Ferguson Jeffrey D, De Guzman Jocelyn
Department of Emergency Medicine, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA.
Emerg Med Clin North Am. 2012 Feb;30(1):169-78. doi: 10.1016/j.emc.2011.09.014. Epub 2011 Oct 11.
In certain cardiac arrest situations, modifications to current cardiac resuscitation algorithms may improve patient outcome. These situations are often rare, but when they occur they house the potential for severe time and resource use, and in some cases specialized skill sets. The decision to apply these modifications to standard care for the cardiac arrest patient may be obvious in some cases or may be applied due to suspicion from the presenting medical history, history of present illness, or physical examination. However, with rare exception, general care of any cardiac arrest patient should include continuous high-quality chest compressions and appropriate airway and ventillatory management.
在某些心脏骤停情况下，对当前心脏复苏算法进行调整可能会改善患者预后。这些情况通常很少见，但一旦发生，就有可能大量消耗时间和资源，在某些情况下还需要专业技能。对于心脏骤停患者，在某些情况下，决定将这些调整应用于标准治疗可能很明显，或者可能由于现病史、当前病史或体格检查的怀疑而应用。然而，除了极少数例外，任何心脏骤停患者的一般护理都应包括持续高质量的胸外按压以及适当的气道和通气管理。
