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Rapid Response System: A Practical Guide provides a practical approach to the evaluation, differential diagnosis, and management of common medical and surgical emergencies such as cardiac arrest, acute respiratory failure, seizures, and hemorrhagic shock occurring in hospitalized patients. Less common and special circumstances such as pediatric, obstetric, oncologic, neurologic and behavioral emergencies as well as palliative care for terminally ill patients encountered in the context of rapid response team events are also discussed. An overview of commonly performed bedside emergency procedures by rapid response team members complements the clinical resources that may need to be brought to bear during the course of the rapid response team event. Finally, an overview of organization, leadership, communication, quality and patient safety surrounding rapid response team events is provided. This book is written with medical students, junior physicians and nursing staff in mind working in both academic and community hospital settings. Both a novice and an experienced healthcare provider involved in a rapid response system will find this handbook to be valuable supplement to the clinical experiences gained though active engagement in the system. Hospital administrators and senior management staff will also find this book to be useful in the evaluation of quality and performance of the rapid response system, management of staff attitudes and behavior, performance of peer review, care for second victims and implementation of countermeasures for patient safety problems discovered in the course of rapid response system reviews.
Successor to the editors' groundbreaking book on medical emergency teams, Textbook of Rapid Response Systems addresses the problem of patient safety and quality of care; the logistics of creating an RRS (resource allocation, process design, workflow, and training); the implementation of an RRS (organizational issues, challenges); and the evaluation of program results. Based on successful RRS models that have resulted in reduced in-hospital cardiac arrest and overall hospital death rates, this book is a practical guide for physicians, hospital administrators, and other healthcare professionals who wish to initiate an RRS program within their own institutions.
Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of “C- dition C (Crisis),” as it was called to distinguish it from “Condition A (Arrest). ”We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.
This major reference work is the most comprehensive resource on oncologic critical care. The text reviews all significant aspects of oncologic ICU practices, with a particular focus on challenges encountered in the diagnosis and management of the critically ill cancer patient population. Comprised of over 140 chapters, the text explores such topics as the organization and management of an oncologic ICU, diseases and complications encountered in the oncologic ICU, multidisciplinary care, surgical care, transfusion medicine, special patient populations, critical care procedures, ethics, pain management, and palliative care. Written by worldwide experts in the field, Oncologic Critical Care is a valuable resource for intensivists, advance practice providers, nurses, and other healthcare providers, that will help close significant knowledge and educational gaps within the realm of medical care for critically ill cancer patients.
Practically focused and evidence based, Rapid Response Situations: Management in Adult and Geriatric Hospitalist Medicine compiles the essential information needed by rapid response teams (RRT) for early intervention at the bedside of an acutely ill patient. This portable resource is ideal for hospitalists and other members of the RRT, offering step-by-step coverage of the assessment and stabilization information most needed at the time of emergency. - Addresses the most common rapid response situations in a brief, highly templated, and bulleted format designed for quick reference at the point of care. - Step-by-step coverage includes: - Which stabilization measures to implement - Which tests to order and why - Which medications to administer, including dosage - Which specialists to consult for further interventions - A must-have reference for hospitalists, intensivists, ICU nurses, and other rapid response team members, including those working in rural settings with few intensivists or specialists available for consults.
For nearly 40 years, Oh's Intensive Care Manual has been the quick reference of choice for ICU physicians at all levels of experience. The revised 8th edition maintains this tradition of excellence, providing fast access to practical information needed every day in today's intensive care unit. This bestselling manual covers all aspects of intensive care in sufficient detail for daily practice while keeping you up to date with the latest innovations in the field. - New coverage of the latest developments in ICU imaging techniques, including ultrasound. - New information on the latest advances in ECMO (Extracorporeal Membrane Oxygenation) for cardiac and respiratory failure, ARDS, septic shock, neurologic disorders, muscle function, and hemodynamic therapy. - New co-editor Dr. Jonathan Handy shares his knowledge and expertise on acid-base disturbances during critical illness, critical care transfers, intravenous fluid therapy, cardiovascular physiology, burn management, sepsis, and the immunological impact of surgery and burn injury. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Originally published to great acclaim in 2006, Dr. Stephen Olvey’s memoir Rapid Response makes a long-awaited return to print — complete with new text and an afterword by Dario Franchitti — at the same time as the release of a documentary feature film of the same title. This book is the compelling story of the author’s often tragic, sometimes funny, and frequently frustrating journey through the volatile world of professional motorsports. Along the way, he introduces many of the characters — geniuses, good guys, bad guys — that he has encountered during his quest to save lives and make motorsports safer. Among the racing legends with whom Dr. Olvey has worked — and who have their places in this book — are Mario Andretti, Emerson Fittipaldi, A.J. Foyt, Graham Hill, Nigel Mansell, Rick Mears and Al Unser Jr. Dr. Olvey attended his first race, the 1955 Indianapolis 500, at the impressionable age of 11, and saw his favourite driver, Bill Vukovich, killed in a fiery crash while leading. He began working at the famous Indianapolis Motor Speedway while attending medical school, making his first professional appearance there in 1966, when his first on-track rescue involved Graham Hill in his rookie year. Dr. Olvey organised the first traveling medical team in motorsports and was eventually joined by long-time colleague and friend, Dr. Terry Trammell. Continuing to work together over several decades, Dr. Olvey and Dr. Trammell have used their study of the cause and effect of racing crashes and injuries to make significant advances in safety, with many lives saved and serious injuries avoided. The writer of the foreword is Alex Zanardi, whose life Dr. Olvey helped to save after a violent accident in Germany in 2001, and who subsequently returned not only to motorsports, but also to handcycling, becoming a three-time Paralympic gold medalist.
Comprehensive Critical Care: Adult is the most complete critical care textbook for any learner in adult practice. Developed by leading experts in critical care, this comprehensive textbook covers 10 topic areas, including -Neurologic Critical Care - Cardiovascular Critical Care -Respiratory Critical Care -Critical Care Infectious Disease -Hepatic, Gastrointestinal, and Hematologic/Oncologic Disease in the ICU -Renal and Metabolic Disorders in the ICU -Environmental and Toxicologic Injury - Pharmacologic Issues in the ICU -Surgical and Obstetrical Critical Care -Administrative and Ethical Issues in the Critically Ill This new resource includes up-to-date information on the full gamut of critical care topics, with dozens of charts and tables to aid study and copious references to guide further reading.
Fewer patients die in the hospital when pharmacists participate on hospital medical emergency teams (Bond 2007). This book is for hospital pharmacists who want to learn and refine the clinical skills necessary to be a valuable member of the hospital code blue / medical emergency team. Each chapter contains actionable, concise training on the role of the pharmacist during specific adult inpatient medical emergencies including: Code Blue Rapid Response Shock Sepsis Anaphylaxis Endotracheal Intubation Stridor Methemoglobinemia Massive Pulmonary Embolism Status Epilepticus Acute Agitation Severe Alcohol Withdrawal Opioid Overdose Hypertensive Emergency Severe Hyperthermia Hypoglycemia Hyponatremia from SIADH Hyperkalemia
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.