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第1部分:执行摘要:《2025年美国心脏协会心肺复苏及心血管急救指南》

Part 1: Executive Summary: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

作者信息

Del Rios Marina, Bartos Jason A, Panchal Ashish R, Atkins Dianne L, Cabañas José G, Cao Dazhe, Dainty Katie N, Dezfulian Cameron, Donoghue Aaron J, Drennan Ian R, Elmer Jonathan, Hirsch Karen G, Idris Ahamed H, Joyner Benny L, Kamath-Rayne Beena D, Kleinman Monica E, Kurz Michael C, Lasa Javier J, Lee Henry C, McBride Mary E, Raymond Tia T, Rittenberger Jon C, Schexnayder Stephen M, Szyld Edgardo, Topjian Alexis, Wigginton Jane G, Previdi Jeanette K

出版信息

Circulation. 2025 Oct 21;152(16_suppl_2):S284-S312. doi: 10.1161/CIR.0000000000001372. Epub 2025 Oct 22.

Abstract

This executive summary provides an overview of the , which is organized around the Utstein Formula for Survival and provides updated recommendations aimed at improving survival rates and neurological outcomes following cardiac arrest. This executive summary outlines key changes, emphasizing the importance of high-quality chest compressions, early defibrillation, and the integration of advanced resuscitation techniques. These Guidelines also highlight critical post-cardiac arrest care strategies, including targeted temperature management and hemodynamic stabilization. Additionally, they stress the need for population-specific resuscitation approaches, particularly for pediatric patients, pregnant individuals, and individuals with cardiac arrest due to special circumstances. A strong focus is placed on continuous training and education for both medical professionals and lay rescuers to enhance the implementation and effectiveness of these lifesaving interventions. The 2025 Guidelines also highlight the importance of an integrated system of people, protocols, policies, and resources to achieve quality improvement in cardiac arrest care. An overview of ethical considerations relevant to emergency cardiovascular care, resuscitation, and approaches to decision-making surrounding cardiac arrest is also included. By following these updated recommendations, the American Heart Association seeks to optimize resuscitation efforts and improve patient outcomes in cardiac emergencies.

摘要

本执行摘要概述了[具体内容未给出],其围绕乌斯坦生存公式进行组织,并提供了旨在提高心脏骤停后生存率和神经功能转归的最新建议。本执行摘要概述了关键变化,强调了高质量胸外按压、早期除颤以及先进复苏技术整合的重要性。这些指南还突出了心脏骤停后关键的护理策略,包括目标温度管理和血流动力学稳定。此外,它们强调了针对特定人群的复苏方法的必要性,特别是对于儿科患者、孕妇以及因特殊情况发生心脏骤停的个体。重点大力强调了对医学专业人员和非专业救援人员进行持续培训和教育,以加强这些救生干预措施的实施和效果。2025年指南还强调了人员、规程、政策和资源综合系统对于实现心脏骤停护理质量改进的重要性。其中还包括了与紧急心血管护理、复苏以及围绕心脏骤停的决策方法相关的伦理考量概述。通过遵循这些更新的建议,美国心脏协会力求优化心脏紧急情况中的复苏努力并改善患者结局。

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