Resuscitation
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For critical care to be effective it must have a system in place to achieve optimal care for the deteriorating ward patient. ⋯ Much of the available evidence is of poor quality. It is clear that a 'whole system' approach should be adopted and that AWSS appear to be more effective than single parameter systems. The response to deterioration appears most effective when a clinician with critical care skills leads it. The need for service improvement differs between health care systems.
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For critical care to be effective it must have a system in place to achieve optimal care for the deteriorating ward patient. ⋯ Much of the available evidence is of poor quality. It is clear that a 'whole system' approach should be adopted and that AWSS appear to be more effective than single parameter systems. The response to deterioration appears most effective when a clinician with critical care skills leads it. The need for service improvement differs between health care systems.