Inchauspe Adrián Angel
Adrián Angel Inchauspe, Scientific Department, Argentina Acupuncture Society, Medical Sciences Faculty, La Plata University, La Plata, 1884 Buenos Aires, Argentina.
World J Crit Care Med. 2013 Aug 4;2(3):17-20. doi: 10.5492/wjccm.v2.i3.17.
To introduce new applications into the ILCOR-cardiopulmonary resuscitation (CPR) "chain" sequence.
Stages of the CPR sequence ("chain"): prior to the application of chest massage: assess the victim's state of consciousness and lung-heart failure; seek help (call 911), or in situations in which it is impossible to start the ILCOR protocol: (1) if the victim is trapped in car crash, overturned car, landslide, massive number of victims or catastrophe; or (2) delayed CPR. During chest compression: Yongquan is simultane- ously stimulated by a third rescuer. During defibrillator application: activate K-1 Yongquan through needles before defibrillation. Unsuccessful CPR: "gold standard" for legal clinical death.
Implies comparing two hypotheses: Ho (null hypothesis) demonstrates no association between the two variables studied; Ha (alternative hypothesis) implies some degree of relation between them. Difference between the two treatments is observed. If it is greater than the standard error multiplied by a coefficient of security, the difference is significant: Ha will be accepted and Ho rejected. First we will compare CPR without defibrillator (method "A") and K-1 Yongquan method (method "B"), using percentages of representative samples (treatment "A": 6.4% response, treatment "B": 85% response). If │PA - PB│ is greater than the product of 1.96 times the standard error, the difference is significant. Because │PA - PB│ = 0.786 is greater than 0.098, the difference between 0.064 and 0.85 is statistically significant. Thus, we reject Ho and accept Ha as correct. Thus, it is improbable that chance was responsible for this association. This analysis shows that K-1 Yongquan method has a "quality guarantee". Second, we compare defibrillators ("A") with K-1 Yongquan method ("B") (treatment "A": 48%, treatment "B": 84%, │PA - PB│= 0.36; │PA - PB│ = 0.36 is greater than SE × 1.96 = 0.0148 and also statistically significant, demonstrating again the comparative value of the Yongquan method.
The Yongquan resuscitation manoeuver is a non-invasive, non-tiring, costless, and easy-to-apply procedure that provides a second chance when other options fail.
将新的应用引入国际复苏联络委员会（ILCOR）心肺复苏（CPR）“链条”序列。
心肺复苏序列（“链条”）的阶段：在进行胸外按压之前：评估受害者的意识状态和心肺功能衰竭情况；寻求帮助（拨打911），或者在无法启动ILCOR方案的情况下：（1）如果受害者被困在车祸、翻车、山体滑坡、大量受害者或灾难现场；或者（2）延迟进行心肺复苏。在胸外按压期间：由第三名施救者同时刺激涌泉穴。在应用除颤器期间：在除颤前通过针刺激活K-1涌泉穴。心肺复苏失败：法定临床死亡的“金标准”。
意味着比较两个假设：H₀（零假设）表明所研究的两个变量之间无关联；Hₐ（备择假设）意味着它们之间存在某种程度的关系。观察到两种治疗方法之间的差异。如果该差异大于标准误乘以安全系数，则差异具有显著性：将接受Hₐ并拒绝H₀。首先，我们将比较不使用除颤器的心肺复苏（方法“A”）和K-1涌泉穴方法（方法“B”），使用代表性样本的百分比（治疗“A”：6.4%有反应，治疗“B”：85%有反应）。如果│Pₐ - Pₓ│大于1.96倍标准误的乘积，则差异具有显著性。因为│Pₐ - Pₓ│ = 0.786大于0.098，0.064和0.85之间的差异具有统计学显著性。因此，我们拒绝H₀并接受Hₐ是正确的。所以，这种关联不太可能是由偶然因素导致的。该分析表明K-1涌泉穴方法具有“质量保证”。其次，我们将除颤器（“A”）与K-1涌泉穴方法（“B”）进行比较（治疗“A”：48%，治疗“B”：84%，│Pₐ - Pₓ│ = 0.36；│Pₐ - Pₓ│ = 0.36大于标准误×1.96 = 0.0148，也具有统计学显著性，再次证明了涌泉穴方法的比较价值。
涌泉穴复苏操作是一种无创、不累人、无成本且易于实施的程序，当其他选择失败时能提供第二次机会。
