Resuscitation
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The National Early Warning Score (NEWS) is being introduced across the UK, but there are concerns about its specificity in patients with chronic hypoxaemia, such as some patients with COPD. This could lead to frequent clinically insignificant triggers and alarm fatigue. ⋯ CREWS is a simple variant of NEWS for patients with chronic hypoxaemia that could reduce clinically insignificant triggers and alarm fatigue, whilst still identifying the sickest patients.
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Medical emergency team performance including non-technical skills, is receiving increased attention due to the influences on patient safety. The Team Emergency Assessment Measure (TEAM) was developed to enable standardized performance assessment and structured team debriefing. ⋯ The tool has potential for team training to improve team's non-technical performance. Further testing is required in 'real' clinical settings.
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Editorial Comment
Towards global reporting of every paediatric cardiac arrest.