Managing Deteriorating PatientsRapid Response Team Handbook

Stacks Image 6862
Now translated into Spanish.
Free download below.

Managing Deteriorating Patients

1st edition 2018

Chalwin Jones Psirides Radford

A free eBook for everyone who responds to deteriorating hospital in-patients

This book has been written for team members and leaders of hospital rapid response teams who attend deteriorating patients. It provides pragmatic advice on a number of topics. These include:

Its authors are all intensive care specialists and experts in the field. They have been involved in the design, implementation and governance of rapid response systems across Australia and New Zealand at both local and national levels as well as teaching and researching in this area.

Evidence for the recommendations made are provided as a comprehensive reading list at the end of each chapter.

We are seeking expressions of interest for collaborators to form a multi-disciplinary faculty of Rapid Response Team (RRT) educators. Building on the incredible success of the RRT handbook, we aim to develop a standardised training platform that could be delivered to all RRT clinicians.

A considerable amount of education around patient deterioration is currently being provided across Australia and New Zealand. So far this is mostly by individual departments, hospitals, universities and health networks, all working separately. It seems timely and reasonable to pool resources and to develop training materials that everyone can share and use.

There are many possibilities including creating a simple standalone practical workshop, online resources (such as a scenario bank), or even an ongoing Continuing Professional Development programme. These could potentially be developed to receive unit/study credit for academic Certificate or Diploma programs if sufficiently evolved.

For cardiac arrest management, Australian and New Zealand Resuscitation Council courses have been accepted as the gold standard. However, there is nothing comparable for Deteriorating Patients. This is our opportunity to address this need.

If you would like to be part of this, please register your interest using the blue & white envelope icon. As with the RRT Handbook, any developed resources will be made freely available.

Managing deteriorating patients First edition 2018

Practical advice written by international experts in rapid response systems

Managing deteriorating patients cover

Illustrated examples Extensive tables & graphics throughout

RRT flow chart Closed loop communication

Common clinical scenarios and how to manage them

Wordcloud Editors Editors

In English

Managing Deteriorating Patients
Download PDF
Download ePub

Both files are archived in 'zip' format to save space, reduce bandwidth & allow us to anonymously track download numbers. This may cause problems on some mobile devices. If so, please try a desktop computer.

En Español

Abordaje del paciente con deterioro clinico
Download PDF

Spanish translation by Dr.Alejandro Elguea (President of the Mexican Association for the Formation of Rapid Response Teams - AMFERR) and colleagues.

Tracking downloads from here will help us decide if a second edition is worthwhile. For feedback, suggestions, questions or comments, please use the blue envelope icon to the left.
In keeping with the Free Open-Access Medical Education (FOAMed) ethos, the book will always be available to download, free of charge, from this website.
This work is licensed under a Creative Commons license.
This means it is free to download and share with others as long as the original authors are credited but it cannot be changed in any way nor used commercially.
Stacks Image 6661
Stacks Image 6663


The English version of the book is currently available in both PDF and ePub formats. No Kindle version will be available as Amazon don't allow books to be given away for free. The index and all references are linked to the relevant chapters and PubMed citations respectively.

Stacks Image 6772


Most modern computers and smartphones have built-in PDF readers. A variety of different software packages will read the ePub format.