Westin Jeff, Songer Pat, Buchanan Kelly, Gorosh Loren, Hodnick Ryan, Bledsoe Bryan E
Kaiser-Permanente, Portland, Ore., USA.
JEMS. 2012 May;37(5):32-3, 35.
This was a miraculous case that illustrates the importance of seamless interaction between field EMS crews and physicians. First, this case occurred in one of the most austere and hostile environments imaginable. Next, it included a patient who was resuscitated from pulseless v tach with a precordial thump performed by a paramedic crew. The patient was subsequently evaluated and diagnosed with a thoracic aorta dissection by medical staff in a tent (with a diagnosis made by plain chest X-ray) and emergently transported 150 miles to a hospital where successful surgery was carried out. It truly was a "perfect storm," or perhaps, it was the general goodwill and spirit of Burning Man. Or maybe those crystals that were everywhere actually worked.
这是一个奇迹般的案例，它说明了现场急救医疗服务人员与医生之间无缝互动的重要性。首先，这个案例发生在一个可以想象到的最严峻和恶劣的环境中。其次，其中包括一名患者，护理人员团队通过胸前捶击使该患者从无脉室性心动过速中复苏过来。随后，患者在帐篷里接受了医护人员的评估，并被诊断为胸主动脉夹层（通过胸部X光平片做出诊断），然后被紧急转运150英里至一家医院，在那里成功进行了手术。这真的是一场“完美风暴”，或者，也许是火人节的普遍善意和精神起了作用。又或许到处都有的那些水晶真的有效。
