Evaluation of incoming calls to intensive care unit for emergency assistance

Abstract

Abstract Aim. The aim of this retrospective study was to determine mean admission time after calls, resuscitation success rate, and determine the rate of medical emergency team (MET) calls of clinics in hospital by assessing the incoming calls to MET at intensive care unit. Methods. This study was conducted by collecting emergency call forms of 147 patients. The data including age, gender, medical diagnosis, the name of the caller department, cause of call, occurrence time, call time, attending time, medical care termination time and the outcomes were extracted from the forms or patient files. Event declaration time was accepted as minute time difference between occurrence time and call time. Duration of admission was accepted as minute time difference between call times and attending time. Duration of resuscitation was accepted as minute time difference between attending time and medical care termination time. Results. Mean event declaration time was 3.3 ± 3.0 minutes. Mean duration of admission was 3.7 ± 1.6 minutes. Mean duration of resuscitation was 20.5 ± 12.7 minutes. The resuscitation of 84 patients (63.6%) was successful while 48 patients (36.4%) died at the end of resuscitation. It was found that the patients with a result of successful resuscitation were significantly younger and their duration of resuscitation was significantly shorter. Conclusion. We indicate that MET system is an essential part of in-hospital emergency medical care system. We suggest that a blue code call system should be established by intensive care unit members and announced to all hospital staff. Keywords: Emergency medical care, medical emergency team, cardiac arrest, blue code, call Ozet Amac. Bu retrospektif calismanin amaci hastane icinde yogun bakim unitemizdeki acil yardim ekibine yapilan cagrilari degerlendirerek, ortalama varis suresi, resusitasyon basari oranlari ve arayan kliniklerin belirlenmesidir. Yontem. Bu calisma 147 hastanin formlari incelenerek yapildi. Yas, cinsiyet, tani, klinik adi, cagri nedeni, olay zamani, arama zamani, varis zamani, tibbi bakim sonlandirma zamani ve sonuc bilgileri kaydedildi. Olay bildirim suresi, varis suresi, resusitasyon suresi bilgileri hesaplanarak kaydedildi. Olay bildirim suresi olay zamani ile arama zamani arasi, varis suresi arama zamani ila varis zamani arasi, resusitasyon suresi varis zamani ile tedaviyi sonlandirma zamani arasi sureler olarak alindi. Bulgular. Ortalama olay bildirim suresi 3,3 ± 3,0 dakika idi. Ortalama varis suresi 3,7 ± 1,6 dakika idi. Ortalama resusitasyon suresi 20,5 ± 12,7 dakika idi. 84 (%63,6) hastanin resusitasyonu basarili iken 48 (%36,4) i resusitasyon sonunda mortaliteyle sonuclandi. Sonuclari basarili olan hastalarin yaslari belirgin olarak daha genc olarak bulundu ve resusitasyon sureleri de belirgin olarak dusuktu. Sonuc. Acil yardim ekibinin hastane ici acil durumlar icin onemli oldugunu belirtmekteyiz. Bir mavi kod cagri sisteminin yogun bakim uyeleri tarafindan olusturularak tum hastaneye bildirilmesi gerektigi kanaatindeyiz. Anahtar sozcukler: Acil tibbi bakim, acil yardim ekibi, kardiak arrest, mavi kod, cagri