The Experts below are selected from a list of 143433 Experts worldwide ranked by ideXlab platform
Rinaldo Bellomo - One of the best experts on this subject based on the ideXlab platform.
-
a laboratory derived early warning score for the prediction of in hospital mortality icu admission Medical Emergency team activation and cardiac arrest in general Medical wards
Internal Medicine Journal, 2019Co-Authors: Hasanka Ratnayake, Rinaldo Bellomo, Douglas F Johnson, Johan Martensson, Que LamAbstract:AIM To assess whether a laboratory based admission score can predict in hospital mortality, ICU admission, Medical Emergency Team (MET) activation or cardiac arrest in a cohort of Australian general Medical patients admitted via the Emergency department. METHODS We performed a retrospective observational study of all general Medical admissions to hospital via the Emergency department in 2015. Admission pathology was used to calculate a risk score. In-patient outcomes of death, ICU transfer, MET Call activation or cardiac arrest were collected from hospital records. RESULTS We studied 2942 admissions derived from 2521 patients, with a median age of 81 years. There were 143 in-patient deaths, 82 ICU admissions, 277 MET Calls and 14 cardiac arrest calls. The laboratory-based admission score had an area under the receiver operating characteristic curve (AUC-ROC) of 0.76 (95%CI: 0.72-0.80) for inpatient death, an AUC-ROC of 0.79 (95%CI: 0.66-0.93) for inpatient cardiac arrest, an AUC-ROC of 0.64 (95%CI:0.58-0.70) for ICU transfer and an AUC-ROC of 0.59 (95%CI:0.55-0.62) for MET Call activation. When patients aged over 75 were analysed separately, the AUC-ROC for prediction of in-patient death was 0.74 (95%CI: 0.70-0.78) and increased to 0.86 (95%CI: 0.73-0.98) for the prediction of in-patient cardiac arrest. CONCLUSION A simple laboratory derived score obtained at patient admission is a fair to good predictor of subsequent in-patient death or cardiac arrest in general Medical patients and in the older patient cohort. Prospective interventional studies are required to ascertain the clinical utility of this admission score. This article is protected by copyright. All rights reserved.
-
the role of the Medical Emergency team in end of life care a multicenter prospective observational study
Critical Care Medicine, 2012Co-Authors: Daryl A Jones, Rinaldo Bellomo, Sean M Bagshaw, Jonathon Barrett, Gaurav Bhatia, Tracey Bucknall, Andrew Casamento, Graeme J Duke, Noel Gibney, Graeme K HartAbstract:Objective:To investigate the role of Medical Emergency teams in end-of-life care planning.Design:One month prospective audit of Medical Emergency team calls.Setting:Seven university-affiliated hospitals in Australia, Canada, and Sweden.Patients:Five hundred eighteen patients who received a Medical e
-
characteristics and outcomes of patients receiving a Medical Emergency team review for acute change in conscious state or arrhythmias
Critical Care Medicine, 2008Co-Authors: Andrew W Downey, Daryl A Jones, Jon Quach, Michael Haase, Anja Haasefielitz, Rinaldo BellomoAbstract:Objective:To describe the characteristics and outcomes of patients receiving a Medical Emergency team (MET) review for the MET syndromes of acute change in conscious state or arrhythmia and to assess the effect of delayed MET activation on their outcomes.Design:Retrospective analysis of Medical reco
-
long term effect of a Medical Emergency team on mortality in a teaching hospital
Resuscitation, 2007Co-Authors: Daryl A Jones, Helen Opdam, Moritoki Egi, Donna Goldsmith, Samantha Bates, Geoffrey A Gutteridge, Andrea Kattula, Rinaldo BellomoAbstract:Summary Aim To assess the effect of a Medical Emergency Team (MET) service on patient mortality in the 4 years since its introduction into a teaching hospital. Methods Using the hospital electronic database we obtained the number of admissions and in-hospital deaths “before-” (September 1998–August 1999), “during education-” (September 1999–August 2000), the “run-in period-” (September 2000–October 2000), and “after-” (November 2000–December 2004) the introduction of a MET service, intended to review and treat acutely unwell ward patients. Results There were 42,230 surgical and 112,321 Medical admissions over the study period. During the education period for the MET the odds ratio (OR) of death for surgical patients was 0.82 compared to the “before” MET period (95% CI 0.67–1.00; p = 0.055). During the 2 month “run-in” period it remained statistically unchanged at 1.01 (95% CI 0.67–1.51; p = 0.33). In the 4 years “after” introduction of the MET, the OR of death for surgical patients remained lower than the “before” MET period (multiple χ 2 -test p = 0.0174). There were 1252 surgical MET calls, and in December 2004 the ratio of surgical MET calls to surgical deaths was 1.76:1. In contrast, in-hospital deaths for Medical patients increased during the “education period”, the “run-in” period and into the first year “after” the introduction of the MET (multiple χ 2 -test p Conclusions Introduction of an Intensive Care-based MET in a university teaching hospital was associated with a fluctuating reduction in post-operative surgical mortality which was already apparent during the education phase, but a sustained increase in the mortality of Medical patients which was similarly already apparent during the education phase. The differential effects on mortality may relate to differences in the degree of disease complexity and reversibility between Medical and surgical patients.
-
nurses attitudes to a Medical Emergency team service in a teaching hospital
Quality & Safety in Health Care, 2006Co-Authors: Daryl A Jones, Donna Goldsmith, Ian T Baldwin, Tammy Mcintyre, David A Story, Inga Mercer, A Miglic, Rinaldo BellomoAbstract:Background: Cultural barriers including allegiance to traditional models of ward care and fear of criticism may restrict use of a Medical Emergency team (MET) service, particularly by nursing staff. A 1-year preparation and education programme was undertaken before implementing the MET at the Austin Hospital, Melbourne, Australia. During the 4 years after introduction of the MET, the programme has continued to inform staff of the benefits of the MET and to overcome barriers restricting its use. Objective: To assess whether nurses value the MET service and to determine whether barriers to calling the MET exist in a 400-bed teaching hospital. Methods: Immediately before hand-over of ward nursing, we conducted a modified personal interview, using a 17-item Likert agreement scale questionnaire. Results: We created a sample of 351 ward nurses and obtained a 100% response rate. This represents 50.9% of the 689 ward nurses employed at the hospital. Most nurses felt that the MET prevented cardiac arrests (91%) and helped manage unwell patients (97%). Few nurses suggested that they restricted MET calls because they feared criticism of their patient care (2%) or criticism that the patient was not sufficiently unwell to need a MET call (10%). 19% of the respondents indicated that MET calls are required because Medical management by the doctors has been inadequate; many ascribed this to junior doctors and a lack of knowledge and experience. Despite hospital MET protocol, 72% of nurses suggested that they would call the covering doctor before the MET for a sick ward patient. However, 81% indicated that they would activate the MET if they were unable to contact the covering doctor. In line with hospital MET protocol, 56% suggested that they would make a MET call for a patient they were worried about even if the patient’s vital signs were normal. Further, 62% indicated that they would call the MET for a patient who fulfilled MET physiological criteria but did not look unwell. Conclusions: Nurses in the Austin Hospital value the MET service and appreciate its potential benefits. The major barrier to calling the MET appears to be allegiance to the traditional approach of initially calling parent Medical unit doctors, rather than fear of criticism for calling the MET service. A further barrier seems to be underestimation of the clinical significance of the physiological perturbations associated with the presence of MET call criteria.
Graham Nichol - One of the best experts on this subject based on the ideXlab platform.
-
recommended guidelines for monitoring reporting and conducting research on Medical Emergency team outreach and rapid response systems an utstein style scientific statement a scientific statement from the international liaison committee on resuscitati
Resuscitation, 2007Co-Authors: Mary Ann Peberdy, Michael A Devita, Michelle Cretikos, Benjamin S Abella, David Goldhill, Walter Kloeck, Steven L Kronick, Laurie J Morrison, Vinay Nadkarni, Graham NicholAbstract:Recommended guidelines for monitoring, reporting, and conducting research on Medical Emergency team, outreach, and rapid response systems: An Utstein-style scientific statement A Scientific Statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiopulmonary, Perioperative, and Critical Care; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research Mary Ann Peberdy ∗, Michelle Cretikos, Benjamin S. Abella, Michael DeVita, David Goldhill, Walter Kloeck, Steven L. Kronick, Laurie J. Morrison, Vinay M. Nadkarni, Graham Nichol, Jerry P. Nolan, Michael Parr, James Tibballs, Elise W. van der Jagt, Lis Young
-
response to cardiac arrest and selected life threatening Medical emergencies the Medical Emergency response plan for schools a statement for healthcare providers policymakers school administrators and community leaders
Circulation, 2004Co-Authors: Mary Fran Hazinski, David Markenson, Steven R Neish, Mike Gerardi, Janis Hootman, Graham Nichol, Howard Taras, Robert J Hickey, Robert E Oconnor, Jerry PottsAbstract:This document introduces a public health initiative, the Medical Emergency Response Plan for Schools. This initiative will help schools prepare to respond to life-threatening Medical emergencies in the first minutes before the arrival of Emergency Medical services (EMS) personnel. This statement is for healthcare providers, policymakers, school personnel, and community leaders. It summarizes essential information about life-threatening emergencies, including details about sudden cardiac arrest (SCA). This statement describes the components of an Emergency response plan, the training of school personnel and students to respond to a life-threatening Emergency, and the equipment required for this Emergency response. Detailed information about SCA and cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) programs is provided to assist schools in prioritizing and preparing for emergencies to maximize the number of lives saved. Life-threatening emergencies can happen in any school at any time. These emergencies can be the result of preexisting health problems, violence, unintentional injuries, natural disasters, and toxins. In recent years, stories in the lay press have documented tragic premature deaths in schools from SCA, blunt trauma to the chest, firearm injuries, asthma, head injuries, drug overdose, allergic reactions, and heatstroke. School leaders should establish an Emergency response plan to deal with life-threatening Medical emergencies in addition to the Emergency plan for tornados or fires. This statement has been endorsed by the following organizations: American Heart Association (AHA) Emergency Cardiovascular Care Committee, American Academy of Pediatrics, American College of Emergency Physicians, American National Red Cross, National Association of School Nurses, National Association of State EMS Directors, National Association of EMS Physicians, National Association of Emergency Medical Technicians, and the Program for School Preparedness and Planning, National Center for Disaster Preparedness, Columbia University Mailman School of Public Health. This statement was also reviewed by the Centers for Disease Control Division of School and Adolescent …
-
response to cardiac arrest and selected life threatening Medical emergencies the Medical Emergency response plan for schools a statement for healthcare providers policymakers school administrators and community leaders
Pediatrics, 2004Co-Authors: Mary Fran Hazinski, David Markenson, Steven R Neish, Mike Gerardi, Janis Hootman, Graham Nichol, Howard Taras, Robert J Hickey, Robert E Oconnor, Jerry PottsAbstract:This document introduces a public health initiative: the Medical Emergency Response Plan for Schools. This initiative will help schools prepare to respond to life-threatening Medical emergencies in the first minutes before the arrival of Emergency Medical services (EMS) personnel. This statement is for healthcare providers, policymakers, school personnel, and community leaders. It summarizes essential information about life-threatening emergencies, including details about sudden cardiac arrest. This statement describes the components of an Emergency response plan, the training of school personnel and students to respond to a life-threatening Emergency, and the equipment required for this Emergency response. Detailed information about sudden cardiac arrest and cardiopulmonary resuscitation (CPR) and automated external defibrillation (AED) programs is provided to assist schools in prioritizing and preparing for emergencies to maximize the number of lives saved. Life-threatening emergencies can happen in any school at any time. These emergencies can be the result of preexisting health problems, violence, unintentional injuries, natural disasters, and toxins. In recent years stories in the lay press have documented tragic premature deaths in schools from sudden cardiac arrest, blunt trauma to the chest, firearm injuries, asthma, head injuries, drug overdose, allergic reactions, and heatstroke. School leaders should establish an Emergency response plan to deal with life-threatening Medical emergencies in addition to the Emergency plan for tornados or fires. This statement has been endorsed by the following organizations: American Heart Association (AHA) Emergency Cardiovascular Care Committee, American Academy of Pediatrics, American College of Emergency Physicians, American National Red Cross, National Association of School Nurses, National Association of State EMS Directors, National Association of EMS Physicians, National Association of Emergency Medical Technicians, and the Program for School Preparedness and Planning, National Center for Disaster Preparedness, Columbia University Mailman School of Public Health. The statement was also reviewed by the Centers for Disease Control Division of …
Jerry Potts - One of the best experts on this subject based on the ideXlab platform.
-
response to cardiac arrest and selected life threatening Medical emergencies the Medical Emergency response plan for schools a statement for healthcare providers policymakers school administrators and community leaders
Circulation, 2004Co-Authors: Mary Fran Hazinski, David Markenson, Steven R Neish, Mike Gerardi, Janis Hootman, Graham Nichol, Howard Taras, Robert J Hickey, Robert E Oconnor, Jerry PottsAbstract:This document introduces a public health initiative, the Medical Emergency Response Plan for Schools. This initiative will help schools prepare to respond to life-threatening Medical emergencies in the first minutes before the arrival of Emergency Medical services (EMS) personnel. This statement is for healthcare providers, policymakers, school personnel, and community leaders. It summarizes essential information about life-threatening emergencies, including details about sudden cardiac arrest (SCA). This statement describes the components of an Emergency response plan, the training of school personnel and students to respond to a life-threatening Emergency, and the equipment required for this Emergency response. Detailed information about SCA and cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) programs is provided to assist schools in prioritizing and preparing for emergencies to maximize the number of lives saved. Life-threatening emergencies can happen in any school at any time. These emergencies can be the result of preexisting health problems, violence, unintentional injuries, natural disasters, and toxins. In recent years, stories in the lay press have documented tragic premature deaths in schools from SCA, blunt trauma to the chest, firearm injuries, asthma, head injuries, drug overdose, allergic reactions, and heatstroke. School leaders should establish an Emergency response plan to deal with life-threatening Medical emergencies in addition to the Emergency plan for tornados or fires. This statement has been endorsed by the following organizations: American Heart Association (AHA) Emergency Cardiovascular Care Committee, American Academy of Pediatrics, American College of Emergency Physicians, American National Red Cross, National Association of School Nurses, National Association of State EMS Directors, National Association of EMS Physicians, National Association of Emergency Medical Technicians, and the Program for School Preparedness and Planning, National Center for Disaster Preparedness, Columbia University Mailman School of Public Health. This statement was also reviewed by the Centers for Disease Control Division of School and Adolescent …
-
response to cardiac arrest and selected life threatening Medical emergencies the Medical Emergency response plan for schools a statement for healthcare providers policymakers school administrators and community leaders
Pediatrics, 2004Co-Authors: Mary Fran Hazinski, David Markenson, Steven R Neish, Mike Gerardi, Janis Hootman, Graham Nichol, Howard Taras, Robert J Hickey, Robert E Oconnor, Jerry PottsAbstract:This document introduces a public health initiative: the Medical Emergency Response Plan for Schools. This initiative will help schools prepare to respond to life-threatening Medical emergencies in the first minutes before the arrival of Emergency Medical services (EMS) personnel. This statement is for healthcare providers, policymakers, school personnel, and community leaders. It summarizes essential information about life-threatening emergencies, including details about sudden cardiac arrest. This statement describes the components of an Emergency response plan, the training of school personnel and students to respond to a life-threatening Emergency, and the equipment required for this Emergency response. Detailed information about sudden cardiac arrest and cardiopulmonary resuscitation (CPR) and automated external defibrillation (AED) programs is provided to assist schools in prioritizing and preparing for emergencies to maximize the number of lives saved. Life-threatening emergencies can happen in any school at any time. These emergencies can be the result of preexisting health problems, violence, unintentional injuries, natural disasters, and toxins. In recent years stories in the lay press have documented tragic premature deaths in schools from sudden cardiac arrest, blunt trauma to the chest, firearm injuries, asthma, head injuries, drug overdose, allergic reactions, and heatstroke. School leaders should establish an Emergency response plan to deal with life-threatening Medical emergencies in addition to the Emergency plan for tornados or fires. This statement has been endorsed by the following organizations: American Heart Association (AHA) Emergency Cardiovascular Care Committee, American Academy of Pediatrics, American College of Emergency Physicians, American National Red Cross, National Association of School Nurses, National Association of State EMS Directors, National Association of EMS Physicians, National Association of Emergency Medical Technicians, and the Program for School Preparedness and Planning, National Center for Disaster Preparedness, Columbia University Mailman School of Public Health. The statement was also reviewed by the Centers for Disease Control Division of …
Ken Hillman - One of the best experts on this subject based on the ideXlab platform.
-
characteristics and outcomes of patients admitted to icu following activation of the Medical Emergency team impact of introducing a two tier response system
Critical Care Medicine, 2015Co-Authors: Anders Aneman, Ken Hillman, Steven A Frost, Michael ParrAbstract:OBJECTIVE To determine the impact of introducing a two-tier system for responding to deteriorating ward patients on ICU admissions after Medical Emergency team review. DESIGN Retrospective database review before (2006-2009) and after (2011-2013) the introduction of a two-tier system. SETTING Tertiary, university-affiliated hospital. PATIENTS A total of 1,564 ICU admissions. INTERVENTIONS Two-tier rapid response system. MEASUREMENTS AND MAIN RESULTS The median number of Medical Emergency team activations/1,000 hospitalizations increased from 22 to 31 (difference [95% CI], 9 [5-10]; p<0.0001) with a decreased rate of Medical Emergency team activations leading to ICU admission (from median 11 to 8; difference [95% CI], 3 [3-4]; p=0.03). The median proportion of Medical Emergency team reviews leading to ICU admission increased for those triggered by tachypnoea (from 11% to 15%; difference [95% CI], 4 [3-5]; p<0.0001) and by hypotension (from 27% to 43%; difference [95% CI], 15 [12-19]; p<0.0001) and decreased for those triggered by reduced level of consciousness (from 20% to 17%; difference [95% CI], 3 [2-4]; p<0.0001) and by clinical concern (from 18% to 9%; difference [95% CI], 10 [9-13]; p<0.0001). The proportions of ICU admissions following Medical Emergency team review did not change significantly for tachycardia, seizure, or cardiorespiratory arrest. The overall ICU mortality for admissions following Medical Emergency team review for tachypnoea, tachycardia, and clinical concern decreased (from 29% to 9%: difference [95% CI], 20 [11-29]; p<0.0001) but did not change for the other triggers. The Acute Physiology and Chronic Health Evaluation predicted and observed ICU mortality and the proportion of patients dying with a not-for-resuscitation order decreased. CONCLUSIONS The introduction of a two-tier response to clinical deterioration increased ICU admissions triggered by cardiorespiratory criteria, whereas admissions triggered by more subjective criteria decreased. The overall ICU mortality for patients admitted following Medical Emergency team review decreased, suggesting that the two-tier system led to earlier recognition of reversible pathology or a decision not to escalate the level of care.
-
findings of the first consensus conference on Medical Emergency teams
Critical Care Medicine, 2006Co-Authors: Michael A Devita, Rinaldo Bellomo, Ken Hillman, John A Kellum, Armando J Rotondi, Daniel Teres, Andrew D Auerbach, Wenjon Chen, Kathy Duncan, Gary KenwardAbstract:Background:Studies have established that physiologic instability and services mismatching precede adverse events in hospitalized patients. In response to these considerations, the concept of a Rapid Response System (RRS) has emerged. The responding team is commonly known as a Medical Emergency team
-
introduction of the Medical Emergency team met system a cluster randomised controlled trial
The Lancet, 2005Co-Authors: Ken Hillman, Rinaldo Bellomo, Jack Chen, Michelle Cretikos, Daniel Brown, Gordon S Doig, Simon Finfer, Arthas Flabouris, Merit Study InvestigatorsAbstract:Summary Background Patients with cardiac arrests or who die in general wards have often received delayed or inadequate care. We investigated whether the Medical Emergency team (MET) system could reduce the incidence of cardiac arrests, unplanned admissions to intensive care units (ICU), and deaths. Methods We randomised 23 hospitals in Australia to continue functioning as usual (n=11) or to introduce a MET system (n=12). The primary outcome was the composite of cardiac arrest, unexpected death, or unplanned ICU admission during the 6-month study period after MET activation. Analysis was by intention to treat. Findings Introduction of the MET increased the overall calling incidence for an Emergency team (3·1 vs 8·7 per 1000 admissions, p=0·0001). The MET was called to 30% of patients who fulfilled the calling criteria and who were subsequently admitted to the ICU. During the study, we recorded similar incidence of the composite primary outcome in the control and MET hospitals (5·86 vs 5·31 per 1000 admissions, p=0·640), as well as of the individual secondary outcomes (cardiac arrests, 1·64 vs 1·31, p=0·736; unplanned ICU admissions, 4·68 vs 4·19, p=0·599; and unexpected deaths, 1·18 vs 1·06, p=0·752). A reduction in the rate of cardiac arrests (p=0·003) and unexpected deaths (p=0·01) was seen from baseline to the study period for both groups combined. Interpretation The MET system greatly increases Emergency team calling, but does not substantially affect the incidence of cardiac arrest, unplanned ICU admissions, or unexpected death.
-
rates of in hospital arrests deaths and intensive care admissions the effect of a Medical Emergency team
The Medical Journal of Australia, 2000Co-Authors: Peter Bristow, T. Jacques, Gillian Bishop, Ken Hillman, K. Daffurn, Tien Chey, S L Norman, E G SimmonsAbstract:Objectives To evaluate the effectiveness of a Medical Emergency team (MET) in reducing the rates of selected adverse events. Design Cohort comparison study after casemix adjustment. Patients and setting All adult (> or = 14 years) patients admitted to three Australian public hospitals from 8 July to 31 December 1996. INTERVENTION STUDIED: At Hospital 1, a Medical Emergency team (MET) could be called for abnormal physiological parameters or staff concern. Hospitals 2 and 3 had conventional cardiac arrest teams. Main outcome measures Casemix-adjusted rates of cardiac arrest, unanticipated admission to intensive care unit (ICU), death, and the subgroup of deaths where there was no pre-existing "do not resuscitate" (DNR) order documented. Results There were 1510 adverse events identified among 50 942 admissions. The rate of unanticipated ICU admissions was less at the intervention hospital in total (casemix-adjusted odds ratios: Hospital 1, 1.00; Hospital 2, 1.59 [95% CI, 1.24-2.04]; Hospital 3, 1.73 [95% CI, 1.37-2.16]). There was no significant difference in the rates of cardiac arrest or total deaths between the three hospitals. However, one of the hospitals with a conventional cardiac arrest team had a higher death rate among patients without a DNR order. Conclusions The MET hospital had fewer unanticipated ICU/HDU admissions, with no increase in in-hospital arrest rate or total death rate. The non-DNR deaths were lower compared with one of the other hospitals; however, we did not adjust for DNR practices. We suggest that the MET concept is worthy of further study.
-
The Medical Emergency team
Anaesthesia and intensive care, 1995Co-Authors: Anna Lee, Gillian Bishop, Ken Hillman, K. DaffurnAbstract:The concept of a Medical Emergency Team was developed in order to rapidly identify and manage seriously ill patients at risk of cardiopulmonary arrest and other high-risk conditions. The aim of this study was to describe the utilization and outcome of Medical Emergency Team interventions over a one-year period at a teaching hospital in South Western Sydney. Data was collected prospectively using a standardized form. Cardiopulmonary resuscitation occurred in 148/522 (28%) calls. Alerting the team using the specific condition criteria occurred in 253/522 (48%) calls and on physiological/pathological abnormality criteria in 121/522 (23%) calls. Survival rate to hospital discharge following cardiopulmonary arrest was low (29%), compared with other Medical emergencies (76%).
Mary Fran Hazinski - One of the best experts on this subject based on the ideXlab platform.
-
response to cardiac arrest and selected life threatening Medical emergencies the Medical Emergency response plan for schools a statement for healthcare providers policymakers school administrators and community leaders
Circulation, 2004Co-Authors: Mary Fran Hazinski, David Markenson, Steven R Neish, Mike Gerardi, Janis Hootman, Graham Nichol, Howard Taras, Robert J Hickey, Robert E Oconnor, Jerry PottsAbstract:This document introduces a public health initiative, the Medical Emergency Response Plan for Schools. This initiative will help schools prepare to respond to life-threatening Medical emergencies in the first minutes before the arrival of Emergency Medical services (EMS) personnel. This statement is for healthcare providers, policymakers, school personnel, and community leaders. It summarizes essential information about life-threatening emergencies, including details about sudden cardiac arrest (SCA). This statement describes the components of an Emergency response plan, the training of school personnel and students to respond to a life-threatening Emergency, and the equipment required for this Emergency response. Detailed information about SCA and cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) programs is provided to assist schools in prioritizing and preparing for emergencies to maximize the number of lives saved. Life-threatening emergencies can happen in any school at any time. These emergencies can be the result of preexisting health problems, violence, unintentional injuries, natural disasters, and toxins. In recent years, stories in the lay press have documented tragic premature deaths in schools from SCA, blunt trauma to the chest, firearm injuries, asthma, head injuries, drug overdose, allergic reactions, and heatstroke. School leaders should establish an Emergency response plan to deal with life-threatening Medical emergencies in addition to the Emergency plan for tornados or fires. This statement has been endorsed by the following organizations: American Heart Association (AHA) Emergency Cardiovascular Care Committee, American Academy of Pediatrics, American College of Emergency Physicians, American National Red Cross, National Association of School Nurses, National Association of State EMS Directors, National Association of EMS Physicians, National Association of Emergency Medical Technicians, and the Program for School Preparedness and Planning, National Center for Disaster Preparedness, Columbia University Mailman School of Public Health. This statement was also reviewed by the Centers for Disease Control Division of School and Adolescent …
-
response to cardiac arrest and selected life threatening Medical emergencies the Medical Emergency response plan for schools a statement for healthcare providers policymakers school administrators and community leaders
Pediatrics, 2004Co-Authors: Mary Fran Hazinski, David Markenson, Steven R Neish, Mike Gerardi, Janis Hootman, Graham Nichol, Howard Taras, Robert J Hickey, Robert E Oconnor, Jerry PottsAbstract:This document introduces a public health initiative: the Medical Emergency Response Plan for Schools. This initiative will help schools prepare to respond to life-threatening Medical emergencies in the first minutes before the arrival of Emergency Medical services (EMS) personnel. This statement is for healthcare providers, policymakers, school personnel, and community leaders. It summarizes essential information about life-threatening emergencies, including details about sudden cardiac arrest. This statement describes the components of an Emergency response plan, the training of school personnel and students to respond to a life-threatening Emergency, and the equipment required for this Emergency response. Detailed information about sudden cardiac arrest and cardiopulmonary resuscitation (CPR) and automated external defibrillation (AED) programs is provided to assist schools in prioritizing and preparing for emergencies to maximize the number of lives saved. Life-threatening emergencies can happen in any school at any time. These emergencies can be the result of preexisting health problems, violence, unintentional injuries, natural disasters, and toxins. In recent years stories in the lay press have documented tragic premature deaths in schools from sudden cardiac arrest, blunt trauma to the chest, firearm injuries, asthma, head injuries, drug overdose, allergic reactions, and heatstroke. School leaders should establish an Emergency response plan to deal with life-threatening Medical emergencies in addition to the Emergency plan for tornados or fires. This statement has been endorsed by the following organizations: American Heart Association (AHA) Emergency Cardiovascular Care Committee, American Academy of Pediatrics, American College of Emergency Physicians, American National Red Cross, National Association of School Nurses, National Association of State EMS Directors, National Association of EMS Physicians, National Association of Emergency Medical Technicians, and the Program for School Preparedness and Planning, National Center for Disaster Preparedness, Columbia University Mailman School of Public Health. The statement was also reviewed by the Centers for Disease Control Division of …
