Lee Chun Yue Francis, Anantharaman Venkataraman, Lim Swee Han, Ng Yih Yng, Chee Tek Siong, Seet Chong Meng, Ong Marcus Eng Hock
Acute and Emergency Care Centre, Khoo Teck Puat Hospital, Singapore.
Department of Emergency Medicine, Singapore General Hospital, Singapore.
Singapore Med J. 2017 Jul;58(7):354-359. doi: 10.11622/smedj.2017068.
The most common initial rhythm in a sudden cardiac arrest is ventricular fibrillation or pulseless ventricular tachycardia. This is potentially treatable with defibrillation, especially if provided early. However, any delay in defibrillation will result in a decline in survival. Defibrillation requires coordination with the cardiopulmonary resuscitation component for effective resuscitation. These two components, which form the key links in the chain of survival, have to be brought to the cardiac victim in a timely fashion. An effective chain of survival is needed in both the institution and community settings.
心脏骤停最常见的初始节律是心室颤动或无脉性室性心动过速。这有可能通过除颤进行治疗,尤其是在早期进行除颤时。然而,除颤的任何延迟都会导致生存率下降。除颤需要与心肺复苏部分进行协调以实现有效的复苏。这两个部分构成了生存链中的关键环节,必须及时提供给心脏骤停患者。无论是在医疗机构还是社区环境中,都需要一个有效的生存链。