scholarly journals Introduction of medical emergency teams in Australia and New Zealand: a multicentre study

Critical Care ◽  
2008 ◽  
Vol 12 (3) ◽  
pp. 151 ◽  
Author(s):  
Kaye England ◽  
Julian F Bion
Critical Care ◽  
2008 ◽  
Vol 12 (2) ◽  
pp. R46 ◽  
Author(s):  
Daryl Jones ◽  
Carol George ◽  
Graeme K Hart ◽  
Rinaldo Bellomo ◽  
Jacqueline Martin

2008 ◽  
Vol 55 (4) ◽  
pp. 223-231 ◽  
Author(s):  
Alan D. Baxter ◽  
Pierre Cardinal ◽  
Jonathan Hooper ◽  
Rakesh Patel

2021 ◽  
Vol 10 (7) ◽  
pp. 1359
Author(s):  
Julie Pinczon ◽  
Nicolas Terzi ◽  
Pascal Usseglio-Polatera ◽  
Gaël Gheno ◽  
Dominique Savary ◽  
...  

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.


2006 ◽  
Vol 34 (6) ◽  
pp. 1840-1841
Author(s):  
Jennifer Needle ◽  
Michael R. Anderson

Trauma ◽  
2017 ◽  
Vol 20 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Louise Schofield ◽  
Emma Welfare ◽  
Simon Mercer

‘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.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Rawson

Abstract St John has been providing service in New Zealand for nearly 140 years since its arrival. It has now close to 4000 staff and nearly 20000 Members and over 8500 volunteers. In New Zealand the major work of St John is its Ambulance service providing front line first responders to crash, medical emergency and other life-threatening situations. St John New Zealand also provides a number of 'Community Health' initiatives focused on strengthening communities and prevention. In recent years St John has recognised that they have not engaged well with Indigenous communities and that their organisation in New Zealand must become skilled and relevant in addressing the needs of the Indigenous people of New Zealand, as they suffer the greater burden of disease and illness than any other population in the country. St John NZ Community and Health Services are embarking on a process of transformation through re-orienting its culture and practice by adopting Public Health approaches and an equity lens over all its programmes. They also have committed to understanding and using Indigenous knowledge to support this re-orientation to most effectively engage and implement programmes that will reduce Indigenous health inequities. This presentation will describe the process by which they will be implementing their strategy for change and highlight best practice for working with Indigenous communities. Key messages Indigenous Knowledge is key to addressing Indigenous Health inequities. Mainstream Public Health can learn from Indigenous Public Health approaches.


2015 ◽  
Vol 24 (5) ◽  
pp. 761-776 ◽  
Author(s):  
Jan Schmutz ◽  
Florian Hoffmann ◽  
Ellen Heimberg ◽  
Tanja Manser

2019 ◽  
Vol 32 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Susan Crowther ◽  
Ruth Deery ◽  
Rea Daellenbach ◽  
Lorna Davies ◽  
Andrea Gilkison ◽  
...  

2017 ◽  
Vol 45 (4) ◽  
pp. 511-517 ◽  
Author(s):  
D. Jones ◽  
J. Holmes ◽  
J. Currey ◽  
E. Fugaccia ◽  
A. J. Psirides ◽  
...  

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.


Critical Care ◽  
2007 ◽  
Vol 11 (2) ◽  
pp. 307 ◽  
Author(s):  
Ann McGinley ◽  
Rupert M Pearse

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