Koster R W, Berden H J J M
Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Cardiologie, Meibergdreef 9, 1105 AZ Amsterdam.
Ned Tijdschr Geneeskd. 2003 Mar 15;147(11):489-93.
In 2002, the Netherlands Resuscitation Council published a translation of guidelines on Basic Life Support, use of the Automated External Defibrillator, and Advanced Life Support for adults and children, as laid down in 2000 by the International Liaison Committee on Resuscitation. The Dutch situation has altered in that there has been a change from the Netherlands-specific 'CAB' scheme to the internationally accepted 'ABC' scheme. This means that upon encountering a patient, the airways should be checked first (A), then artificial ventilation should be administered twice (B), after which the circulation should be checked in the third place (C) and chest compression should be initiated if necessary. In the Dutch guideline 'assessment of signs of circulation' for the identification of circulatory arrest by lay people was not accepted, but the pulse check at the carotid artery has been maintained. Medical professionals should also assess possible circulatory arrest in this way. Regardless of the number of people attending the patient, the ratio of chest compressions to artificial ventilation in adults is now 15:2 rather than the previously-advocated ratio of 5:1. This ratio is more effective in building up the blood pressure during the chest compressions. In terms of medication, the most important modification is the addition of amiodarone for persistent ventricular fibrillation.
2002年，荷兰复苏委员会发布了一份指南译文，内容涉及国际复苏联合委员会于2000年制定的成人及儿童基本生命支持、自动体外除颤器的使用以及高级生命支持。荷兰的情况有所变化，即从荷兰特有的“CAB”方案转变为国际认可的“ABC”方案。这意味着遇到患者时，应首先检查气道（A），然后进行两次人工通气（B），之后再检查循环系统（C），如有必要则开始胸外按压。在荷兰指南中，不接受非专业人员通过“评估循环体征”来识别循环骤停，但保留了颈动脉脉搏检查。医疗专业人员也应以这种方式评估可能的循环骤停。无论参与救治患者的人数多少，现在成人胸外按压与人工通气的比例为15:2，而不是之前提倡的5:1。这个比例在胸外按压过程中提升血压方面更有效。在药物方面，最重要的调整是添加了用于持续性室颤的胺碘酮。
