Krauss Baruch
Division of Emergency Medicine, Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Pediatr Emerg Care. 2005 Aug;21(8):493-7. doi: 10.1097/01.pec.0000173345.07530.c0.
The assessment and triage of victims of chemical terrorism in the emergency department and the prehospital setting has become an important priority. This article proposes the use of capnography as a prehospital assessment and triage tool for monitoring victims of chemical terrorism and for critically ill patients. Capnography provides the ABCs in less than 15 seconds and identifies the common complications of chemical terrorism. Further, the reliability of capnography is not affected by motion artifact or low perfusion and it is accurate and reliable in actively seizing patients. Emergency departments and emergency medical services systems should consider adding capnography to their chemical terrorism education and training.
在急诊科和院前环境中,对化学恐怖主义受害者的评估和分诊已成为一项重要的优先事项。本文提议将二氧化碳监测作为一种院前评估和分诊工具,用于监测化学恐怖主义受害者和重症患者。二氧化碳监测可在不到15秒的时间内提供气道、呼吸和循环情况,并识别化学恐怖主义的常见并发症。此外,二氧化碳监测的可靠性不受运动伪影或低灌注的影响,在抽搐患者中也准确可靠。急诊科和紧急医疗服务系统应考虑将二氧化碳监测纳入其化学恐怖主义教育和培训内容。