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[2018年中国心肺复苏培训全国共识]

[2018 National consensus on cardiopulmonary resuscitation training in China].

作者信息

Wang Lixiang, Meng Qingyi, Yu Tao

机构信息

Emergency Center, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China (Wang LX); Department of Emergency, Chinese PLA General Hospital, Beijing 100853, China (Meng QY); Department of Emergency, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, Guangdong, China (Yu T). Corresponding author: Wang Lixiang, Email:

出版信息

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2018 May;30(5):385-400. doi: 10.3760/cma.j.issn.2095-4352.2018.05.001.

Abstract

To promote the technical training and scientific popularization of cardiopulmonary resuscitation (CPR) in China, the Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Association combined with the Science Popularization Branch of the Chinese Medical Association wrote "2018 National consensus on cardiopulmonary resuscitation training in China". The formation was based on the general outline about "2016 National consensus on cardiopulmonary resuscitation in China", and to implement the important strategies included the "three pre" policy, prevention, precognition, and pre-warning, before the cardiac arrest (CA); the "three modernization" methods, standardized, diversified and individualized, during the CA; and the "three life" strategies, the rebirth, the extra and the extended, after the CA; and also combined with the concrete National conditions and clinical practice of China area. The document summarized the evidence of published science about CPR training till now, and recommend the establishment of "the CPR Training Triangle" according to the Chinese National conditions. The bases of the triangle were system, training and person, the core of which was CPR science. The main contents were: (1) The "three training" policy for CPR training: the cultivation of a sound system, which included professional credibility, extensive mobilization and continuous driving force, and the participation of the whole people and continuous improvement; the cultivation of scientific guidelines, which included scientific content, methods and thinking; and the cultivation of a healthy culture, which included the enhancement of civic quality, education of rescue scientifically, and advocate of healthy life. (2) The "three training" program of CPR training: training professional skills, which included standard, multiple, and individual skills; training multidimensional, which included time, space, and human; and training flexible, including problem, time, and innovation oriented. (3) The "three party" direction of CPR training, the application for achievement translation, which included scientific translations, skill propagators, and cultural advocates; the precision disseminators, which included accurate communication sources, channels, and dissemination of the audience; and theoretical innovation guides, which included scientific, popular science and communication theory. That integrated the wisdom of scholars, melt the thought of genius, and created the act of envoy for Chinese and foreign CPR training. The training program should be suitable for different trainee, no matter who is trainer or trainee. The release of the expert consensus on the 2018 CPR training will make the National CPR education into the new training era with definite direction, clear target and fully standard of China.

摘要

为推动我国心肺复苏(CPR)技术培训与科普工作,中国研究型医院学会心肺复苏专业委员会联合中华医学会科普分会编写了《2018中国心肺复苏培训全国专家共识》。其形成基于《2016中国心肺复苏专家共识》大纲,并贯彻心脏骤停(CA)前“三预”策略,即预防、预知、预警;CA期间“三化”方法,即标准化、多元化、个体化;CA后“三生”策略,即重生、超生、延生,同时结合我国具体国情与临床实际。该文件总结了迄今已发表的关于CPR培训的科学证据,并根据我国国情建议建立“心肺复苏培训三角”。三角的基础是体系、培训和人,其核心是心肺复苏科学。主要内容包括:(1)心肺复苏培训的“三培”策略:培养完善体系,包括专业公信力、广泛动员和持续驱动力以及全民参与和持续改进;培养科学指南,包括科学内容、方法和思维;培养健康文化,包括提升公民素质、科学急救教育和倡导健康生活。(2)心肺复苏培训的“三训”方案:培训专业技能,包括规范、多样和个性化技能;多维培训,包括时间、空间和人员;灵活培训,包括问题导向、时间导向和创新导向。(3)心肺复苏培训的“三方”方向,成果转化应用,包括科学转化、技能传播者和文化倡导者;精准传播者一方,包括准确的传播源、渠道和受众传播;理论创新引领者一方,包括科学、科普和传播理论。融合学者智慧,汇聚天才思想,打造中外心肺复苏培训的使者行动。该培训方案应适用于不同学员,无论其是培训者还是被培训者。《2018心肺复苏培训专家共识》的发布将使我国心肺复苏教育进入方向明确、目标清晰、标准完备的新培训时代。

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