Zalenski Robert, Gillum Richard F, Quest Tammie E, Griffith James L
Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI, USA.
Acad Emerg Med. 2006 Dec;13(12):1333-8. doi: 10.1197/j.aem.2006.06.029. Epub 2006 Aug 31.
More than 300,000 sudden coronary deaths occur annually in the United States, despite declining cardiovascular death rates. In 2000, deaths from heart disease left an estimated 190,156 new widows and 68,493 new widowers. A major unanswered question for emergency providers is whether the immediate care of the loved ones left behind by the deceased should be a therapeutic task for the staff of the emergency department in the aftermath of a fatal cardiac arrest. Based on a review of the literature, the authors suggest that more research is needed to answer this question, to assess the current immediate needs and care of survivors, and to find ways to improve care of the surviving family of unexpected cardiac death victims. This would include improving quality of death disclosure, improving care for relatives during cardiopulmonary resuscitation of their family member, and improved methods of referral for services for prevention of psychological and cardiovascular morbidity during bereavement.
尽管心血管疾病死亡率呈下降趋势，但美国每年仍有超过30万例心源性猝死发生。2000年，心脏病死亡导致约190156名新寡妇和68493名新鳏夫产生。对于急救人员来说，一个主要的未解决问题是，在致命性心脏骤停后，对死者留下的亲人进行即时护理是否应由急诊科工作人员作为一项治疗任务。基于对文献的回顾，作者认为需要更多研究来回答这个问题，评估幸存者当前的即时需求和护理情况，并找到改善对意外心脏死亡受害者幸存家属护理的方法。这将包括提高死亡告知的质量，在其家庭成员进行心肺复苏期间改善对亲属的护理，以及改进在丧亲期间预防心理和心血管疾病的服务转诊方法。
