TY - CHAP M1 - Book, Section TI - Pre-ICU Syndromes A1 - Lominadze, George A1 - Kazzi, Massoud G. A1 - Shiloh, Ariel L. A2 - Oropello, John M. A2 - Pastores, Stephen M. A2 - Kvetan, Vladimir Y1 - 1 N1 - T2 - Critical Care AB - KEY POINTSA demand on the limited number of ICU beds requires more acute and complex patient care to be delivered on the general wards, outside of the ICU.Rapid response systems are designed to address this goal and rapid response teams (RRTs) or medical emergency teams (METs) have become increasingly prevalent in the US hospital systems as the means to intervene in the care of hospitalized patients with acute clinical deterioration.The identification of prearrest physiology such as abnormal vital signs, or a sudden change in vital signs, can help identify clinical deterioration minutes to hours before a serious adverse event, often providing sufficient time to deliver an intervention.The Society of Critical Care Medicine has identified the 5 principal admitting ICU diagnoses as respiratory failure or insufficiency, the need for postoperative management, ischemic heart disorders, sepsis, and decompensated heart failure. The correlating rapid response triggers for these conditions are often identified as hypotension, altered mental status, and respiratory distress. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1136412750 ER -