Williamson Kelly, Breed Meghan, Alibertis Kostas, Brady William J
Department of Emergency Medicine, Northwestern University, Chicago, IL 60611, USA.
Emerg Med Clin North Am. 2012 Feb;30(1):65-75. doi: 10.1016/j.emc.2011.09.008. Epub 2011 Oct 11.
The goal of treating patients who present with cardiac arrest is to intervene as quickly as possible to affect the best possible outcome. The mainstays of these interventions, including early activation of the emergency response team, early initiation of cardiopulmonary resuscitation, and early defibrillation, are essential components with demonstrated positive impact on resuscitation outcomes. Conversely, the use of the code drugs as a component of advanced life support has not benefited these patients to the same extent as the basic interventions in a general. Although short-term outcomes are improved as a function of these medications, the final outcome has not been altered significantly in most instances.
治疗心脏骤停患者的目标是尽快进行干预,以实现尽可能好的结果。这些干预措施的主要内容,包括早期启动应急反应团队、早期开始心肺复苏以及早期除颤,都是对复苏结果有积极影响的关键组成部分。相反,作为高级生命支持一部分使用的急救药物,总体上对这些患者的益处不如基本干预措施。虽然这些药物能改善短期结果,但在大多数情况下最终结果并未显著改变。