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院外心脏骤停中的药物治疗

Drugs in Out-of-Hospital Cardiac Arrest.

作者信息

Satty Timothy, Martin-Gill Christian

机构信息

Department of Emergency Medicine, University of Pittsburgh School of Medicine, Iroquois Building, Suite 400A, 3600 Forbes Avenue, Pittsburgh, PA 15261, USA.

Department of Emergency Medicine, University of Pittsburgh School of Medicine, Iroquois Building, Suite 400A, 3600 Forbes Avenue, Pittsburgh, PA 15261, USA.

出版信息

Cardiol Clin. 2018 Aug;36(3):357-366. doi: 10.1016/j.ccl.2018.03.003. Epub 2018 Jun 7.

Abstract

Managing out-of-hospital cardiac arrest involves unique challenges, including delays in the initiation of advanced interventions and a limited number of trained personnel on scene. Recent out-of-hospital randomized controlled trials, systematic reviews, and metaanalyses provide key insights into what interventions are best proven to positively impact patient outcomes from out-of-hospital cardiac arrest. We review the literature on medications used in out-of-hospital cardiac arrest and summarize evidence-based guidelines from the American Heart Association that form the basis for most emergency medical services cardiac arrest protocols across the United States.

摘要

院外心脏骤停的管理面临着独特的挑战,包括高级干预措施启动的延迟以及现场经过培训的人员数量有限。近期的院外随机对照试验、系统评价和荟萃分析为哪些干预措施最能有效改善院外心脏骤停患者的预后提供了关键见解。我们回顾了有关院外心脏骤停用药的文献,并总结了美国心脏协会基于证据的指南,这些指南构成了美国大多数紧急医疗服务心脏骤停预案的基础。

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