Kiss Domonkos, Fritúz Gábor, Kovács Enikő, Diószeghy Csaba
1 Magyar Resuscitatiós Társaság Budapest Magyarország.
2 Csolnoky Ferenc Kórház, Sürgősségi Betegellátó Osztály Veszprém Magyarország.
Orv Hetil. 2023 Mar 26;164(12):449-453. doi: 10.1556/650.2023.32724.
Survival of in-hospital cardiac arrests is still as low as 15-35%. Healthcare workers should closely monitor patients' vital signs, notice any deterioration, and initiate the necessary actions to prevent cardiac arrest. The introduction of early warning sign protocols (including the monitoring of respiratory rate, oxygen saturation, pulse, blood pressure, consciousness, etc.) can improve the recognition of periarrest patients during hospital stay. However, when a cardiac arrest occurs, healthcare workers should also be able to work in team and follow the relevant protocols delivering good quality chest compressions and early defibrillation. To achieve this goal, regular trainings, appropriate infrastructure and system-wide teamwork are needed. In this paper, we discuss the challenges of the first phase of in-hospital resuscitation and its integration into the hospital-wide medical emergency response system. Orv Hetil. 2023; 164(12): 449-453.
院内心脏骤停的存活率仍然低至15%-35%。医护人员应密切监测患者的生命体征,注意任何病情恶化情况,并采取必要措施预防心脏骤停。引入早期预警信号方案(包括监测呼吸频率、血氧饱和度、脉搏、血压、意识等)可以提高住院期间对心脏骤停前期患者的识别。然而,当发生心脏骤停时,医护人员还应能够团队协作并遵循相关方案,进行高质量的胸外按压和早期除颤。为实现这一目标,需要定期培训、适当的基础设施以及全系统的团队协作。在本文中,我们讨论了院内复苏第一阶段的挑战及其融入全院医疗应急响应系统的问题。《匈牙利医学周报》。2023年;164(12): 449-453。