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STaRRT & Rapid Response Teams

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The Shock Team and Rapid Response Team (STaRRT) Program evolved from a community hospital Rapid Response System for early recognition and rapid treatment of patients in shock. This system was able to significantly reduce mortality for patients with non-traumatic shock and has expanded into a full Rapid Response System (RRS). The STaRRT Program combines the conventional forms of shock with hypoxic shock (i.e., primary respiratory insufficiency and acute change in neurologic status) directing care to the highest risk patients thus demonstrating benefit quickly, fostering adoption and reducing cost per life saved.

  • Introduction
    • Overview
    • Need
    • Cycle of Critical Illness
    • Types of Critical Illness Quickly Leading to Sudden Death
  • Protocols and Implementation
    • Inclusion Criteria / Team / Lab
    • Critical Illness Flow Diagram
    • Protocols
      • Prehospital
      • Referral or Outlying ER
      • Receiving Hospital ER
      • Intermediate Care & Med Surg
      • Acute Change in Neurologic Status
      • Primary Respiratory Failure (Respiratory Shock)
      • Hypovolemic Shock
      • Septic / Spinal / Anaphylactic Shock
      • Cardiogenic Shock
      • Coagulation Factor Replacement
      • Fluid Challenge (CVP)
      • Fluid Challenge (PA)
      • Antibiotic
      • Pressor
      • Dysrhythmia
    • STaRRT Alert Procedure Level 1
    • STaRRT Alert Procedure Level 2 & 3
    • STaRRT Cart & Equipment
    • Protocol Flip Cards for STaRRT Cart
    • Yellow Staff Card with Inclusion Criteria to be worn with ID Badge
  • Data Collection
    • Data Collection
    • Power Analysis
    • Poster: Is Your Patient Critically Ill or At High Risk for Sudden Decomposition?
    • Yellow Sticker for Front of Patient’s Chart to Identify Patient Who Had STaRRT Alert and Criteria Met
    • Data Collection Tool
    • APACHE II Score Form
  • Physician Order Sets
    • Initial STaRRT
    • Primary Respiratory Failure
    • Septic
    • Hypovolemic
    • Cardiogenic: Non Acute MI
    • Anaphylactic
    • Acute Change in Neurologic Status
    • Coagulation Replacement
    • Fluid Challenge
    • Dysrhythmia
    • Amiodarone
    • Insulin Infusion
    • Weight-Based Heparin
    • Eptifbatide (Integrilin)
  • Education
    • Inclusion Criteria and Protocol Posters
    • Education Lectures
    • PowerPoint Presentation
      • Recognition
      • Manifestations
      • Treatment-VIPP Approach
      • Early Goal-directed Therapy
      • Results
      • Study
      • Xigris - AP-C
      • PreSep Catheter ScvO2
    • Examination
  • STaRRT Alert Packet - The following items will be placed in a yellow 8x10 envelope which is attached to the Shock Cart. They will be implemented as soon as a "STaRRT Alert" is called:
    • Yellow Sticker for Front of Patient’s Chart to Identify Patient Who Had STaRRT Alert with Applied Inclusion Criteria
    • Data Collection Tool
    • Physician Order Sets
      • Initial
      • Acute Change in Neuro Status and Primary Respirator Failure
      • Septic
      • Hypovolemic
      • Cardiogenic
    • Protocols:
      • Inclusion & Exclusion Criteria
      • Respiratory Failure
      • Fluid Challenge
      • Pressor
      • Lab
      • Pressor
      • Coagulation Factor Replacement
      • Initial Antibiotic & Other Pharmacological Therapies
      • Atrial Dysrhythmia
      • Intermediate Care & Med/Surg