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欧洲复苏理事会 2021 指南:特殊情况下的心脏骤停。

European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances.

机构信息

Department of Anesthesiology, University Medical Center, Johannes Gutenberg-University Mainz, Germany.

Emergency Medical Services of the Hradec Králové Region, Hradec Králové, Czech Republic; Department of Anaesthesiology and Intensive Care Medicine, Charles University in Prague, University Hospital Hradec Králové, Hradec Králové, Czech Republic.

出版信息

Resuscitation. 2021 Apr;161:152-219. doi: 10.1016/j.resuscitation.2021.02.011. Epub 2021 Mar 24.

Abstract

These European Resuscitation Council (ERC) Cardiac Arrest in Special Circumstances guidelines are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. This section provides guidelines on the modifications required to basic and advanced life support for the prevention and treatment of cardiac arrest in special circumstances; specifically special causes (hypoxia, trauma, anaphylaxis, sepsis, hypo/hyperkalaemia and other electrolyte disorders, hypothermia, avalanche, hyperthermia and malignant hyperthermia, pulmonary embolism, coronary thrombosis, cardiac tamponade, tension pneumothorax, toxic agents), special settings (operating room, cardiac surgery, catheter laboratory, dialysis unit, dental clinics, transportation (in-flight, cruise ships), sport, drowning, mass casualty incidents), and special patient groups (asthma and COPD, neurological disease, obesity, pregnancy).

摘要

这些欧洲复苏理事会(ERC)特殊情况下心脏骤停指南是基于 2020 年心肺复苏科学国际共识和治疗建议制定的。本节提供了特殊情况下心脏骤停预防和治疗中基础生命支持和高级生命支持所需的修改指南;具体为特殊原因(缺氧、创伤、过敏反应、脓毒症、低/高钾血症和其他电解质紊乱、低体温、雪崩、高热和恶性高热、肺栓塞、冠状动脉血栓形成、心脏压塞、张力性气胸、毒剂)、特殊环境(手术室、心脏手术、导管实验室、透析室、牙科诊所、运输(飞行中、游轮)、运动、溺水、大规模伤亡事件)和特殊患者群体(哮喘和 COPD、神经系统疾病、肥胖症、妊娠)。

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