Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Medical emergency teams: deciphering clues to crises in hospitals. | Available online http content 9 4 325 Commentary Medical emergency teams deciphering clues to crises in hospitals Michael DeVita Associate Professor Critical Care Medicine and Internal Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Corresponding author Michael DeVita devitam@ Published online 18 May 2005 This article is online at http content 9 4 325 2005 BioMed Central Ltd Critical Care 2005 9 325-326 DOI cc3721 See related research by Jones et al. in this issue http content 9 4 R303 Abstract Cardiac arrest in hospitals is usually preceded by prolonged deterioration. If the deterioration is recognized and treated often death can be prevented. Medical emergency teams MET are a mechanism to fill this need. The epidemiology of patient deteriorations is not well understood. Jones and colleagues provide data regarding the temporal pattern of METs. They describe a diurnal variation to crises that strongly suggests hospital processes may systematically ignore and find patient deterioration. Hospitals in the future must develop methodologies to find more reliably patients who are in crisis and then respond to them swiftly and effectively to prevent unnecessary deaths. In 1994 Franklin and Mathew 1 recognized that cardiac arrests in hospitals are often preceded by prolonged physiologic deteriorations. These deteriorations not only presage patient deaths but they also offer an opportunity to recognize the crisis and trigger interventions that might be life saving. Since then medical emergency team MET responses have been described by many authors most notably several groups from Australia. Although there are no randomized clinical trials showing benefit from introduction of METs many single center reports 2-4 support the notion that timely intervention may interrupt crisis events and decrease unexpected hospital mortality. As a result of these reports and of the potential for improved .
