Chow E A
Calif Med. 1967 Oct;107(4):319-22.
Results under a resuscitation program in a general hospital in which the entire house staff is capable of functioning as a team in emergency, bear out the effectiveness of prompt action in cardiopulmonary or other life-threatening emergencies. Such a program remains important in spite of the salutary trend toward coronary care units. Both emergency and definitive therapy must be accomplished without delay. A house staff is necessary for an effective emergency resuscitation program. Paramedical personnel must be instructed to recognize an emergency and immediately institute life-sustaining therapy. Definitive therapy must be applied as soon as possible. The entire house staff, rather than a specially organized team, should be trained in the techniques of definitive therapy. Consideration should be given to immediate defibrillation following diagnosis of cardiac arrest as an early step in definitive therapy.
在一家综合医院实施的复苏计划中,全体住院医师都能够在紧急情况下作为一个团队发挥作用,这证明了在心肺或其他危及生命的紧急情况中迅速采取行动的有效性。尽管冠心病监护病房有良好的发展趋势,但这样的计划仍然很重要。紧急治疗和确定性治疗都必须毫不拖延地完成。有效的紧急复苏计划需要住院医师。辅助医务人员必须接受培训,以识别紧急情况并立即实施维持生命的治疗。必须尽快进行确定性治疗。全体住院医师,而不是一个特别组织的团队,应该接受确定性治疗技术的培训。在诊断心脏骤停后应考虑立即进行除颤,作为确定性治疗的早期步骤。