Article
Medicine, General & Internal
Ju-Ry Lee, Youn-Kyung Jung, Sang-Bum Hong, Jin Won Huh
Summary: This study aimed to evaluate the predictors for repeat medical emergency team (MET) activation in deteriorating patients admitted to a general ward. The study found that hematological malignancies and chronic lung disease were high-risk factors for repeat MET activation. Respiratory distress and low oxygen saturation-to-fraction of inspired oxygen ratio, high-flow nasal cannula oxygenation, airway suctioning, noninvasive mechanical ventilation, and vasopressor support at first MET activation were also associated with an increased risk of repeat MET activation.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Nursing
Anthony Batterbury, Clint Douglas, Fiona Coyer
Summary: This study aimed to assess the severity of illness in ward patients after medical emergency team review. A retrospective cohort study of 1500 adult ward patients was conducted, and patient acuity and dependency scores were derived. The results showed that patients who remained on the ward after medical emergency team review had complex organ dysfunction, similar to the dependency levels found in intensive care units.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Oncology
Joel J. Y. Soon, Darryl W. K. Juan, Whee S. Ong, Schin Bek, Patricia S. H. Neo, Ennaliza Salazar, Kun Da Zhuang, Yee Pin Tan, Chin Jin Seo, Johnny C. A. Ong, Claramae S. Chia, Jolene S. M. Wong
Summary: This study evaluated the association between the implementation of a multi-disciplinary palliative surgical intervention team and the quality of discussions on goals of care among palliative surgical oncology patients. The results showed that the implementation of the team was associated with significant improvements in the quality of discussions on treatment goals.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Medicine, General & Internal
Paul-Lucian Nedelea, Mihaela Corlade-Andrei, Cristina Kantor, Ovidiu Tudor Popa, Emilian Manolescu, Diana Cimpoesu
Summary: This study investigated the perception of unnecessary cardiopulmonary resuscitation (CPR) among emergency medical personnel, and found that patient characteristics were the most important predictors for assessing the adequacy of the decision to initiate CPR.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Jianing Xu, Xuejie Dong, Hongfan Yin, Zhouyu Guan, Zhenghao Li, Fangge Qu, Tian Chen, Caifeng Wang, Qiong Fang, Lin Zhang
Summary: The study designed an innovative team-based CPR educational plan to improve team collaboration and resuscitation quality. The training significantly improved teamwork performance and CPR operation skills.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Medicine, General & Internal
Sangsoo Han, Hye Ji Park, Won Jung Jeong, Gi Woon Kim, Han Joo Choi, Hyung Jun Moon, Kyoungmi Lee, Hyuk Joong Choi, Yong Jin Park, Jin Seong Cho, Choung Ah Lee
Summary: The study validates the efficiency of the TEAM as a valid and reliable tool for evaluating the non-technical skills of paramedics performing CPR.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Psychology, Multidisciplinary
Andrew Black, Olivia Brown, Heini Utunen, Gaya Gamhewage, Julie Gore
Summary: This paper discusses the importance of examining non-technical skills in a multiteam system emergency response and focuses on the case of public health professionals. It provides insights through unique qualitative field data at a meso level of analysis. The results emphasize the impact of context on the multiteam system and highlight seven non-technical skills used by public health professionals to support an effective response. Recommendations for future research and implications for practice are provided for this hard to access professional group in the emerging field of complex multi-team systems.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Medicine, General & Internal
Michal Cwiertnia, Tomasz Ilczak, Piotr Bialon, Arkadiusz Stasicki, Michal Szlagor, Mieczyslaw Dutka, Beata Kudlacik, Maciej B. Hajduga, Monika Mikulska, Rafal Bobinski, Marek Kawecki
Summary: The quality of assessed procedures carried out by members of medical response teams gradually improved in the International Winter Championships in Emergency Medicine. The use of tracheal intubation decreased while the use of supraglottic airway device increased.
MEDICINA-LITHUANIA
(2022)
Article
Medicine, General & Internal
Maurice Le Guen, Rahul Costa-Pinto
Summary: Participants of the MET education programme overwhelmingly feel that training should be multidisciplinary. However, there are disparities between the perceived learning needs of medical and nursing personnel, which may impact the design and implementation of the education programme.
INTERNAL MEDICINE JOURNAL
(2021)
Article
Nursing
Mina Azimirad, Carin Magnusson, Allison Wiseman, Tuomas Selander, Ilkka Parviainen, Hannele Turunen
Summary: The role of medical emergency team (MET) in managing deteriorating patients and enhancing patient safety is greatly influenced by teamwork. A study was conducted to identify teamwork-related needs of the MET from MET nurses' perspectives and assess the associations between MET nurses' perceptions of teamwork and their work experience and education. The study revealed key teamwork elements that need improvement, such as decision-making, conflict resolution skills, valuing team members, and team leadership.
NURSING IN CRITICAL CARE
(2022)
Article
Anesthesiology
Ingeborg R. Gronlund, Christoffer Gydesen, Thordis Thomsen, Ann M. Moller
Summary: The study investigates how EMS providers experience the influence of critically ill patients' relatives on patient treatment, finding that relatives can either support or challenge treatment, while also impacting EMS providers' clinical decision-making.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Emergency Medicine
Joshua Nagler, Marc Auerbach, Michael C. Monuteaux, John A. Cheek, Franz E. Babl, Ed Oakley, Lucia Nguyen, Arjun Rao, Sarah Dalton, Mark D. Lyttle, Santiago Mintegi, Rakesh D. Mistry, Andrew Dixon, Pedro Rino, Guillermo Kohn-Loncarica, Stuart R. Dalziel, Simon Craig
Summary: Research findings show that bag-mask ventilation and endotracheal intubation are the most commonly performed pediatric airway procedures by emergency medicine physicians, while surgical airways are very infrequent. Supervising airway procedures may help maintain procedural confidence for physicians despite limited opportunities as the primary proceduralist.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Klas Karlgren, Anders Dahlstrom, Anderz Birkestam, Annelie Drevstam Norling, Gustav Forss, Mikael Andersson Franko, Simon Cooper, Thomas Leijon, Charlotta Paulsson
Summary: The study aimed to translate and evaluate the TEAM questionnaire in a Swedish healthcare setting. Results showed that the Swedish version had good reliability and validity, making it a valuable tool for assessing team performance in emergency medical settings.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Lorenzo Cobianchi, Francesca Dal Mas, Maurizio Massaro, Paola Fugazzola, Federico Coccolini, Yoram Kluger, Ari Leppaniemi, Ernest E. Moore, Massimo Sartelli, Peter Angelos, Luca Ansaloni
Summary: Emergency surgery teams operate under extreme stress, and understanding team dynamics is crucial for optimal outcomes. Research found uncertainties among surgeons regarding knowledge translation, while tools like training and non-technical skills are widely recognized and used. Teamwork difficulties include lack of time, communication, training, trust, and ego.
WORLD JOURNAL OF EMERGENCY SURGERY
(2021)
Article
Emergency Medicine
Eric Klotz, Reed Macy, Steven Obrzut, Walter Atha, Rhamin Ligon, Jessica Fluharty, William Huffner
Summary: In the past decade, the number of patients in the Emergency Department (ED) has exceeded the available capacity of hospital ICUs, leading to overcrowding and boarding in EDs. To address this issue, many hospitals have implemented strategies to mitigate ICU boarding and improve patient care, but these strategies are mainly focused on larger medical centers and may not be applicable to rural community EDs. In this study, the authors developed an ED model using a physician and nurse on-call team to provide improved care for critically ill patients requiring resuscitation when there are no immediate ICU beds available.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Critical Care Medicine
Veerle Heesters, Janneke Dekker, Timothy J. R. Panneflek, Kristel L. A. M. Kuypers, Stuart B. Hooper, Remco Visser, Arjan B. te Pas
Summary: This study visualized the closure of vocal cords during apnea, in between breaths, and during breath holds in preterm infants using ultrasonography. The closure of vocal cords impaired the effect of respiratory support.