rapid-response team
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Indications
- medical emergency
- changes in vital signs
- heart rate < 30/min or > 139/min
- systolic BP < 70 mm Hg or > 200 mm Hg
- respiratory rate < 9/min or > 35/min
- core temperature < 34 C or > 39 C
- SaO2 < 85%
- altered mental status or coma
- purpose of rapid response teams is to recognize signs & symptoms of clinical deterioration that often precede cardiopulmonary arrest
- rapid response team seeks to alter management to prevent cardiopulmonary arrest
Contraindications
- rapid response teams have not been shown to
- reduce ICU admissions
- reduce rates of endotracheal intubation
- reduce length of hospital stay
- reduce in-hospital mortality[1]
Notes
- rapid response teams lower incidence of cardiac arrest & respiratory arrest (outside ICU)[1]
- rapid response teams lower in hospital mortality in adults[1]
- 18% of patients who remain on their unit after a resolved rapid response need another rapid response team activation within 24 hours[4]
References
- ↑ 1.0 1.1 1.2 1.3 Medical Knowledge Self Assessment Program (MKSAP) 17, 18, 19. American College of Physicians, Philadelphia 2015, 2018, 2022.
- ↑ Winters BD, Weaver SJ, Pfoh ER, Yang T, Pham JC, Dy SM. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013 Mar 5;158(5 Pt 2):417-25. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23460099 Free PMC Article
- ↑ Solomon RS, Corwin GS, Barclay DC et al Effectiveness of rapid response teams on rates of in-hospital cardiopulmonary arrest and mortality: A systematic review and meta-analysis. J Hosp Med. 2016 Jun;11(6):438-45. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26828644
- ↑ 4.0 4.1 Still M, Vanderlaan J, Brown C et al. Predictors of second medical emergency team activation within 24 hours of index event. J Nurs Care Qual 2018 Apr/Jun; 33:157 PMID: https://www.ncbi.nlm.nih.gov/pubmed/28658191