Medical Emergency Teams

Implementation and Outcome Measurement

  • Michael A. DeVita
  • Kenneth Hillman
  • Rinaldo Bellomo

Table of contents

  1. Front Matter
    Pages i-xx
  2. Mets and Patient Safety

    1. Peter J. Pronovost, Marlene Miller, Brad Winters, Elizabeth A. Hunt
      Pages 1-17
    2. Kenneth Hillman, Jack Chen, Lis Young
      Pages 18-23
    3. Michael Buist, Donald Campbell
      Pages 32-48
    4. David J. McAdams
      Pages 49-54
    5. Stephen W. Lam, Arthas Flabouris
      Pages 55-62
    6. Gary B. Smith, Juliane Kause
      Pages 63-79
  3. Creating a Mets System

    1. Daryl Jones, Rinaldo Bellomo, Donna Goldsmith
      Pages 80-90
    2. Michelle Cretikos, Rinaldo Bellomo
      Pages 104-115
    3. David T. Huang, Scott R. Gunn, Emanuel P. Rivers
      Pages 116-121
    4. Vladimir Kvetan, Brian Currie
      Pages 134-144
    5. Helen Ingrid Opdam
      Pages 152-162
    6. Nicolette C. Mininni, Carole C. Scholle
      Pages 163-172
    7. Craig White, Rinaldo Bellomo
      Pages 173-183
    8. Andrew W. Murray, Michael A. DeVita, John J. Schaefer III
      Pages 184-198
    9. Edgar Delgado, Wendeline J. Grbach, Joanne Kowiatek, Michael A. DeVita
      Pages 199-216
  4. Measuring Outcomes

    1. Geoffrey K. Lighthall
      Pages 217-231
    2. Melinda Fiedor, Elizabeth A. Hunt, Michael A. DeVita
      Pages 232-245
    3. Jack Chen, Lis Young, Kenneth Hillman
      Pages 258-271
    4. Daniel Brown, Rinaldo Bellomo
      Pages 281-287
  5. Back Matter
    Pages 289-296

About this book


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.


MET RRS care crisis response critical care medical emergency team patient safety rapid response system

Editors and affiliations

  • Michael A. DeVita
    • 1
    • 2
  • Kenneth Hillman
    • 3
  • Rinaldo Bellomo
    • 4
  1. 1.University of Pittsburgh School of MedicinePittsburghUSA
  2. 2.UPMC Presbyterian HospitalPittsburghUSA
  3. 3.The Simpson Centre for Health Services ResearchLiverpool HospitalLiverpoolAustralia
  4. 4.Austin HospitalHeidelbergAustralia

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media, Inc. 2006
  • Publisher Name Springer, New York, NY
  • eBook Packages Medicine
  • Print ISBN 978-0-387-27920-6
  • Online ISBN 978-0-387-27921-3
  • Buy this book on publisher's site