What are the important elements of a Medical Emergency Team (MET) program?
How may a MET improve in-hospital morbidity and mortality?
A discussion or debate about the role of MET was not sought. It required a simple statement about theoretical structure and advantage.
(a) The important elements of the MET team include:
- call criteria for alerting the team to a sick patient
- education of ward staff to recognise deteriorating patient condition
- effective training and composition of MET team with diagnostic and procedural skills
- review of calls, aggregation of data and follow-up
(b) How may this improve in-hospital morbidity and mortality: early signs of deteriorating function leading to cardiac arrest and death have been identified. Early intervention will prevent irreversible organ damage. In most studies 50-60% of patients were admitted to hospital with a respiratory illness. Early intervention in a deteriorating patient will prevent an hypoxic/hypercarbic arrest.
Education and increased awareness of all staff of the signs and symptoms of critical illness leads to improved management of these patients.
This question closely resembles Question 12 from the first paper of 2005, which asks the candidates to critically evaluate the role of the MET team. However, in their answer, the college sternly warn us that "a discussion or debate about the role of MET was not sought".
So: here is a simple statement about theoretical structure and advantage of a MET program
Organisation of MET program:
Membership of the Medical Emergency Team:
This is merely a suggestion
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