心脏骤停后管理

Postcardiac Arrest Management.

作者信息

Rittenberger Jon C, Doshi Ankur A, Reynolds Joshua C

机构信息

Department of Emergency Medicine, University of Pittsburgh, Suite 10028, Forbes Tower, Pittsburgh, PA 15260, USA.

Department of Emergency Medicine, Michigan State University College of Human Medicine, 15 Michigan Street Northeast, Suite 420, Grand Rapids, MI 49503, USA.

出版信息

Emerg Med Clin North Am. 2015 Aug;33(3):691-712. doi: 10.1016/j.emc.2015.04.011. Epub 2015 Jun 10.

DOI:10.1016/j.emc.2015.04.011

PMID:26226874

Abstract

Cardiac arrest afflicts more than 300,000 persons annually in North America alone. Advances in systematic, regimented postresuscitation care have lowered mortality and improved neurologic outcomes in select cohorts of patients over the last decade. Postcardiac arrest care now comprises its own link in the chain of survival. For most patients, high-quality postcardiac arrest care begins in the Emergency Department. This article reviews the evidence and offers treatment strategies for the key components of postcardiac arrest care.

摘要

仅在北美，每年就有超过30万人遭受心脏骤停。在过去十年中，系统、规范的复苏后护理取得的进展降低了特定患者群体的死亡率，并改善了神经学预后。心脏骤停后护理现在已成为生存链中的一个独立环节。对于大多数患者来说，高质量的心脏骤停后护理始于急诊科。本文回顾了相关证据，并为心脏骤停后护理的关键组成部分提供了治疗策略。