Timing and interventions of emergency teams during the MERIT study

Resuscitation
A FlabourisMERIT Study Investigators from the Simpson Centre and the ANZICs Clinical Trials Group

Abstract

To examine interventions and timing of emergency team calls in hospitals with or without a medical emergency team (MET). 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. 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. 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.

References

Jun 1, 1992·Archives of Internal Medicine·D D BuffP M Wyrwinski
Jun 16, 1994·The New England Journal of Medicine·M A HayesD Watson
Sep 1, 2001·Internal Medicine Journal·K M HillmanG Simmons
Nov 5, 2002·Intensive Care Medicine·Ken M HillmanGrant Simmons
Nov 6, 2003·Intensive Care Medicine·Ari UusaroEsko Ruokonen
Nov 7, 2003·Clinical Medicine : Journal of the Royal College of Physicians of London·E SewardM G Pearson
Sep 2, 2006·Resuscitation·Idit MatotSharon Einav
Dec 4, 2008·Critical Care Medicine·Jack ChenUNKNOWN ANZICS Clinical Trials Group

❮ Previous
Next ❯

Citations

Mar 7, 2014·Critical Care Nursing Quarterly·Elizabeth H LazzaraEduardo Salas
Jan 18, 2012·Medical Care·Raina M MerchantUNKNOWN American Heart Association Get With the Guideline-Resuscitation Investigators
Aug 21, 2012·Critical Care Medicine·Ken M Hillman
Jan 28, 2016·Hospital Pediatrics·Tia T RaymondUNKNOWN American Heart Association Get With the Guidelines-Resuscitation Investigators
Feb 5, 2013·Resuscitation·Charles CoventryTracey Cramey
Jul 11, 2012·Resuscitation·Tracey A DechertWilliam D Schweickert
Jan 25, 2011·Resuscitation·Jerry P NolanGavin D Perkins
Jan 13, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kristen M MeulmesterAarti C Bavare
Jul 21, 2017·Journal of Advanced Nursing·Jennifer McGaugheyBronagh Blackwood
Mar 5, 2014·Australian Health Review : a Publication of the Australian Hospital Association·K SundararajanTracey Cramey
Jan 6, 2016·Emergency Medicine Journal : EMJ·Kirsty Challen, Damian Roland
May 30, 2015·The Medical Journal of Australia·Kenneth M Hillman
Mar 10, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Manoj Y SinghSumeet Rai
Apr 28, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Bianca J LevkovichCarl M Kirkpatrick
Jul 11, 2021·Hospital Pediatrics·Kristen M MeulmesterAarti C Bavare

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.