

Care of Intensive Care Unit Patient
Emergency Care
Hospital Mortality
Intensive Care Unit
Monitoring, Physiologic
Specialty Type - Intensive Care
Patient Care Team
Metastatic Neoplasm
Patient Readmission
Disease Progression

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