Hou Lei, Wang Yumeng, Wang Wenlei
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Public Health School, Baotou Medical College, Baotou, Inner Mongolia Autonomous Region, China.
China CDC Wkly. 2022 Jan 21;4(3):52-55. doi: 10.46234/ccdcw2022.008.
Out-of-hospital cardiac arrest (OHCA) presents a significant public health challenge in China. A sharp contrast in survival rate after OHCA exists between China and more developed countries. Due to the short life-saving time window, emergency medical services (EMS) and bystanders peripheral to EMS are key contributors to survival after OHCA. Here we discuss limitations and challenges for current EMS in rescuing OHCA by reviewing requirements for EMS in China. We call for an updated public health-based pre-hospital rescue system that includes establishing a cardiac arrest registry, promoting a "Three Early's" campaign [early dialing of emergency hotline 120, early cardiopulmonary resuscitation (CPR), and early defibrillation], and operating a mechanism comprised of professional public health institutions (EMS, CDC, specialized disease prevention and control institutions, and health education institutions) as well as many governmental departments, such as healthcare, industry and information technology, and education, and non-governmental organizations, such as the Red Cross Society. Following the optimization of the pre-hospital rescue system and the participation of the whole population in self-rescue and mutual rescue, we believe that a dramatic improvement in OHCA survival will come about in China.
院外心脏骤停（OHCA）在中国是一项重大的公共卫生挑战。中国与较发达国家在OHCA后的生存率方面存在鲜明对比。由于救命时间窗短，紧急医疗服务（EMS）及EMS周边的旁观者是OHCA后生存的关键因素。在此，我们通过回顾中国对EMS的要求，探讨当前EMS在抢救OHCA方面的局限性和挑战。我们呼吁建立一个基于公共卫生的更新版院前急救系统，包括建立心脏骤停登记处、推动“三早”行动[尽早拨打急救热线120、尽早进行心肺复苏（CPR）和尽早除颤]，以及运行一个由专业公共卫生机构（EMS、疾控中心、专门疾病预防控制机构和健康教育机构）以及许多政府部门（如医疗、工业和信息技术、教育部门）和非政府组织（如红十字会）组成的机制。通过优化院前急救系统以及全体民众参与自救互救，我们相信中国OHCA的生存率将得到显著提高。
