Corresponding author: Zhang Sisen, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2019 Mar;31(3):257-263. doi: 10.3760/cma.j.issn.2095-4352.2019.03.001.
To promote the clinical treatment technical training and popularization of traumatic shock and cardiac arrest, Health Emergency Committee of Chinese Research Hospital Association, Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Association, Cardiopulmonary Resuscitation Specialized Committee of Henan Hospital Association jointly established "Chinese expert consensus on the clinical application of innovative first-aid resuscitation technology for traumatic shock in 2019". This consensus has solved the problem of volume resuscitated gel mix and ratio in the emergency situation of pre-hospital transfusion and blood products unable to be used in traumatic shock. Hypertonic gel compound liquid can treat traumatic shock with small dosage and good effect of stabilizing blood pressure, which can replace whole blood and other blood products, improve the safety of transport to hospital, and provide an opportunity for life-saving surgery. At the same time, abdominal lifting and compression cardiopulmonary resuscitation (CPR) has solved the difficulty of treating patients with post-traumatic cardiac arrest who cannot perform traditional chest compressive CPR, and greatly improved the success rate of pre-hospital treatment for patients with traumatic shock. In view of the actual demand of emergency medical treatment in China and the contraband of chest CPR for chest trauma, the combination of "administration, production, study, research and application" was adopted, and the abdominal lifting and compression CPR was successfully developed and popularized. This expert consensus summarized the scientific evidence on traumatic shock and traumatic cardiac arrest published at home and abroad so far, and put forward the expert consensus on the clinical application of innovative first-aid resuscitation technology for traumatic shock based on Chinese national conditions. This consensus incorporated the wisdom and philosophy of Chinese and foreign scholars in the training of traumatic shock and CPR, and would certainly make the training of traumatic shock and cardiac arrest in China entering a new stage with strong pertinence, quick onset, few side effects and high treatment rate.
为促进创伤性休克和心脏骤停临床治疗技术的培训与普及，中国研究型医院学会卫生应急委员会、中国研究型医院学会心肺复苏专业委员会、河南省医院协会心肺复苏专业委员会于2019年联合制定了《创伤性休克创新急救复苏技术临床应用中国专家共识》。该共识解决了创伤性休克院前输血及血制品无法使用的紧急情况下液体复苏的量、混合液及比例问题。高渗凝胶复合液治疗创伤性休克用量小、稳定血压效果好，可替代全血等血制品，提高转运至医院的安全性，为挽救生命的手术提供机会。同时，腹部提压心肺复苏解决了创伤后心脏骤停患者无法进行传统胸外按压心肺复苏的治疗难题，大幅提高了创伤性休克患者院前救治成功率。针对我国急诊医疗实际需求及胸部创伤不宜进行胸外心肺复苏的情况，采用“产、学、研、用”相结合的方式，成功研发并推广了腹部提压心肺复苏。本专家共识总结了目前国内外已发表的关于创伤性休克及创伤性心脏骤停的科学证据，提出了基于我国国情的创伤性休克创新急救复苏技术临床应用专家共识。该共识融入了中外学者在创伤性休克及心肺复苏培训方面的智慧与理念，必将使我国创伤性休克及心脏骤停的培训进入一个针对性强、起效快、副作用少、治愈率高的新阶段。
