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Early Goal-Directed Therapy

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Medical Emergency Teams

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Abstract

In a single center, randomized controlled trial, EGDT has been shown to reduce mortality by 16% in patients presenting to the emergency department with sepsis or septic shock. However, widespread implementation of EGDT will require a collaborative effort between multiple disciplines (physicians, nurses, allied health personnel) as well as multiple specialties (emergency medicine and critical care medicine). This effort is best led by a local “champion” who can scientifically and diplomatically communicate with all the stakeholders. Models of EGDT delivery can be emergency department-based, team-based, or ICU-based. The team-based approach is similar to a MET and could be an extension of an already existing MET service. It may also be the most amenable to a fluid delivery of care from the emergency department to the intensive care unit. Other effective solutions may be dictated by local resources.

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Author information

Authors and Affiliations

  1. Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, 15261, USA

    David T. Huang M.D.

  2. Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, 15261, USA

    Scott R. Gunn M.D.

  3. Department of Emergency Medicine, Wayne State University, Detroit, MI, 48202, USA

    Emanuel P. Rivers M.D.

Authors
  1. David T. Huang M.D.
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  2. Scott R. Gunn M.D.
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  3. Emanuel P. Rivers M.D.
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Editor information

Editors and Affiliations

  1. University of Pittsburgh School of Medicine, Pittsburgh, PA, 15213-3404, USA

    Michael A. DeVita M.D. (Associate Professor of Critical Care Medicine and Internal Medicine and Associate Medical Director) (Associate Professor of Critical Care Medicine and Internal Medicine and Associate Medical Director)

  2. UPMC Presbyterian Hospital, Pittsburgh, PA, 15213-3404, USA

    Michael A. DeVita M.D. (Associate Professor of Critical Care Medicine and Internal Medicine and Associate Medical Director) (Associate Professor of Critical Care Medicine and Internal Medicine and Associate Medical Director)

  3. The Simpson Centre for Health Services Research, Liverpool Hospital, Liverpool, New South Wales, 1871, Australia

    Kenneth Hillman M.D. (Co-Director of Critical Care) (Co-Director of Critical Care)

  4. Austin Hospital, Heidelberg, Victoria, 3084, Australia

    Rinaldo Bellomo M.D. (Director of Intensive Care Research) (Director of Intensive Care Research)

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© 2006 Springer Science+Business Media, Inc.

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Huang, D.T., Gunn, S.R., Rivers, E.P. (2006). Early Goal-Directed Therapy. In: DeVita, M.A., Hillman, K., Bellomo, R. (eds) Medical Emergency Teams. Springer, New York, NY. https://doi.org/10.1007/0-387-27921-0_11

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  • DOI: https://doi.org/10.1007/0-387-27921-0_11

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-27920-6

  • Online ISBN: 978-0-387-27921-3

  • eBook Packages: MedicineMedicine (R0)

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