Article
Multidisciplinary Sciences
Hohyung Jung, Ryoung-Eun Ko, Myeong Gyun Ko, Kyeongman Jeon
Summary: This study found that the incidence of preventable in-hospital cardiac arrests (P-IHCA) decreased as the rapid response system (RRS) matured, suggesting that it may be an important indicator for evaluating the effectiveness of RRS implementation.
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)
Review
Emergency Medicine
David B. Crabb, Yasmeen O. Elmelige, Zoe C. Gibson, Daniel C. Ralston, Caleb Harrell, Scott A. Cohen, Desmond E. Fitzpatrick, Torben K. Becker
Summary: Immediate recognition of out-of-hospital cardiac arrest (OHCA) is crucial for timely initiation of T-CPR. The study found difficulty in communicating the patient's respiratory status as the main reason for EMD's lack of recognition of OHCA. It is recommended to enhance the identification of respiratory issues in unconscious patients in EMD training and algorithms.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Review
Nursing
Stephanie K. Sprogis, Judy Currey, Daryl Jones, Julie Considine
Summary: This review explores the use of the pre-Medical Emergency Team tier of Rapid Response Systems in recognizing and responding to early clinical deterioration in adult ward patients. Findings suggest that there is disparity between clinical practice and pre-MET escalation protocols, and there is a need for further research to understand barriers and facilitators influencing the use of pre-MET strategies targeted at patient deterioration.
INTENSIVE AND CRITICAL CARE NURSING
(2021)
Article
Medicine, General & Internal
Raja M. Chinthamuneedi, Sandeep Phaltane, Meher P. Chinthamuneedi, Srinivas Kondalsamy-Chennakesavan, Benjamin K. Cheung
Summary: This study evaluated the effectiveness of modifications to rapid response team (RRT) activation criteria in preventing RRT activation and the impact on adverse events caused by treatment delays. The results showed that modifications to criteria did not affect the rate of RRT activation but had detrimental effects on patient safety, particularly in medical patients.
INTERNAL MEDICINE JOURNAL
(2023)
Article
Critical Care Medicine
Stephanie K. Sprogis, Judy Currey, Daryl Jones, Julie Considine
Summary: The study aimed to describe the structure and processes of the pre-MET RRS tier in an acute care setting. Findings revealed that while the structures and processes were largely consistent with national guidelines, there were internal inconsistencies in preMET activation criteria and unclear recommendations for modifying criteria.
AUSTRALIAN CRITICAL CARE
(2021)
Article
Critical Care Medicine
Stephanie K. Sprogis, Judy Currey, Daryl Jones, Julie Considine
Summary: This study aimed to explore clinicians' use of the pre-MET tier. Observations identified multiple gaps between pre-MET policy and clinicians' use, highlighting the need for optimization and addressing system-based barriers to recognizing and responding to pre-MET deterioration.
AUSTRALIAN CRITICAL CARE
(2023)
Article
Multidisciplinary Sciences
Richard Chalwin, Amy Salter, Jonathan Karnon, Victoria Eaton, Lynne Giles
Summary: This study explores the impact of a re-designed RRS to promote the use of NTS during RRT calls, showing a decrease in the proportion of admissions with repeat RRT calls after the redesign.
Review
Cardiac & Cardiovascular Systems
Linas Darginavicius, Jone Vencloviene, Paulius Dobozinskas, Egle Vaitkaitiene, Dinas Vaitkaitis, Andrius Pranskunas, Asta Krikscionaitiene
Summary: This study evaluates the potential usefulness of an AI-based video processing algorithm for activating ambulance services in unwitnessed OHCA cases. Using surveillance cameras, AI can rapidly detect OHCA and activate EMS. An AI model was created based on an experiment conducted in Lithuania in 2023, highlighting the benefits of AI-based cameras in detecting and activating EMS during cardiac arrests.
CURRENT PROBLEMS IN CARDIOLOGY
(2023)
Article
Medicine, General & Internal
Safoura Sheikh Rezaei, Constantin Gatterer, Patrick Sulzgruber, Felix Hofer, Helene Mittlboeck, Stefan Gavrilovic, Yannick Loyoddin, Michael Wolzt, Robert Schoenbauer, Walter Speidl, Bernhard Richter, Gottfried Heinz, Michael Sponder
Summary: This study aimed to investigate predictors for long-term survival of in-hospital patients with medical emergency team (MET) consultation. The results showed that cardiac arrest-related parameters, patient age, and comorbidities were predictors of survival in these patients.
Article
Education & Educational Research
Nicholas M. G. Friedman, George J. Koenig, Joshua A. Marks, Michael T. Hilton, Joshua E. Glick
Summary: This study analyzed the characteristics of out-of-hospital cardiac arrest cases treated by collegiate-based emergency medical services organizations. The findings suggest that these organizations are well-equipped to respond rapidly to on-campus cardiac arrests.
JOURNAL OF AMERICAN COLLEGE HEALTH
(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
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
Clinical Neurology
Timothy Morgenthaler, Emily A. Linginfelter, Peter C. Gay, Sandra E. Anderson, Daniel Herold, Virginia Brown, Joseph M. Nienow
Summary: As more patients rely on mechanical or electronic technologies for treatment, medical device recalls can have significant impacts on patients, causing anxiety, extra costs, and interruptions of care. Having an established and well-organized medical device recall plan in place allows for a rapid and effective response, reducing the burden on healthcare providers and alleviating patient anxiety through clear communication.
JOURNAL OF CLINICAL SLEEP MEDICINE
(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)
Review
Cardiac & Cardiovascular Systems
Hugh Fleet, David Pilcher, Rinaldo Bellomo, Tim G. Coulson
Summary: Postoperative atrial fibrillation (POAF) is common after cardiac surgery and associated with increased hospital length of stay, patient morbidity and mortality. The reporting of factors associated with POAF is inconsistent and often contradictory. Existing POAF prediction models have low discrimination, potential bias, and limited clinical applicability. Large cohort studies are needed to prospectively collect AF relevant data and validate the findings in external data sets.
Article
Anesthesiology
Rahul Costa-Pinto, Fumitaka Yanase, Lucy M. Kennedy, Lachie J. Talbot, Jeremy P. M. Flanagan, Helen Opdam, Louise M. Ellard, Rinaldo Bellomo, Daryl A. Jones
Summary: Postoperative 'enhanced care' models, such as the recovery high dependency unit introduced in this study, provide a cost-effective and efficient option for managing high-risk surgical patients. The study found a relatively low rate of intensive care unit admissions and medical emergency team calls post-discharge to the ward in patients who received care in the recovery high dependency unit. This model may be worth considering and evaluating in other institutions for the care of their higher risk surgical patients.
ANAESTHESIA AND INTENSIVE CARE
(2023)
Article
Hematology
Matteo Marcello, Anna Lorenzin, Massimo De Cal, Michela Zorzi, Marco Salvatore La Malfa, Valentina Fin, Alessandra Sandini, Francesco Fiorin, Rinaldo Bellomo, Silvia De Rosa, Claudio Ronco, Monica Zanella
Summary: We conducted an ex vivo study to assess the quantitative capacity of a novel adsorptive cartridge to remove bilirubin from plasma. The results showed that the device has good adsorption capacity for bilirubin and can guide the frequency and duration of clinical treatment.
BLOOD PURIFICATION
(2023)
Editorial Material
Hematology
Thiago Reis, Francisco de Assis Rocha Neves, Antonio Fagundes Jr., Emily See, Rogerio da Hora Passos, Bruno Zawadzki, Rinaldo Bellomo, Claudio Ronco
BLOOD PURIFICATION
(2023)
Review
Anesthesiology
Angela A. Frentiu, Kevin Mao, Carla Borg Caruana, Dev Raveendran, Luke A. Perry, Jahan C. Penny-Dimri, Dhruvesh M. Ramson, Reny Segal, Rinaldo Bellomo, Julian A. Smith, Zhengyang Liu
Summary: RED CELL DISTRIBUTION WIDTH (RDW) is a biomarker that can predict erythropoietic dysfunction and adverse outcomes after cardiac surgery. This systematic review and meta-analysis aimed to determine the prognostic value of RDW in cardiac surgery patients. The authors included 26 studies involving 48,092 patients and found that elevated preoperative RDW was associated with increased short- and long-term mortality, postoperative atrial fibrillation (POAF), and acute kidney injury (AKI). However, more research is needed to investigate the role of RDW in risk stratification of patients undergoing cardiac surgery.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Article
Infectious Diseases
Rahul Costa-Pinto, Sarah Klink, Hannah Rotherham, Padeepa Perera, Liam Finlay, Karen Urbancic, Karl Vaz, Jason Trubiano, Rinaldo Bellomo
Summary: Our study found no significant liver or cardiac side effects associated with the use of voriconazole in critically ill patients with suspected COVID-19-associated pulmonary aspergillosis. These findings provide reassurance for clinicians when initiating therapy for such patients.
Article
Urology & Nephrology
Thomas Larsen, Emily J. See, Natasha E. Holmes, Rinaldo Bellomo
Summary: A novel equation was developed to estimate baseline creatinine in patients with acute kidney injury (AKI) on chronic kidney disease (CKD). By adjusting the most recent creatinine value for drift over time, the equation provides more accurate baseline creatinine estimation, reducing false-positive AKI detection and improving patient care.
Article
Medicine, General & Internal
David Simmons, Jincy Immanuel, William M. Hague, Helena Teede, Christopher J. Nolan, Michael J. Peek, Jeff R. Flack, Mark McLean, Vincent Wong, Emily Hibbert, Alexandra Kautzky-Willer, Juergen Harreiter, Helena Backman, Emily Gianatti, Arianne Sweeting, Viswanathan Mohan, Joanne Enticott, N. Wah Cheung
Summary: The effectiveness of early treatment for gestational diabetes before 20 weeks' gestation on maternal and infant health is not clear. In this study, women at risk of hyperglycemia and diagnosed with gestational diabetes were randomly assigned to receive immediate treatment or deferred/no treatment based on the results of an oral glucose-tolerance test at 24 to 28 weeks' gestation. The results showed that immediate treatment led to a slightly lower incidence of adverse neonatal outcomes, but no significant differences were observed for pregnancy-related hypertension or neonatal lean body mass.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Critical Care Medicine
Alice O'Connell, Arthas Flabouris, Suzanne Edwards, Doris Tang, Katherine Lavrencic, Emma Brook, Stephen Shih-Teng Kao, Campbell Thompson
Summary: This study aimed to assess the predictive strength of commonly used triggers and tiers of escalation. The results showed that in a three-tiered system, the specificity of triggers decreases, while the sensitivity increases, but the discriminatory power is poor. Modifications to triggers reduced the number of escalations without affecting the tier discriminatory value.
AUSTRALIAN CRITICAL CARE
(2023)
Article
Obstetrics & Gynecology
William M. Hague, Annette Briley, Leonie Callaway, Marloes Dekker Nitert, Jessica Gehlert, Dorothy Graham, Luke Grzeskowiak, Angela Makris, Corey Markus, Philippa Middleton, Michael J. Peek, Antonia Shand, Michael Stark, Jason Waugh
Summary: Intrahepatic cholestasis of pregnancy (ICP) is a liver disease during pregnancy characterized by itching and increased levels of total serum bile acids (TSBA), with an incidence of 0.6-0.7% in Australia. ICP is diagnosed by measuring TSBA and bile pigment in a pregnant woman with itching but no known pre-existing liver disorder. Severe and very severe disease are identified by TSBA levels of ≥40 and ≥100 μmol/L, respectively, with severe cases associated with spontaneous preterm birth and stillbirth in very severe cases. The effectiveness and risks of inducing preterm birth in ICP are still uncertain. Ursodeoxycholic acid is the recommended pharmacotherapy for ICP, improving perinatal outcomes and reducing itching, but its ability to reduce stillbirth has not been proven.
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
(2023)
Review
Urology & Nephrology
Alexander Zarbock, Lui G. Forni, Marlies Ostermann, Claudio Ronco, Sean M. Bagshaw, Ravindra L. Mehta, Rinaldo Bellomo, John A. Kellum
Summary: Acute kidney injury (AKI) is a common clinical condition associated with increased mortality and the risk of developing chronic kidney disease and kidney failure. Currently, there is no specific therapy for AKI and novel interventions targeting the underlying pathophysiology are needed. Well-designed clinical trials with appropriate end points are crucial to evaluate the efficacy of these new interventions and improve outcomes.
NATURE REVIEWS NEPHROLOGY
(2023)
Article
Environmental Sciences
Amita Bansal, Nicolas Cherbuin, Deborah L. Davis, Michael J. Peek, Amanda Wingett, Bruce K. Christensen, Hazel Carlisle, Margaret Broom, Danielle A. J. M. Schoenaker, Jane E. Dahlstrom, Christine B. Phillips, Sotiris Vardoulakis, Ralph Nanan, Christopher J. Nolan
Summary: This article emphasizes the impact of climate change on the health of pregnant women and babies, highlighting the limitations of existing evidence on severe heatwaves and wildfires. The authors also emphasize the need for international interdisciplinary collaboration to systematically study the effects of severe climate-related environmental crises on maternal and child health.
LANCET PLANETARY HEALTH
(2023)
Article
Hematology
Benjamin Sansom, Brooke Riley, Andrew Udy, Shyamala Sriram, Jeffrey Presneill, Rinaldo Bellomo
Summary: This study compared the use of CRRT during ECMO with non-ECMO-CRRT and found that CRRT used in conjunction with ECMO has a longer circuit life despite higher circuit pressures. However, significantly elevated access pressures may predict early CRRT circuit failure during ECMO, possibly due to progressive membrane thrombosis.
BLOOD PURIFICATION
(2023)
Article
Hematology
Kyle Christopher White, Kevin B. Laupland, Emily See, Ary Serpa-Neto, Rinaldo Bellomo
Summary: The effect of CRRT commencement on urine output was investigated in a retrospective cohort study. It was found that starting CRRT was associated with a significant decrease in urine output that continued over the first 24 hours.
BLOOD PURIFICATION
(2023)
Article
Critical Care Medicine
Marcus Young, Natasha E. Holmes, Kartik Kishore, Sobia Amjad, Michele Gaca, Ary Serpa Neto, Michael C. Reade, Rinaldo Bellomo
Summary: The use of natural language processing (NLP) can help identify behavioral disturbance phenotypes with different characteristics, prevalence, trajectory, treatment, and outcomes. In critically ill patients, those with an agitated phenotype are more likely to receive antipsychotic medications and have a higher risk of mortality compared to patients with a non-agitated or combined phenotype.
