Hori Shingo
Emergency and Critical Care Medicine, Keio University, School of Medicine.
Nihon Rinsho. 2011 Apr;69(4):605-11.
Key changes in Guideline 2010 by Japanese Resuscitation Council were described and the reasons of the change were explained based on 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care with Treatment Recommendations. In BLS, the value of chest compression was further emphasized and it became an initial skill of CPR In ALS, post resuscitation care was systemized by incorporating hypothermia, PCI, and other diagnostic and therapeutic modalities. Indication of hypothermia was further expanded to non-VF categories. Use of AED was expanded to infant. Education, Implementation and Teams were newly included as a chapter to promote the knowledge and skill of resuscitation science into the society.
阐述了日本复苏委员会《2010年指南》中的关键变化,并根据《2010年国际心肺复苏和急诊心血管护理共识及治疗建议》解释了变化的原因。在基础生命支持(BLS)中,胸外按压的重要性得到进一步强调,成为心肺复苏的初始技能。在高级生命支持(ALS)中,通过纳入低温治疗、经皮冠状动脉介入治疗(PCI)及其他诊断和治疗方式,复苏后护理实现了系统化。低温治疗的适应症进一步扩大到非室颤类别。自动体外除颤器(AED)的使用扩展到婴儿。新增了“教育、实施与团队”一章,以促进复苏科学知识和技能在社会中的传播。