Do surgeons need to look after unwell patients? The role of medical emergency teams

Noninvasive ventilation (NIV) improves the outcome of acute cardiogenic pulmonary edema (AcPE) and acute exacerbation of chronic obstructive pulmonary disease (aeCOPD) but is not recommended in pneumonia. The aim of this study was to assess the appropriateness of the use of NIV in a prehospital setting, where etiological diagnostics rely mainly on clinical examination. This observational multicenter retrospective study included all the patients treated with NIV by three mobile medical emergency teams in 2015. Prehospital diagnoses and hospital diagnoses were extracted from the medical charts. The appropriateness of NIV was determined by matching the hospital diagnosis to the current guidelines. Among the 14,067 patients screened, 172 (1.2%) were treated with NIV. The more frequent prehospital diagnoses were AcPE (n = 102, 59%), acute respiratory failure of undetermined cause (n = 46, 28%) and aeCOPD (n = 17, 10%). An accurate prehospital diagnosis was more frequent for AcPE (83/88, 94%) than for aeCOPD (14/32, 44%; p < 0.01). Only two of the 25 (8%) pneumonia cases were diagnosed during prehospital management. Prehospital NIV was inappropriate for 32 (21%) patients. Patients with inappropriate NIV had a higher rate of in-hospital intubation than patients with appropriate NIV (38% vs. 8%; p < 0.001). This high frequency of inappropriate NIV could be reduced by an improvement in the prehospital detection of aeCOPD and pneumonia.

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Medical emergency teams: Are improved outcomes really like day and night?*

Critical Care Medicine ◽

10.1097/01.ccm.0000219369.59563.9a ◽

2006 ◽

Vol 34 (6) ◽

pp. 1840-1841

Author(s):

Jennifer Needle ◽

Michael R. Anderson

Keyword(s):

Medical Emergency ◽

Improved Outcomes ◽

Medical Emergency Teams

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In-situ simulation

Trauma ◽

10.1177/1460408617711729 ◽

2017 ◽

Vol 20 (4) ◽

pp. 281-288 ◽

Cited By ~ 2

Author(s):

Louise Schofield ◽

Emma Welfare ◽

Simon Mercer

Keyword(s):

Medical Emergency ◽

In Situ Simulation ◽

Advantages And Disadvantages ◽

Medical Emergency Teams ◽

Clinical Workplace ◽

Trauma Teams ◽

New Guidelines

‘In-situ’ simulation or simulation ‘in the original place’ is gaining popularity as an educational modality. This article discusses the advantages and disadvantages of performing simulation in the clinical workplace drawing on the authors’ experience, particularly for trauma teams and medical emergency teams. ‘In-situ’ simulation is a valuable tool for testing new guidelines and assessing for latent errors in the workplace.

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Investigating Occupational Stress of Disaster and Emergency Medical Management Center 115 and the Role of Demographic Variables in Kermanshah, Iran

10.21203/rs.3.rs-17181/v1 ◽

2020 ◽

Author(s):

Reza Pourmirza Kalhori ◽

Parvin Abdi Gheshlaghi ◽

Razie Toghroli ◽

Vahid Hatami Garosi ◽

Jaffar Abbas ◽

...

Keyword(s):

Occupational Stress ◽

Stress Level ◽

Medical Management ◽

Work Experience ◽

Demographic Variables ◽

Medical Emergency ◽

Work Place ◽

Significance Level ◽

Emergency Medical

Abstract Background: The first and one of the most important chains of providing care to patients is pre-hospital emergency medical services. Personnel employed in this sector are at risk of occupational stress due to the nature of their job which can affect their health and quality of services provided to patients. Therefore, the present study was conducted to investigate the occupational stress of the personnel of disaster and emergency medical management center 115 and the role of demographic variables in 2019.Methods: This is a descriptive-analytical study. 200 medical emergency personnel of Kermanshah province were selected through stratified sampling and according to inclusion criteria. A two-part questionnaire including demographic information and HSE standard questionnaire were used for collecting data. Finally, descriptive and inferential statistics (t-test and one-way ANOVA) were used for data analysis. Significance level was considered P<0.05. Results: The mean score of total occupational stress was 3.41±0.26. The highest and the lowest stress levels related to the role dimensions was calculated (4.34±0.35) and changes (2.72±0.86). There was a significant relationship between stress level with age, marital status, educational level, type of base of work place and hours of work per month, while there was no relationship between type of employment and work experience with stress level. Conclusion: Emergency medical personnel experience a high level of occupational stress. Senior managers can use the results of similar studies to think measures to reduce the experience of employees' stress.

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Introduction of Medical Emergency Teams in Australia and New Zealand: a multi-centre study

Critical Care ◽

10.1186/cc6857 ◽

2008 ◽

Vol 12 (2) ◽

pp. R46 ◽

Cited By ~ 41

Author(s):

Daryl Jones ◽

Carol George ◽

Graeme K Hart ◽

Rinaldo Bellomo ◽

Jacqueline Martin

Keyword(s):

New Zealand ◽

Medical Emergency ◽

Multi Centre Study ◽

Centre Study ◽

Medical Emergency Teams

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Proceedings of the 12th International Conference on Rapid Response Systems and Medical Emergency Teams

Anaesthesia and Intensive Care ◽

10.1177/0310057x1704500416 ◽

2017 ◽

Vol 45 (4) ◽

pp. 511-517 ◽

Cited By ~ 3

Author(s):

D. Jones ◽

J. Holmes ◽

J. Currey ◽

E. Fugaccia ◽

A. J. Psirides ◽

...

Keyword(s):

Care Setting ◽

Rapid Response ◽

Medical Emergency ◽

Acute Care Setting ◽

Rapid Response Teams ◽

International Conference ◽

Rapid Response Systems ◽

Hospitalised Patients ◽

Medical Emergency Teams ◽

Response Systems

Rapid Response Teams (RRTs) have been introduced into hospitals worldwide in an effort to improve the outcomes of deteriorating hospitalised patients. Recently, there has been increased awareness of the need to develop systems other than RRTs for deteriorating patients. In May 2016, the 12th International Conference on Rapid Response Systems and Medical Emergency Teams was held in Melbourne. This represented a collaboration between the newly constituted International Society for Rapid Response Systems (iSRRS) and the Australian and New Zealand Intensive Care Society. The conference program included broad ranging presentations related to general clinical deterioration in the acute care setting, as well as deterioration in the emergency department, during pregnancy, in the paediatric setting, and deterioration in mental health status. This article briefly summarises the key features of the conference, links to presentations, and the 18 abstracts of the accepted free papers.

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