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马拉松运动相关晕厥护理矩阵

Exercise-associated collapse care matrix in the marathon.

作者信息

Roberts William O

机构信息

Department of Family Medicine and Community Health, University of Minnesota School of Medicine, Minneapolis, Minnesota, USA.

出版信息

Sports Med. 2007;37(4-5):431-3. doi: 10.2165/00007256-200737040-00041.

DOI:10.2165/00007256-200737040-00041
PMID:17465627
Abstract

Exercise-associated collapse (EAC) was developed as a marathon collapse classification matrix to speed clinical decision making and improve care. The definition was simply stated as the need for assistance during or immediately after endurance activity that specifically excluded cardiac arrest, insulin shock, anaphylaxis, trauma, skin conditions and orthopedic injuries. The presenting symptoms were neither specific nor sensitive and the initial classification, based on presenting rectal temperature, neurological status and ability to walk, was intended to shape the on-site medical intervention. The treatment of EAC centres on fluid redistribution and replacement to improve cerebral and core organ circulation and body temperature correction if needed. Most runners are discharged from the medical area in the company of another person.

摘要

运动相关虚脱(EAC)是作为一种马拉松虚脱分类矩阵而制定的,以加快临床决策并改善护理。其定义简单表述为在耐力活动期间或之后立即需要援助,特别排除心脏骤停、胰岛素休克、过敏反应、创伤、皮肤疾病和骨科损伤。所呈现的症状既不具有特异性也不具有敏感性,基于所呈现的直肠温度、神经状态和行走能力的初始分类旨在指导现场医疗干预。EAC的治疗以液体再分布和补充为核心,以改善脑和核心器官循环,并在需要时纠正体温。大多数跑步者在他人陪同下从医疗区域出院。

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