Medical Emergency Team syndromes and an approach to their management
2006

Managing Medical Emergency Team Calls

Sample size: 400 publication Evidence: moderate

Author Information

Author(s): Jones Daryl, Duke Graeme, Green John, Briedis Juris, Bellomo Rinaldo, Casamento Andrew, Kattula Andrea, Way Margaret

Primary Institution: The Alfred Hospital and The Northern Hospital, Melbourne, Australia

Hypothesis

What are the common causes of Medical Emergency Team (MET) calls and how can they be managed effectively?

Conclusion

A suggested approach permits audit and standardization of the management of MET calls and provides an educational framework for the management of acutely unwell ward patients.

Supporting Evidence

  • Most MET calls were triggered by hypoxia, hypotension, or altered conscious state.
  • Sepsis, pulmonary oedema, and arrhythmias were the most common underlying triggers for MET calls.
  • The study proposed a systematic approach to managing MET calls.
  • More than 90% of calls were associated with five main syndromes.

Takeaway

This study looked at 400 emergency calls in a hospital and found that most were due to a few common problems like low oxygen levels and low blood pressure. They created a plan to help doctors manage these situations better.

Methodology

The study reviewed the calling criteria and clinical causes of 400 MET calls in a teaching hospital and proposed minimum standards for managing MET reviews.

Limitations

The proposed approach has not been validated.

Participant Demographics

Patients in a teaching hospital in Melbourne, Australia.

Digital Object Identifier (DOI)

10.1186/cc4821

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