The Icahn School of Medicine at Mount Sinai, New York City, NY, United States of America; Center for Bioethics, Harvard Medical School, Boston, MA, United States of America.
Department of Anesthesia and Critical Care, The University of Chicago Medicine, Chicago, IL, United States of America.
Am J Emerg Med. 2022 Sep;59:118-120. doi: 10.1016/j.ajem.2022.07.006. Epub 2022 Jul 8.
Billions of travelers pass through airports around the world every year. Airports are a relatively common location for sudden cardiac arrest when compared with other public venues. An increased incidence of cardiac arrest in airports may be due to the large volume of movement, the stress of travel, or adverse effects related to the physiological environment of airplanes. Having said that, airports are associated with extremely high rates of witnessed arrests, bystander interventions (eg. CPR and AED use), shockable arrest rhythms, and survival to hospital discharge. Large numbers of people, a high density of public-access AEDs, and on-site emergency medical services (EMS) resources are probably the major reasons why cardiac arrest outcomes are so favorable at airports. The success of the chain of survival found at airports may imply that applying similar practices to other public venues will translate to improvements in cardiac arrest survival. Airports might, therefore, be one model of cardiac arrest preparedness that other public areas should emulate.
每年都有数十亿旅客通过世界各地的机场。与其他公共场所相比，机场是心脏骤停的相对常见地点。机场心脏骤停的发生率增加可能是由于大量的运动、旅行的压力，或与飞机生理环境相关的不良影响。话虽如此，机场与极高的目击逮捕率、旁观者干预（例如 CPR 和 AED 使用）、可电击的逮捕节律以及存活到出院相关。大量的人、高密度的公共访问 AED 和现场紧急医疗服务（EMS）资源可能是机场心脏骤停结果如此有利的主要原因。在机场发现的生存链的成功可能意味着将类似的做法应用于其他公共场所将转化为心脏骤停存活率的提高。因此，机场可能是其他公共区域应该效仿的心脏骤停准备的一个模式。
