Out-of-hospital cardiac arrest: prehospital management

Review

关键词: ASSISTED CARDIOPULMONARY-RESUSCITATION;    CARDIOVASCULAR CARE SCIENCE;    2015 INTERNATIONAL CONSENSUS;    BASIC LIFE-SUPPORT;    THERAPEUTIC HYPOTHERMIA;    AIRWAY MANAGEMENT;    COMATOSE SURVIVORS;    CHEST COMPRESSION;    ADVISORY STATEMENT;    COUNCIL GUIDELINES;   

DOI  :  10.1016/S0140-6736(18)30316-7

来源: SCIE

【 摘 要 】

Sudden out-of-hospital cardiac arrest is the most time-critical medical emergency. In the second paper of this Series on out-of-hospital cardiac arrest, we considered important issues in the prehospital management of cardiac arrest. Successful resuscitation relies on a strong chain of survival with the community, dispatch centre, ambulance, and hospital working together. Early cardiopulmonary resuscitation and defibrillation has the greatest impact on survival. If the community response does not restart the heart, resuscitation is continued by emergency medical services' staff. However, the best approaches for airway management and the effectiveness of currently used drug treatments are uncertain. Prognostic factors and rules for termination of resuscitation could guide the duration of a resuscitation attempt and decision to transport to hospital. If return of spontaneous circulation is achieved, the focus of treatment shifts to stabilisation, restoration of normal physiological parameters, and transportation to hospital for ongoing care.

【 授权许可】

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