Prevalence, Characteristics, and Opinions of Pediatric Rapid Response Teams in the United States

2012 ◽  
Vol 2 (3) ◽  
pp. 133-140 ◽  
Author(s):  
J. G. Chen ◽  
A. R. Kemper ◽  
F. Odetola ◽  
I. M. Cheifetz ◽  
D. A. Turner
Keyword(s):  
United States ◽  
The United States ◽  
Rapid Response ◽  
Rapid Response Teams

Paediatric cardiac rapid response systems: a survey of multicentre practices

2021 ◽  
pp. 1-8
Author(s):  
Aarti C. Bavare ◽  
Natasha S. Afonso ◽  
Kerry A. Sembera ◽  
Jason R. Buckley ◽  
Tia T. Raymond ◽  
...  
Keyword(s):  
United States ◽  
United States Of America ◽  
The United States ◽  
Rapid Response ◽  
Cardiac Patients ◽  
Limited Information ◽  
Rapid Response Teams ◽  
Rapid Response Systems ◽  
Outcomes Evaluation ◽  
Response Systems

Abstract Introduction: While the efficacy and guidelines for implementation of rapid response systems are well established, limited information exists about rapid response paradigms for paediatric cardiac patients despite their unique pathophysiology. Methods: With endorsement from the Paediatric Cardiac Intensive Care Society, we designed and implemented a web-based survey of paediatric cardiac and multidisciplinary ICU medical directors in the United States of America and Canada to better understand paediatric cardiac rapid response practices. Results: Sixty-five (52%) of 125 centres responded. Seventy-one per cent of centres had ∼300 non-ICU beds and 71% had dedicated cardiac ICUs. To respond to cardiac patients, dedicated cardiac rapid response teams were utilised in 29% of all centres (39% and 5% in centres with and without dedicated cardiac ICUs, respectively) [p = 0.006]. Early warning scores were utilised in 62% of centres. Only 31% reported that rapid response teams received specialised training. Transfers to ICU were higher for cardiac (73%) compared to generalised rapid response events (54%). The monitoring and reassessment of patients not transferred to ICU after the rapid response was variable. Cardiac and respiratory arrests outside the ICU were infrequent. Only 29% of centres formally appraise critical deterioration events (need for ventilation and/or inotropes post-rapid response) and 34% perform post-event debriefs. Conclusion: Paediatric cardiac rapid response practices are variable and dedicated paediatric cardiac rapid response systems are infrequent in the United States of America and Canada. Opportunity exists to delineate best practices for paediatric cardiac rapid response and standardise practices for activation, training, patient monitoring post-rapid response events, and outcomes evaluation.

scholarly journals Characteristics of Rapid Response Calls in the United States

2019 ◽  
Vol 47 (10) ◽  
pp. 1283-1289 ◽  
Author(s):  
Patrick G. Lyons ◽  
Dana P. Edelson ◽  
Kyle A. Carey ◽  
Nicole M. Twu ◽  
Paul S. Chan ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Rapid Response

China’s Modernising Nuclear Forces: In the Face of US Nuclear Primacy

2018 ◽  
Vol 10 (03) ◽  
pp. 108-117
Author(s):  
Bojian LIU
Keyword(s):  
United States ◽  
Early Warning ◽  
Command And Control ◽  
The United States ◽  
Rapid Response ◽  
Nuclear Deterrence ◽  
Nuclear Forces ◽  
The Face ◽  
And Control

Since 2001, when the United States has accelerated the strengthening of its nuclear primacy with a clearer strategy of assured destruction against any rivals, China has encountered greater pressure to further modernise its nuclear forces. In highlighting the enhanced credibility of its retaliation-based nuclear deterrence under the no-first-use doctrine, China is enhancing command and control of nuclear forces, upgrading its nuclear triad, and constructing its early warning and rapid response capabilities. However, with a further destabilising global nuclear order, more normative challenges have been plaguing China’s nuclear modernisation.

Equitable Pandemic Preparedness and Rapid Response: Lessons from COVID-19 for Pandemic Health Equity

2020 ◽  
Vol 45 (6) ◽  
pp. 921-935 ◽  
Author(s):  
Philip M. Alberti ◽  
Paula M. Lantz ◽  
Consuelo H. Wilkins
Keyword(s):  
United States ◽  
Health Equity ◽  
The United States ◽  
Rapid Response ◽  
The Novel ◽  
Pandemic Preparedness ◽  
Fundamental Causes ◽  
American Society ◽  
Novel Coronavirus ◽  
And Control

Abstract The novel coronavirus pandemic has set in high relief the entrenched health, social, racial, political, and economic inequities within American society as the incidence of severe morbidity and mortality from the disease caused by the virus appears to be much greater in black and other racial/ethnic minority populations, within homeless and incarcerated populations, and in lower-income communities in general. The reality is that the United States is ill equipped to realize health equity in prevention and control efforts for any type of health outcome, including an infectious disease pandemic. In this article, the authors address an important question: When new waves of the current pandemic emerge, or another novel pandemic emerges, how can the United States be better prepared and also ensure a rapid response that reduces rather than exacerbates social and health inequities? The authors argue for a health equity framework to pandemic preparedness that is grounded in meaningful community engagement and that, while recognizing the fundamental causes of social and health inequity, has a clear focus on upstream and midstream preparedness and downstream rapid response efforts that put social and health equity at the forefront.

Correlative microscopy in distrubuted (client/server) computing environments: tools for catalyzing the rapid dissemination of information about the cell biology of the human prostate

1995 ◽  
Vol 53 ◽  
pp. 682-683
Author(s):  
A. Hakam ◽  
J.T. Gau ◽  
M.L. Grove ◽  
B.A. Evans ◽  
M. Shuman ◽  
...  
Keyword(s):  
United States ◽  
Cell Biology ◽  
Tissue Bank ◽  
The United States ◽  
Prostate Adenocarcinoma ◽  
Correlative Microscopy ◽  
Client Server ◽  
Critical Elements ◽  
Transplant Organ

Prostate adenocarcinoma is the most common malignant tumor of men in the United States and is the third leading cause of death in men. Despite attempts at early detection, there will be 244,000 new cases and 44,000 deaths from the disease in the United States in 1995. Therapeutic progress against this disease is hindered by an incomplete understanding of prostate epithelial cell biology, the availability of human tissues for in vitro experimentation, slow dissemination of information between prostate cancer research teams and the increasing pressure to “ stretch” research dollars at the same time staff reductions are occurring.To meet these challenges, we have used the correlative microscopy (CM) and client/server (C/S) computing to increase productivity while decreasing costs. Critical elements of our program are as follows:1) Establishing the Western Pennsylvania Genitourinary (GU) Tissue Bank which includes >100 prostates from patients with prostate adenocarcinoma as well as >20 normal prostates from transplant organ donors.

Digital image acquisition, processing, and analysis in a polymer microscopy laboratory

1994 ◽  
Vol 52 ◽  
pp. 454-455
Author(s):  
Vinod K. Berry ◽  
Xiao Zhang
Keyword(s):  
United States ◽  
Image Analysis ◽  
Digital Image ◽  
Image Acquisition ◽  
Image Transmission ◽  
The United States ◽  
Quantitative Image Analysis ◽  
Quantitative Image

In recent years it became apparent that we needed to improve productivity and efficiency in the Microscopy Laboratories in GE Plastics. It was realized that digital image acquisition, archiving, processing, analysis, and transmission over a network would be the best way to achieve this goal. Also, the capabilities of quantitative image analysis, image transmission etc. available with this approach would help us to increase our efficiency. Although the advantages of digital image acquisition, processing, archiving, etc. have been described and are being practiced in many SEM, laboratories, they have not been generally applied in microscopy laboratories (TEM, Optical, SEM and others) and impact on increased productivity has not been yet exploited as well.In order to attain our objective we have acquired a SEMICAPS imaging workstation for each of the GE Plastic sites in the United States. We have integrated the workstation with the microscopes and their peripherals as shown in Figure 1.

Silence of the Land: On the Historical Irrelevance of Territory to Congressional Districting and Political Representation in the United States

2001 ◽  
Vol 15 (01) ◽  
pp. 53-87 ◽  
Author(s):  
Andrew Rehfeld
Keyword(s):  
United States ◽  
House Of Representatives ◽  
Political Representation ◽  
The United States ◽  
Representative Government ◽  
Congressional District ◽  
Congressional Districts ◽  
Communities Of Interest

Every ten years, the United States “constructs” itself politically. On a decennial basis, U.S. Congressional districts are quite literally drawn, physically constructing political representation in the House of Representatives on the basis of where one lives. Why does the United States do it this way? What justifies domicile as the sole criteria of constituency construction? These are the questions raised in this article. Contrary to many contemporary understandings of representation at the founding, I argue that there were no principled reasons for using domicile as the method of organizing for political representation. Even in 1787, the Congressional district was expected to be far too large to map onto existing communities of interest. Instead, territory should be understood as forming a habit of mind for the founders, even while it was necessary to achieve other democratic aims of representative government.

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