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调度员协助的仅通过胸部按压或同时进行口对口通气的“电话”心肺复苏。

Dispatcher-assisted "phone" cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation.

作者信息

Hallstrom A P

机构信息

Clinical Trial Center, University of Washington, Seattle 98105, USA.

出版信息

Crit Care Med. 2000 Nov;28(11 Suppl):N190-2. doi: 10.1097/00003246-200011001-00004.

DOI:10.1097/00003246-200011001-00004
PMID:11098943
Abstract

Based on both animal studies and field studies of the process and intermediate outcomes related to cardiopulmonary resuscitation (CPR), we initiated a randomized trial of dispatcher-assisted CPR, with the intervention arm receiving instructions for chest compression only and the control arm receiving standard instructions for airway maintenance ventilation, and chest compression. Of 241 patents randomized to chest compression instructions only, 35 survived (14.6%) compared with 29 of 279 (10.4%) patients in the control arm (p = .09). These results may have implications for future guidelines and teaching CPR.

摘要

基于对心肺复苏（CPR）相关过程及中间结果的动物研究和现场研究，我们开展了一项关于调度员辅助CPR的随机试验，干预组仅接受胸外按压指导，对照组接受气道维持通气及胸外按压的标准指导。在随机分配至仅接受胸外按压指导的241例患者中，35例存活（14.6%），而对照组279例患者中有29例存活（10.4%）（p = 0.09）。这些结果可能会对未来的指南及CPR教学产生影响。

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1
Dispatcher-assisted "phone" cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation.调度员协助的仅通过胸部按压或同时进行口对口通气的“电话”心肺复苏。
Crit Care Med. 2000 Nov;28(11 Suppl):N190-2. doi: 10.1097/00003246-200011001-00004.
2
Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation.仅通过胸部按压或结合口对口通气进行心肺复苏。
N Engl J Med. 2000 May 25;342(21):1546-53. doi: 10.1056/NEJM200005253422101.
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Dispatcher-assisted cardiopulmonary resuscitation. An evaluation of efficacy amongst elderly.调度员辅助心肺复苏。对老年人疗效的评估。
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Cardiopulmonary resuscitation without ventilation.未进行通气的心肺复苏。
Crit Care Med. 2000 Nov;28(11 Suppl):N186-9. doi: 10.1097/00003246-200011001-00003.
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[Cardiopulmonary resuscitation via telephone instruction. Chest compression more appropriate for instruction via telephone than CPR].[通过电话指导进行心肺复苏。胸部按压比心肺复苏更适合通过电话指导]
Lakartidningen. 2001 Oct 10;98(41):4458-61.
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Instructions to "put the phone down" do not improve the quality of bystander initiated dispatcher-assisted cardiopulmonary resuscitation.“放下电话”的指令并不能提高旁观者启动的调度员辅助心肺复苏的质量。
Resuscitation. 2008 Feb;76(2):249-55. doi: 10.1016/j.resuscitation.2007.07.026. Epub 2007 Sep 4.
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CPR with chest compression alone or with rescue breathing.仅进行胸外按压的心肺复苏或与通气抢救法联合进行的心肺复苏。
N Engl J Med. 2010 Jul 29;363(5):423-33. doi: 10.1056/NEJMoa0908993.
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[Saving lives with dispatcher-assisted resuscitation: importance of effective telephone instruction].[通过调度员辅助复苏挽救生命：有效电话指导的重要性]
Med Klin Intensivmed Notfmed. 2014 Nov;109(8):614-20. doi: 10.1007/s00063-014-0381-0. Epub 2014 Nov 5.
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Dispatcher-assisted cardiopulmonary resuscitation: time to identify cardiac arrest and deliver chest compression instructions.调度员辅助心肺复苏术：识别心脏骤停和提供胸外按压指导的时机。
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Compression-only CPR or standard CPR in out-of-hospital cardiac arrest.单纯胸外按压心肺复苏与标准心肺复苏在院外心脏骤停中的应用比较。
N Engl J Med. 2010 Jul 29;363(5):434-42. doi: 10.1056/NEJMoa0908991.

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