Hunt Elizabeth A, Fiedor-Hamilton Melinda, Eppich Walter J
Department of Anesthesiology, Johns Hopkins University School of Medicine, Johns Hopkins Medicine Simulation Center, Baltimore, MD 21287, USA.
Pediatr Clin North Am. 2008 Aug;55(4):1025-50, xii. doi: 10.1016/j.pcl.2008.04.007.
Recent data from in- and out-of-hospital cardiopulmonary arrests reveal that health care teams frequently deviate from American Heart Association guidelines during resuscitation efforts. These discrepancies between the current state of evidence-based resuscitation guidelines and the quality of basic and advanced life support actually delivered represent a missed opportunity and provide a significant target for optimizing patient outcomes through improved educational effectiveness. This article presents discussion of the quality of resuscitation delivered to patients, a brief history of the development of cardiopulmonary resuscitation and attempts to translate the science of resuscitation to the bedside through effective educational strategies, a review of educational best practices that relate to resuscitation education, and discussion of the role of medical simulation in resuscitation training.
近期来自院内心脏骤停和院外心脏骤停的数据显示，在复苏过程中，医疗团队经常偏离美国心脏协会的指南。基于证据的复苏指南的现状与实际提供的基础和高级生命支持质量之间的这些差异，是一个错失的机会，也是通过提高教育效果来优化患者预后的重要目标。本文讨论了为患者提供的复苏质量、心肺复苏发展的简要历史，并试图通过有效的教育策略将复苏科学应用于床边，回顾了与复苏教育相关的最佳教育实践，并讨论了医学模拟在复苏培训中的作用。
