St. Vincent's Hospital (Melbourne), Medical Imaging Department, Melbourne, VIC, Australia.
Resuscitation. 2013 Jan;84(1):21-4. doi: 10.1016/j.resuscitation.2012.05.020. Epub 2012 Jun 15.
We aimed to describe the characteristics of medical emergencies that occurred in the medical imaging department (MID) of a university hospital in Melbourne, Australia. A database of 'Respond Medical Emergency Team (MET)' and 'Respond Blue' calls was retrospectively examined for the period June 2003 to November 2010 in relation to events that occurred in the MID. The hospital medical imaging database was also examined in relation to these events and, where necessary, patients' notes were reviewed. Ethics approval was granted by the hospital ethics review board. There were 124 medical emergency calls in the MID during the study period, 28% Respond Blue and 72% Respond MET. Of these 124 calls, 26% occurred outside of usual work hours and 12% involved cardiac arrest. The most common reasons for the emergency calls were seizures (14%) and altered conscious state (13%). Contrast anaphylaxis precipitated the emergency in 4% of cases. In 83% of cases the emergency calls were for patients attending the MID for diagnostic imaging, the remainder being for a procedure. Of the scheduled imaging techniques, 45% were for computed tomography. The scheduled imaging was abandoned due to the emergency in 12% of cases. When performed, imaging informed patient management in 34% of cases in diagnostic imaging and in all cases in the context of image-guided procedures. Medical emergency calls in the MID often occurred outside usual work hours and were attributed to a range of medical problems. The emergencies occurred in relation to all imaging techniques and imaging informed patient management in many cases.
我们旨在描述澳大利亚墨尔本一家大学医院医学影像部门（MID）发生的医疗紧急情况的特征。回顾性地检查了 2003 年 6 月至 2010 年 11 月期间与 MID 中发生的事件相关的“响应医疗急救小组（MET）”和“响应蓝色”电话的数据库。还检查了医院医学影像数据库中与这些事件相关的信息，必要时查阅了患者的病历。医院伦理审查委员会批准了该研究的伦理审查。在研究期间，MID 共发生 124 次医疗紧急呼叫，28%为“响应蓝色”，72%为“响应 MET”。在这 124 次呼叫中，26%发生在正常工作时间之外，12%涉及心脏骤停。紧急呼叫最常见的原因是癫痫发作（14%）和意识改变（13%）。对比剂过敏反应导致 4%的紧急情况。在 83%的紧急呼叫中，患者是因接受 MID 诊断性影像学检查而来，其余是为了进行某项程序。在计划进行的影像学技术中，45%是计算机断层扫描。由于紧急情况，12%的情况下取消了预定的影像学检查。在进行影像学检查的情况下，34%的诊断性影像学检查和所有的影像引导程序中，影像学检查都为患者的管理提供了信息。MID 的医疗紧急呼叫通常发生在正常工作时间之外，归因于一系列医疗问题。这些紧急情况与所有影像学技术有关，在许多情况下，影像学检查为患者的管理提供了信息。
