英国救护人员对死亡的认定及终止心脏复苏尝试的情况
Recognition of death and termination of cardiac resuscitation attempts by UK ambulance personnel.
作者信息
Lockey A S
机构信息
Accident and Emergency Department, York District Hospital, York, UK.
出版信息
Emerg Med J. 2002 Jul;19(4):345-7. doi: 10.1136/emj.19.4.345.
OBJECTIVES
To identify whether the practice of the UK ambulance trusts comply with national recommendations with respect to when ambulance personnel are allowed to recognise death and/or terminate resuscitation attempts in the adult, normothermic, non-traumatic cardiac arrest.
METHODS
Questionnaire study of 39 ambulance trusts.
RESULTS
At the time of the study (summer 2000), 23 trusts operated separate policies for recognition of death and termination of resuscitation, two had policies for recognition of death alone, two had policies for termination of resuscitation alone, five operated a policy purely for termination of resuscitation attempts after a limited period of CPR, and seven had no protocols other than "the presence of rigor mortis, postmortem staining or injuries incompatible with life". Only eight trusts conformed to the protocols for both recognition of death and termination of resuscitation attempts recommended by the Joint Royal Colleges Ambulance Liaison Committee (JRCALC).
CONCLUSION
The JRCALC has proposed guidelines for recognition of death and terminating resuscitation attempts in the adult normothermic non-traumatic cardiac arrest. Despite this, there was still considerable variance in the practice of the UK ambulance trusts.
目的
确定英国救护车信托机构的做法是否符合关于在成人、体温正常、非创伤性心脏骤停情况下，救护人员何时被允许认定死亡和/或终止复苏尝试的国家建议。
方法
对39个救护车信托机构进行问卷调查研究。
结果
在研究期间（2000年夏季），23个信托机构针对死亡认定和复苏终止制定了单独的政策，2个仅有死亡认定政策，2个仅有复苏终止政策，5个仅制定了在有限的心肺复苏期后终止复苏尝试的政策，7个除了“存在尸僵、尸斑或与生命不相容的损伤”外没有其他规程。只有8个信托机构符合皇家联合学院救护车联络委员会（JRCALC）推荐的死亡认定和复苏终止规程。
结论
JRCALC已经提出了关于成人正常体温非创伤性心脏骤停时死亡认定和终止复苏尝试的指南。尽管如此，英国救护车信托机构的做法仍存在很大差异。
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