Rottenberg Eric M
Department of Perioperative Services, The Ohio State University Medical Center, Columbus, OH 43210-1228, USA.
Am J Emerg Med. 2006 Sep;24(5):573-6. doi: 10.1016/j.ajem.2006.01.026.
The current AHA-ECC guidelines for basic life support focus on the provision of good chest compressions with minimal interruptions for patients with presumed out-of-hospital cardiac arrest. Moreover, international consensus guidelines now support the use of chest compression-only cardiopulmonary resuscitation (CPR) instructions for dispatcher-assisted CPR given over the phone to untrained bystanders. However, evidence that strongly challenge these recommendations have been overlooked. A review of this evidence argues for the need for head rotation (a hands-free method of airway control) and abdominal compressions during bystander CPR.
美国心脏协会（AHA）目前的基础生命支持指南侧重于为疑似院外心脏骤停患者提供优质胸外按压，尽量减少中断。此外，国际共识指南现在支持在通过电话向未经培训的旁观者进行调度员辅助心肺复苏（CPR）时，使用仅胸外按压的心肺复苏指导。然而，强烈质疑这些建议的证据被忽视了。对这一证据的回顾表明，旁观者进行心肺复苏时需要进行头部旋转（一种无需手部操作的气道控制方法）和腹部按压。
