City of Austin/Travis County EMS, Office of Medical Director, Austin, Texas 78741, USA.
Prehosp Emerg Care. 2010 Apr-Jun;14(2):222-8. doi: 10.3109/10903120903524989.
Recently, emphasis has been placed on the simultaneous implementation of resuscitation interventions currently recommended within the 2005 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care (ECC). The rate of successful outcomes from out-of-hospital cardiac arrest remains relatively low in most U.S. communities. Accurate measures of these rates are difficult to determine because of ineffective reporting mechanisms. In many cases of acute myocardial infarction, the initial presentation of symptoms is quickly followed by sudden death. Little information exists regarding the system-of-care components most likely to result in successful outcomes. Inconsistent application of these components may be responsible in part for the variability of survival rates among communities. We present a case of acute myocardial infarction followed by sudden cardiac arrest benefiting from the application of coordinated, community-based systems of care.
最近，重点强调了同时实施目前在美国心脏协会（AHA）心肺复苏（CPR）和紧急心脏护理（ECC）指南中推荐的复苏干预措施。在美国大多数社区，院外心脏骤停的成功结果率仍然相对较低。由于报告机制无效，这些比率的准确衡量很难确定。在许多急性心肌梗死的情况下，症状的最初表现很快就会导致突然死亡。关于最有可能导致成功结果的护理系统组件的信息很少。这些组件的应用不一致可能部分导致社区之间生存率的差异。我们提出了一个急性心肌梗死随后发生心脏骤停的病例，该病例受益于协调的、基于社区的护理系统的应用。
