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由远程调度员指导的电话心肺复苏:远程调度员指导算法的设计

Telephone-Cardiopulmonary Resuscitation Guided by a Telecommunicator: Design of a Guiding Algorithm for Telecommunicators.

作者信息

Yacobis-Cervantes Tamara Rafaela, García-Méndez Juan Antonio, Leal-Costa César, Castaño-Molina María Ángeles, Suárez-Cortés María, Díaz-Agea José Luis

机构信息

Faculty of Nursing, Cartagena Campus, Catholic University of Murcia, 30310 Cartagena, Spain.

Faculty of Nursing, Campus de Ciencias de la Salud, University of Murcia, 30120 Murcia, Spain.

出版信息

J Clin Med. 2023 Sep 10;12(18):5884. doi: 10.3390/jcm12185884.

DOI:10.3390/jcm12185884
PMID:37762824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10532037/
Abstract

BACKGROUND

Out-of-hospital cardiac arrest is considered a global problem. In the last few years, there has been a growing interest in telephone-cardiopulmonary resuscitation guided by a telecommunicator. Indeed, several studies have demonstrated that it increases the chances of survival rate. This study focuses on the key points the operator should follow when performing telephone-cardiopulmonary resuscitation. The main objective of this paper is to design an algorithm to improve the telephone-cardiopulmonary resuscitation response protocol.

METHODS

The available evidence and the areas of uncertainty that have not been previously mentioned in the literature are discussed. All the information has been analyzed by two discussion groups. Later, a consensus was reached among all members. Finally, a response algorithm was designed and implemented in clinical simulation.

RESULTS

All the witnesses were able to recognize the OHCA, call for emergency assistance, follow all the operator's instructions, move the victim, and place their hands in the correct position to perform CPR.

DISCUSSION

The results of the pilot study provide us a basis for further experimental studies using randomization and experimental and control groups.

CONCLUSIONS

No standardized recommendations exist for the operator to perform telephone-guided CPR. For this reason, a response algorithm was designed.

摘要

背景

院外心脏骤停被视为一个全球性问题。在过去几年中,由远程急救人员指导的电话心肺复苏术越来越受到关注。事实上,多项研究表明,它能提高存活率。本研究聚焦于操作人员在进行电话心肺复苏术时应遵循的关键点。本文的主要目的是设计一种算法,以改进电话心肺复苏反应预案。

方法

讨论了现有证据以及文献中先前未提及的不确定性领域。所有信息均由两个讨论小组进行分析。随后,所有成员达成了共识。最后,设计了一种反应算法并在临床模拟中实施。

结果

所有目击者都能够识别院外心脏骤停情况,呼叫紧急援助,遵循操作人员的所有指示,移动患者,并将手放在正确位置进行心肺复苏。

讨论

初步研究结果为我们使用随机分组以及实验组和对照组进行进一步实验研究提供了基础。

结论

对于操作人员进行电话指导的心肺复苏术,不存在标准化建议。因此,设计了一种反应算法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a480/10532037/7900f2b1bd06/jcm-12-05884-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a480/10532037/a04c761bdf3b/jcm-12-05884-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a480/10532037/7900f2b1bd06/jcm-12-05884-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a480/10532037/a04c761bdf3b/jcm-12-05884-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a480/10532037/7900f2b1bd06/jcm-12-05884-g002.jpg

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The Impact of Prehospital and Hospital Care on Clinical Outcomes in Out-of-Hospital Cardiac Arrest.院外心脏骤停时院前及院内护理对临床结局的影响
J Clin Med. 2022 Nov 20;11(22):6851. doi: 10.3390/jcm11226851.
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Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis.
音频指导和视频指导调度员辅助心肺复苏的结果:系统评价和荟萃分析。
Ann Med. 2022 Dec;54(1):464-471. doi: 10.1080/07853890.2022.2032314.
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Circulation. 2020 Oct 20;142(16_suppl_2):S337-S357. doi: 10.1161/CIR.0000000000000918. Epub 2020 Oct 21.
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