Rapid response team patients triaged to remain on ward despite deranged vital signs: missed opportunities?

Hypotension is a common cause of rapid response team (RRT) activation. It is critical to be able to rapidly identify the etiology of hypotension. In the setting of a rapid response team call, there is often limited time and information available when first encountering a hypotensive patient. With attention to key elements in the patient’s history of present illness, physical exam, and findings of predominant changes in systolic, diastolic, and pulse pressures, RRTs can rapidly narrow their differential diagnosis. We will discuss the initial evaluation and treatment recommendations based on the etiology of hypotension and shock. Resuscitation should continue until circulatory homeostasis occurs, as guided by a patient’s exam, vital signs, and trends in laboratory values. This chapter provides a framework on how to quickly differentiate between the causes of hypotension or shock when evaluating patients during a rapid response scenario to most accurately guide therapy.

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Vital Signs Predict Rapid-Response Team Activation within Twelve Hours of Emergency Department Admission

Western Journal of Emergency Medicine ◽

10.5811/westjem.2016.2.28501 ◽

2016 ◽

Vol 17 (3) ◽

pp. 324-330 ◽

Cited By ~ 15

Author(s):

James Walston ◽

Daniel Cabrera ◽

Shawna Bellew ◽

Marc Olive ◽

Christine Lohse ◽

...

Keyword(s):

Emergency Department ◽

Vital Signs ◽

Rapid Response Team ◽

Rapid Response ◽

Emergency Department Admission ◽

Response Team

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Faculty Opinions recommendation of Hospital-wide code rates and mortality before and after implementation of a rapid response team.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1135962.593069 ◽

2008 ◽

Author(s):

Michael O'Connor

Keyword(s):

Rapid Response Team ◽

Rapid Response ◽

Before And After ◽

Response Team

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Mise en place et organisation d’une équipe médicale mobile de réponse précoce aux urgences intra-hospitalières (Rapid Response Team)

Médecine Intensive Réanimation ◽

10.37051/mir-00018 ◽

2020 ◽

Author(s):

Boris Jung ◽

Gerald Chanques ◽

Samir Jaber ◽

Kada Klouche

Keyword(s):

Rapid Response Team ◽

Rapid Response ◽

Prise En Charge ◽

Response Team

La mise en place d’une Rapid Response Team a pour objectif la mise en place d’une structure de réponse hospitalièrepour la prise en charge des urgences vitales et surtout une réponse précoce à la dégradation clinique des patientshospitalisés avant que l’urgence vitale ne survienne. Nous discutons dans ce manuscrit le rationnel et le niveau depreuve motivant la mise en place d’une Rapid Response Team ainsi que les freins qui doivent être surmontés pour lesuccès de cette mise en place.

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