Ng Yih Yng, Leong Siew Hon Benjamin, Ong Marcus Eng Hock
Singapore Civil Defence Force, Singapore.
Emergency Medicine Department, National University Health System, Singapore.
Singapore Med J. 2017 Jul;58(7):449-452. doi: 10.11622/smedj.2017059.
The role of the dispatch centre has increasingly become a focus of attention in cardiac arrest resuscitation. The dispatch centre is part of the first link in the chain of survival because without the initiation of early access, the rest of the chain is irrelevant. The influence of dispatch can also extend to the initiation of bystander cardiopulmonary resuscitation, early defibrillation and the rapid dispatch of emergency ambulances. The new International Liaison Committee on Resuscitation, the American Heart Association and, especially, the European Resuscitation Council 2015 guidelines have been increasing their emphasis on dispatch as the key to improving out-of-hospital cardiac arrest survival.
调度中心在心脏骤停复苏中的作用日益成为关注焦点。调度中心是生存链中首个环节的一部分,因为若不启动早期接入,生存链的其余部分便毫无意义。调度的影响还可延伸至旁观者心肺复苏的启动、早期除颤以及紧急救护车的快速调度。新的国际复苏联合委员会、美国心脏协会,尤其是欧洲复苏委员会2015年指南越来越强调调度是提高院外心脏骤停生存率的关键。