复苏后护理——一些注意事项及行动呼吁。
Post resuscitation care--some words of caution and a call for action.
作者信息
Søreide Eldar, Larsen Alf Inge
机构信息
Department of Anaesthesiology and Intensive Care, Stavanger University Hospital, Stavanger, Norway.
Department of Clinical Medicine, University of Bergen, Bergen, Norway.
出版信息
Scand J Trauma Resusc Emerg Med. 2015 Nov 4;23:89. doi: 10.1186/s13049-015-0167-2.
Abstract
This fall the European Resuscitation Council (ERC) and the European Cardiology Society (ESC) publish updated post resuscitation care guidelines. For these guidelines to have an impact they must be implemented into daily clinical practice. Newer studies imply that differences in hospital care explain much of the observed differences in survival after out-of-hospital cardiac arrest. A recent Nordic (Denmark, Finland, Iceland, Norway, Sweden) survey suggests worrisome variations in post resuscitation care provided and should urge us all to act in the coming years. One important step will be to build up resuscitation systems with integrated cardiac arrest centres in all the 5 Nordic countries and benchmark process of care, financial implications and survival.
摘要
今年秋季，欧洲复苏委员会（ERC）和欧洲心脏病学会（ESC）发布了更新后的复苏后护理指南。为使这些指南产生影响，必须将其应用于日常临床实践中。最新研究表明，医院护理的差异在很大程度上解释了院外心脏骤停后观察到的生存差异。最近一项北欧（丹麦、芬兰、冰岛、挪威、瑞典）的调查显示，复苏后护理存在令人担忧的差异，这应促使我们所有人在未来几年采取行动。重要的一步将是在所有5个北欧国家建立配备综合心脏骤停中心的复苏系统，并对护理流程、财务影响和生存率进行基准评估。
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