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优化的心肺脑复苏方法。

Optimized approach in cardiocerebral resuscitation.

机构信息

University of Arizona Sarver Heart Center, University of Arizona College of Medicine, Tucson, United States.

出版信息

Arq Bras Cardiol. 2011 Apr;96(4):e77-80. doi: 10.1590/s0066-782x2011000400020.

DOI:10.1590/s0066-782x2011000400020
PMID:21552653
Abstract

Cardiocerebral Resuscitation (CCR) is a new approach to the resuscitation of patients with out-of-hospital cardiac arrest (OHCA). The first major component of CCR is continuous chest compressions (also referred to as chest compression-only CPR or "hands-only CPR") advocated as part of CCR for all bystanders who witness a sudden collapse of presumed cardiac origin. The second component of CCR is a new ACLS treatment algorithm for Emergency Medical Services. This algorithm emphasizes uninterrupted chest compressions regardless of other ongoing assignments as part of the rescue effort. A third component has recently been added to CCR, namely aggressive post-resuscitation care. Cardiocerebral resuscitation has increased bystander participation and has improved survival rates in a number of communities. Now is the time for other communities to re-examine their own outcomes with cardiac arrest and consider joining those cities and communities that have doubled and even tripled their survival from OHCA.

摘要

心肺复苏术(CCR)是一种针对院外心脏骤停(OHCA)患者的复苏新方法。CCR 的第一个主要组成部分是持续的胸部按压(也称为单纯胸部按压或“仅手按压”CPR),它被提倡作为所有目击者见证疑似心源性突然倒地的旁观者进行 CCR 的一部分。CCR 的第二个组成部分是急诊医疗服务的新 ACLS 治疗算法。该算法强调无论救援工作中正在进行其他任务如何,都要保持不间断的胸部按压。最近,CCR 又增加了第三个组成部分,即积极的复苏后护理。心肺复苏术增加了旁观者的参与度,并在许多社区提高了生存率。现在是其他社区重新审视自己的心脏骤停结果并考虑加入那些将 OHCA 幸存者翻倍甚至三倍的城市和社区的时候了。

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Optimized approach in cardiocerebral resuscitation.优化的心肺脑复苏方法。
Arq Bras Cardiol. 2011 Apr;96(4):e77-80. doi: 10.1590/s0066-782x2011000400020.
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Chest compression-only cardiocerebral resuscitation.仅胸外按压的心肺复苏术。
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Compressions during defibrillator charging shortens shock pause duration and improves chest compression fraction during shockable out of hospital cardiac arrest.除颤器充电过程中的按压可缩短电击暂停时间,并提高院外可电击性心脏骤停时的胸部按压分数。
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Eur J Pediatr. 2024 Aug;183(8):3337-3346. doi: 10.1007/s00431-024-05601-8. Epub 2024 May 14.
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Cohort study on the factors associated with survival post-cardiac arrest.心脏骤停后生存相关因素的队列研究。
Sao Paulo Med J. 2015 Nov-Dec;133(6):495-501. doi: 10.1590/1516-3180.2015.00472607. Epub 2015 Oct 20.
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Prolonged cardiopulmonary arrest treated successfully in the São Paulo's subway.
圣保罗地铁内成功救治长时间心肺骤停患者。
Arq Bras Cardiol. 2014 May;102(5):e52-4. doi: 10.5935/abc.20140058.