{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:00:46Z","timestamp":1790010046804,"version":"4.0.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2006,2,15]],"date-time":"2006-02-15T00:00:00Z","timestamp":1139961600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/2.0\/"},{"start":{"date-parts":[[2006,2,15]],"date-time":"2006-02-15T00:00:00Z","timestamp":1139961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/2.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Crit Care"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                        <jats:title>Introduction<\/jats:title>\n                        <jats:p>Most literature on the medical emergency team (MET) relates to its effects on patient outcome. Less information exists on the most common causes of MET calls or on possible approaches to their management.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Methods<\/jats:title>\n                        <jats:p>We reviewed the calling criteria and clinical causes of 400 MET calls in a teaching hospital. We propose a set of minimum standards for managing a MET review and developed an approach for managing common problems encountered during MET calls.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Results<\/jats:title>\n                        <jats:p>The underlying reasons for initiating MET calls were hypoxia (41%), hypotension (28%), altered conscious state (23%), tachycardia (19%), increased respiratory rate (14%) and oliguria (8%). Infection, pulmonary oedema, and arrhythmias featured as prominent causes of all triggers for MET calls. The proposed minimum requirements for managing a MET review included determining the cause of the deterioration, documenting the events surrounding the MET, establishing a medical plan and ongoing medical follow-up, and discussing the case with the intensivist if certain criteria were fulfilled. A systematic approach to managing episodes of MET review was developed based on the acronym '<jats:bold>A to G<\/jats:bold>': <jats:bold>a<\/jats:bold> sk and <jats:bold>a<\/jats:bold> ssess; <jats:bold>b<\/jats:bold> egin <jats:bold>b<\/jats:bold> asic investigations and resuscitation, <jats:bold>c<\/jats:bold> all for help if needed, <jats:bold>d<\/jats:bold> iscuss, <jats:bold>d<\/jats:bold> ecide, and <jats:bold>d<\/jats:bold> ocument, <jats:bold>e<\/jats:bold> xplain aetiology and management, <jats:bold>f<\/jats:bold> ollow-up, and <jats:bold>g<\/jats:bold> raciously thank staff. This approach was then adapted to provide a management plan for episodes of tachycardia, hypotension, hypoxia and dyspnoea, reduced urinary output, and altered conscious state.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Conclusion<\/jats:title>\n                        <jats:p>A suggested approach permits audit and standardization of the management of MET calls and provides an educational framework for the management of acutely unwell ward patients. Further evaluation and validation of the approach are required.<\/jats:p>\n                     <\/jats:sec>","DOI":"10.1186\/cc4821","type":"journal-article","created":{"date-parts":[[2006,2,17]],"date-time":"2006-02-17T07:45:28Z","timestamp":1140162328000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":89,"title":["Medical Emergency Team syndromes and an approach to their management"],"prefix":"10.1186","volume":"10","author":[{"given":"Daryl","family":"Jones","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme","family":"Duke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juris","family":"Briedis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinaldo","family":"Bellomo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Casamento","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Kattula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Way","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2006,2,15]]},"reference":[{"key":"4352_CR1","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1186\/cc3721","volume":"9","author":"M DeVita","year":"2005","unstructured":"DeVita M: Medical emergency teams: deciphering clues to crises in hospitals.\n                           Critical Care 2005, 9: 325-326. 10.1186\/cc3721","journal-title":"Critical Care"},{"key":"4352_CR2","doi-asserted-by":"publisher","first-page":"2091","DOI":"10.1016\/S0140-6736(05)66733-5","volume":"365","author":"MERIT study investigators","year":"2005","unstructured":"MERIT study investigators: Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial.\n                           Lancet 2005, 365: 2091-2097. 10.1016\/S0140-6736(05)66733-5","journal-title":"Lancet"},{"key":"4352_CR3","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1136\/qshc.2004.012856","volume":"14","author":"WB Runciman","year":"2005","unstructured":"Runciman WB, Merry AF: Crisis in clinical care: an approach to management.\n                           Qual Saf Health Care 2005, 14: 156-163. 10.1136\/qshc.2004.012856","journal-title":"Qual Saf Health Care"},{"key":"4352_CR4","doi-asserted-by":"crossref","first-page":"283","DOI":"10.5694\/j.1326-5377.2003.tb05548.x","volume":"179","author":"R Bellomo","year":"2003","unstructured":"Bellomo R, Goldsmith D, Uchino S, Buckmaster J, Hart GK, Opdam H, Silvester W, Doolan L, Gutteridge G: A prospective before-and-after trial of a medical emergency team.\n                           Medical Journal of Australia 2003, 179: 283-287.","journal-title":"Medical Journal of Australia"},{"key":"4352_CR5","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1177\/0310057X9502300210","volume":"23","author":"A Lee","year":"1995","unstructured":"Lee A, Bishop G, Hillman KM, Daffurn K: The Medical Emergency Team.\n                           Anaesth Intensive Care 1995, 23: 183-186.","journal-title":"Anaesth Intensive Care"},{"key":"4352_CR6","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1016\/j.resuscitation.2004.01.021","volume":"61","author":"G Kenward","year":"2004","unstructured":"Kenward G, Castle N, Hodgetts T, Shaikh L: Evaluation of a Medical Emergency Team one year after implementation.\n                           Resuscitation 2004, 61: 257-263. 10.1016\/j.resuscitation.2004.01.021","journal-title":"Resuscitation"},{"key":"4352_CR7","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.resuscitation.2004.12.011","volume":"65","author":"P Featherstone","year":"2005","unstructured":"Featherstone P, Smith G, Linnell M, Easton S, Osgood V: Impact of a one-day inter-professional course (ALERT\u2122) on attitudes and confidence in managing critically ill adult patients.\n                           Resuscitation 2005, 65: 329-336. 10.1016\/j.resuscitation.2004.12.011","journal-title":"Resuscitation"},{"key":"4352_CR8","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1016\/S0300-9572(01)00477-4","volume":"52","author":"GB Smith","year":"2002","unstructured":"Smith GB, Osgood VM, Crane S: ALERT \u2013 a multiprofessional training course in the care of the acutely ill adult patient.\n                           Resuscitation 2002, 52: 281-286. 10.1016\/S0300-9572(01)00477-4","journal-title":"Resuscitation"},{"key":"4352_CR9","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1308\/003588405X50921","volume":"87","author":"CP Subbe","year":"2005","unstructured":"Subbe CP, Williams E, Fligelstone L, Gemmell L: Does earlier detection of critically ill patients on surgical wards lead to better outcomes?\n                           Ann R Coll Surg Engl 2005, 87: 226-232. 10.1308\/003588405X50921","journal-title":"Ann R Coll Surg Engl"},{"key":"4352_CR10","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1136\/bmj.324.7334.387","volume":"324","author":"MD Buist","year":"2002","unstructured":"Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV: Effects of a medical emergency team on reduction in incidence of and mortality from unexpected cardiac arrest in hospital: preliminary study.\n                           BMJ 2002, 324: 387-390. 10.1136\/bmj.324.7334.387","journal-title":"BMJ"},{"key":"4352_CR11","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1136\/qshc.2003.006585","volume":"13","author":"De Vita","year":"2004","unstructured":"De Vita , Braithwaite S, Mahidhara R, Stuart S, Foraida M, Simmons RL: Use of medical emergency team responses to reduce hospital cardiopulmonary arrests.\n                           Qual Saf Health Care 2004, 13: 251-254. 10.1136\/qshc.2003.006585","journal-title":"Qual Saf Health Care"}],"container-title":["Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/cc4821.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/cc4821\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/cc4821.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:54:21Z","timestamp":1728305661000},"score":1,"resource":{"primary":{"URL":"https:\/\/ccforum.biomedcentral.com\/articles\/10.1186\/cc4821"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,2,15]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2006,2]]}},"alternative-id":["4352"],"URL":"https:\/\/doi.org\/10.1186\/cc4821","relation":{},"ISSN":["1364-8535"],"issn-type":[{"value":"1364-8535","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,2,15]]},"assertion":[{"value":"29 December 2005","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2006","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 February 2006","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"R30"}}