Goldberg Scott A, Kharbanda Bryan, Pepe Paul E
Crit Care. 2014 Oct 29;18(5):593. doi: 10.1186/s13054-014-0593-y.
In this review, we discuss articles published in 2013 contributing to the existing literature on the management of out-of-hospital cardiac arrest and the evaluation and management of several other emergency conditions, including traumatic injury. The utility of intravenous medications, including epinephrine and amiodarone, in the management of cardiac arrest is questioned, as are cardiac arrest termination-of-resuscitation rules. Articles discussing mode of transportation in trauma are evaluated, and novel strategies for outcome prediction in traumatic injury are proposed. Diagnostic strategies, including computerized tomography scan for the diagnosis of smoke inhalation injury and serum biomarkers for the diagnosis of post-cardiac arrest syndrome and acute aortic dissection, are also explored. Although many of the articles discussed raise more questions than they answer, they nevertheless provide ample opportunity for further investigation.
在本综述中,我们讨论了2013年发表的文章,这些文章为有关院外心脏骤停管理以及包括创伤性损伤在内的其他几种紧急情况的评估与管理的现有文献做出了贡献。心脏骤停管理中静脉用药(包括肾上腺素和胺碘酮)的效用以及心脏骤停终止复苏规则受到了质疑。对讨论创伤中转运方式的文章进行了评估,并提出了创伤性损伤结局预测的新策略。还探讨了诊断策略,包括用于诊断烟雾吸入性损伤的计算机断层扫描以及用于诊断心脏骤停后综合征和急性主动脉夹层的血清生物标志物。尽管所讨论的许多文章提出的问题多于给出的答案,但它们仍为进一步研究提供了充足的机会。