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[Name] Prof Gary Smith Consultant in Critical Care Medicine, Portsmouth Hospitals NHS Trust [Topic] Using technology to identify patient deterioration and facilitate the response to acute illness Many in-hospital cardiac arrests, unanticipated admissions to Intensive Care Units and hospital deaths are preceded by patient deterioration in the form of simple physiological abnormalities such as low blood pressure, raised breathing rate or reduced peripheral oxygen saturation (SpO2). Despite this, there is often a failure by healthcare staff to measure basic observations of vital signs, a lack of recognition of the importance of worsening vital signs and a delay in responding to deteriorating vital signs. Internationally, healthcare delivery systems have introduced rapid response systems to counter these problems, using “track & trigger” systems to improve the recognition of physiological deterioration and guide further management (e.g., provide decision support, call for skilled assistance). Improvements in technology such as miniaturisation, use of computer algorithms, new monitoring techniques and wireless technology bring significant opportunities for automation of the process of patient monitoring, data analysis and the call for experienced assistance. Additionally, improved data storage allows for improvements in data analysis and may unearth hitherto unknown information. This presentation will explore these themes, including a description of local initatives. [Slot] 33 [Bio] 
Gary Smith is a Consultant in Critical Care Medicine at Portsmouth Hospitals and a Visiting Professor at the University of Bournemouth. He has previously spent one year on the faculty of Yale University. He has served as a council member of the UK Intensive Care Society and has been involved with educational projects focused on “the recognition and management of the deteriorating patient” at the Royal College of Surgeons of England and the Royal College of Physicians of London. He is co-designer of the ALERTâ course, which in over 200 hospitals internationally. Gary currently serves as a member of the Executive Council of the Resuscitation Council (UK) and has been a member of the recent National Institute for Health and Clinical Excellence, National Patient Safety Agency and Department of Health committees, which have focused on “the recognition and response to patient deterioration in hospital”. Gary is currently leading a team of researchers which has developed a hand-held computer-based system for the early recognition of sick or deteriorating patients and is investigating novel, vital signs monitoring devices.
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