Johnson Peter N, Mitchell-Van Steele Amy, Nguyen Amy L, Stoffella Sylvia, Whitmore J Maria
J Pediatr Pharmacol Ther. 2018 Nov-Dec;23(6):502-506. doi: 10.5863/1551-6776-23.6.502.
The Pediatric Pharmacy Advocacy Group (PPAG) understands the dilemma and varying factors that many institutions face concerning the routine participation of pharmacists in emergency resuscitation events. Acknowledging these obstacles, the PPAG encourages all institutions to strongly consider creating, adopting, and upholding policies to address pharmacists' participation in cardiopulmonary resuscitation (CPR) as evidenced by the impact pharmacist participation has shown on the reduction of hospital medication error and mortality rates in children. The PPAG advocates that pharmacists be actively involved in the institution's CPR, medical emergency team committees, and preparation of emergency drug kits and resuscitation trays. The PPAG advocates that all institutions requiring a pharmacist's participation in CPR events consider adoption of preparatory training programs. Although the PPAG does not advocate any one specific program, consideration should be taken to ensure that pharmacists are educated on the pharmacotherapy of drugs used in the CPR process, including but not limited to basic life support, Advanced Cardiac Life Support, and Pediatric Advanced Life Support algorithms; medication preparation and administration guidelines; medication compatibility; recommended dosing for emergency medications; and familiarity with the institutional emergency cart.
儿科药学倡导组织(PPAG)理解许多机构在药师常规参与紧急复苏事件方面所面临的困境及各种因素。认识到这些障碍后,PPAG鼓励所有机构认真考虑制定、采用并坚持相关政策,以解决药师参与心肺复苏(CPR)的问题,药师参与对减少儿童医院用药错误和死亡率所产生的影响就证明了这一点。PPAG主张药师应积极参与机构的心肺复苏、医疗急救团队委员会以及急救药箱和复苏托盘的准备工作。PPAG主张所有要求药师参与心肺复苏事件的机构考虑采用预备培训项目。虽然PPAG并不倡导某一个特定项目,但应考虑确保药师接受关于心肺复苏过程中所用药物的药物治疗方面的教育,包括但不限于基础生命支持、高级心血管生命支持和儿科高级生命支持算法;药物制备和给药指南;药物配伍;急救药物的推荐剂量;以及熟悉机构的急救推车。