Monteleone Peter P, Borek Heather A, Althoff Seth O
Department of Medicine, University of Virginia, Charlottesville, USA.
Emerg Med Clin North Am. 2012 Feb;30(1):51-63. doi: 10.1016/j.emc.2011.09.007. Epub 2011 Oct 7.
Recognition and appropriate treatment of ventricular fibrillation or pulseless ventricular tachycardia is an essential skill for healthcare providers. Appropriate defibrillation can improve survival and benefit patient outcome. Similarly, increased public access to automatic electronic defibrillators has been shown to improve out-of-hospital survival for cardiac arrest. When combined with high-quality cardiopulmonary resuscitation, electrical therapies are an important aspect of resuscitation in the patient with cardiac arrest. This article focuses on the use of electrical therapies, including defibrillation, cardiac pacing, and automated external defibrillators, in cardiac arrest.
识别并恰当治疗心室颤动或无脉性室性心动过速是医疗保健人员的一项基本技能。恰当的除颤可提高生存率并改善患者预后。同样,已证明增加公众对自动体外除颤器的可及性可提高院外心脏骤停的生存率。当与高质量心肺复苏相结合时,电疗法是心脏骤停患者复苏的一个重要方面。本文重点关注电疗法在心脏骤停中的应用,包括除颤、心脏起搏和自动体外除颤器。