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The UK Forum for Multi-Professional Critical Care Outreach, 
   Medical Emergency, Acute and Rapid Response Teams

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  • 11 Mar 2018 14:58 | Anonymous member (Administrator)

    Why you should attend Rapid Response:

    • Learn from the best: this is the only international conference to bring together the world-leading experts in preventing avoidable deaths in hospital

    • Hear best practice from around the world: Rapid Response tours the world - this is a rare opportunity to see hand-picked speakers from Australia, Britain, the US, the Netherlands, Scandinavia, Sri Lanka and Sierra Leone gathered in the UK

    • Benchmark your work: this will be the first opportunity to hear the conclusions of work on the international consensus on how to measure systems and know if you’re doing well, the new 100+ hospital study of management of deterioration in the UK, and the METHOD 2 study of rapid response systems around the world

    • Consider how technology can help you: hear about state of the art technology, and its uses in recognising and responding to deteriorating patients

    • Leave with actionable strategies: explore solutions and case studies, and question speakers on how to translate their learning into your own context

    • Update your knowledge: ensure you know the latest approaches to working more coherently to recognise and respond to deteriorating patients

    See you July 2018 in Manchester!

  • 19 Dec 2017 17:14 | Anonymous member (Administrator)

    The awaited version 2 of the National Early Warning Score has been released today. 

    The Royal College of Physicians has updated its National Early Warning Score (NEWS), first produced in 2012. NEWS2 has now received formal endorsement from NHS England (NHSE) and NHS Improvement (NHSI) to become the early warning system for identifying acutely ill patients, including those with sepsis, in hospitals in England. 

    NHS England and NHS Improvement have endorsed a single early warning score – the National Early Warning Score (NEWS) – for use in acute and ambulance settings.

    Download the NEWS2 documents here

  • 06 Feb 2017 21:13 | Anonymous member (Administrator)

    The survey has been very kindly donated by Dr Matt Inada-Kim, national clinical advisor on sepsis.

    The survey was conceived to establish the degree of variation in current operational definitions of sepsis across England and to make recommendations to support improvements in practice.  The Patient Safety Collaborative Sepsis Cluster undertook this survey to inform policy makers of current front-line sepsis practice and strengthen this critical bidirectional relationship.  

     To download the survey click here.

    Are you part of a regional sepsis collaboration as the report recommends?

    National Outreach Forum team

  • 05 Feb 2017 21:07 | Anonymous member (Administrator)

    Sepsis Prevalence and Outcome on the General Wards and Emergency Departments in Wales: Results of a Multi-Centre, Observational, Point Prevalence Study.

    A very interesting paper to read. Click here to download.

  • 03 Feb 2017 20:54 | Anonymous member (Administrator)

    Congratulations to the critical care outreach team at the Betsi Cadwaladr Hospital that has received the award for “Improving patient safety” presented by our NHS trust, Betsi Cadwaladr University Health Board.

    The clinical lead Dr Catriona Chalmers and manager Mr Mark Williams-Jones are exceptionally proud of our team.  The critical care outreach team at the Betsi Cadwaladr Hospital was created in 2013.

    National Outreach Forum

  • 01 Feb 2017 21:01 | Anonymous member (Administrator)

    The 2016 Surviving Sepsis Campaign Sepsis Guidelines have just been released. You can download them at:


    How are they going to affect your practice? Time to start a debate in the NOrf Forum!!

  • 23 Feb 2016 08:40 | Anonymous member (Administrator)

    The Society of Critical Care Medicine (SCCM)  and the European Society of Intensive Care Medicine (ESICM) released the new sepsis definition  with the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).


    Sepsis is life-threatening organ dysfunction due to dysregulated host responses to infection.  Septic shock is a subset of sepsis where underlying circulatory and cellular/metabolic abnormalities are profound enough to substantially increase mortality 

    Read the full article here: Sepsis 3 JAMA, Feb 22, 2016


    qSOFA is inA qSOFA score of 2 or 3 or a rise in the SOFA score of 2:

    • Includes normal responses to infection (eg. fever and tachycardia is not dysregulated infection; it’s just infection)
    Systemic Inflammatory Response Syndrome (SIRS) is out
    • SIRS has been shown to missed severe sepsis in 1 in 8 patients (NEJM 2015)

    What does the Critical Care Outreach community think about Sepsis 3? 
    Lets start a discussion in our Forum

    NOrF team

  • 10 Feb 2016 21:16 | Anonymous member (Administrator)

    Prevention, Detection and Rescue of Deteriorating Patients. Which combinations of interventions are most effective?

    An NIHR funded research collaboration between National Cardiac Arrest Audit (NCAA) and the London School of Hygiene and Tropical Medicine

    As part of a major NIHR funded study into the effectiveness of current approaches to detecting and rescuing deteriorating patients in adult general wards in the NHS in England, we are conducting a survey of all acute trusts.

    We are asking all hospitals participating in National Cardiac Arrest Audit to complete a survey about their use of interventions such as track and trigger systems, critical care outreach, handover tools etc. The aim will be to understand the impact these various practices have on in-hospital cardiac arrest rates and survival. No individual hospitals will be identified in the findings and we hope to produce a report which maps current services across England as well as the quantitative analysis by the end of the year.

    The survey was sent to the main NCAA contact at each hospital (usually a resuscitation officer) late last year with a request to pass it on to the staff member most likely to be able to complete it (the majority respondents to date have been members of the Critical Care Outreach Team).  We would like to thank all those who have completed the survey so far, your input will be invaluable. If your Trust is yet to complete the survey then you might consider scheduling a phone conversation with our research team. It takes an average of 20 minutes to get all the information we need. If you haven’t heard about the survey and want to know more then please contact us via the email below.

    Please help us complete this valuable research.

    Many thanks

    Helen Hogan, Chief Investigator

    On behalf of the Deteriorating Patient Team (John Welch UCLH, Nick Black LSHTM, David Harrison ICNARC, Andrew Hutchings LSHTM)

    Email: deteriorate@lshtm.ac.uk

    Tel: 020 7958 8288

    Fax: 020 7927 2701

    Mail: Dr Helen Hogan, Clinical Senior Lecturer, Dept of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH

  • 14 Jan 2016 10:49 | Anonymous member (Administrator)

    NICE Sepsis consultation documents are out for comments. Click here to access the draft guideline

    NOrF Team

  • 26 Nov 2015 18:19 | Anonymous member (Administrator)

    Just Say Sepsis!

    ..."Critical Care Outreach Teams, Rapid Response Teams or Medical Emergency Teams, depending on the geographical location, have become increasingly involved in sharing their expertise of critical care by reviewing and treating patientsearly on in their acute illness, on the ward as well as in the critical care unit, in order to prevent further deterioration and death. The benefit of Critical Care Outreach Teams has been demonstrated to reduce hospital morbidity and mortality."...

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