Swanson R W
Department of Family Medicine, University of Calgary, Canada.
Ann Emerg Med. 1993 Feb;22(2 Pt 2):350-3. doi: 10.1016/s0196-0644(05)80464-0.
CPR has been incorporated into emergency cardiac care with the evolution of both basic and advanced life support components. To date, however, the psychological issues associated with these skills have not been addressed. These issues include the psychological impact of failed resuscitation on the rescuer, the importance of breaking bad news is an empathetic and grief facilitating way to family members and the importance of emergency workers attending to their own feelings and health (critical incident debriefing). This paper describes ongoing research on the impact of CPR on the rescuer, discusses a method of talking to families after a loved one has suddenly died, and provides insights into the psychological dysfunctions that emergency personnel may be exposed to. The technique and importance of critical incident debriefing following an unsuccessful CPR attempt is discussed.
随着基础生命支持和高级生命支持组件的发展,心肺复苏术(CPR)已被纳入紧急心脏护理。然而,迄今为止,与这些技能相关的心理问题尚未得到解决。这些问题包括复苏失败对救援者的心理影响、以同理心和便于悲伤处理的方式向家庭成员传达坏消息的重要性,以及急救人员关注自身感受和健康的重要性(重大事件汇报)。本文描述了关于心肺复苏术对救援者影响的正在进行的研究,讨论了在亲人突然去世后与家属沟通的方法,并深入探讨了急救人员可能面临的心理功能障碍。还讨论了心肺复苏术尝试失败后进行重大事件汇报的技巧和重要性。