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The latest edition of this text is the go-to book on rapid response
systems (RRS). Thoroughly updated to incorporate current principles
and practice of RRS, the text covers topics such as the logistics
of creating an RRS, patient safety, quality of care, evaluating
program results, and engaging in systems research. Edited and
written by internationally recognized experts and innovators in the
field, Textbook of Rapid Response Systems: Concepts and
Implementation, Second Edition is a valuable resource for medical
practitioners and hospital administrators who want to implement and
improve a rapid response system.
Why Critical Care Evolved METs? In early 2004, when Dr. Michael
DeVita informed me that he was cons- ering a textbook on the new
concept of Medical Emergency Teams (METs), I was surprised. At
Presbyterian-University Hospital in Pittsburgh we int- duced this
idea some 15 years ago, but did not think it was revolutionary
enough to publish. This, even though, our fellows in critical care
medicine training were all involved and informed about the
importance of "C- dition C (Crisis)," as it was called to
distinguish it from "Condition A (Arrest). "We thought it absurd to
intervene only after cardiac arrest had occurred, because most
cases showed prior deterioration and cardiac arrest could be
prevented with rapid team work to correct precluding problems. The
above thoughts were logical in Pittsburgh, where the legendary Dr.
Peter Safar had been working since the late 1950s on improving
current resuscitation techniques, ?rst ventilation victims of
apneic from drowning, treatment of smoke inhalation, and so on.
This was followed by external cardiac compression upon
demonstration of its ef?ciency in cases of unexpected sudden
cardiac arrest. Dr. Safar devoted his entire professional life to
improvement of cardiopulmonary resuscitation. He and many others
emphasized the importance of getting the CPR team to o- of-hospital
victims of cardiac arrest as quickly as possible.
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