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溺水管理

Drowning Management.

作者信息

Parenteau Michael, Stockinger Zsolt, Hughes Stephen, Hickey Brad, Mucciarone James, Manganello Christopher, Beeghly Andrew

机构信息

Joint Trauma System, 3698 Chambers Pass, Joint Base San Antonio, Fort Sam Houston, TX.

出版信息

Mil Med. 2018 Sep 1;183(suppl_2):172-179. doi: 10.1093/milmed/usy136.

Abstract

Highly skilled swimmers and aquatically adaptable service members such as U.S. Navy Divers, Sea, Air and Land (SEAL) Teams, and Explosive Ordnance Disposal (EOD) technicians, die every year from drowning. Drowning is the cause of over 500,000 deaths annually across the globe. This Clinical Practice Guideline (CPG) provides an overview of drowning and associated conditions based on the best available current medical evidence. Unlike basic life support and advanced cardiac life support protocols, rescue breathing should be initiated prior to chest compressions to re-expand water-filled alveoli. These guidelines should be used as a standardized framework to guide first responders, prehospital emergency medical service personnel, and medical department personnel in evaluating, diagnosing, and managing common in water pathologies.

摘要

技艺高超的游泳者以及具备良好水上适应能力的军人,如美国海军潜水员、海豹突击队队员和爆炸物处理技术员,每年都有人溺水身亡。溺水是全球每年超过50万人死亡的原因。本临床实践指南(CPG)基于当前可得的最佳医学证据,概述了溺水及相关情况。与基本生命支持和高级心脏生命支持方案不同,应在进行胸外按压之前先进行人工呼吸,以使充满水的肺泡重新扩张。这些指南应用作标准化框架,以指导急救人员、院前急救医疗服务人员和医疗部门人员评估、诊断和处理常见的水上病症。

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