使用摄像机记录对比心肺复苏技术
Comparison of cardiopulmonary resuscitation techniques using video camera recordings.
作者信息
Mann C J, Heyworth J
机构信息
Accident and Emergency Department, Queen Alexandra Hospital, Cosham, Portsmouth, United Kingdom.
出版信息
J Accid Emerg Med. 1996 May;13(3):198-9. doi: 10.1136/emj.13.3.198.
OBJECTIVE
To use video recordings to compare the performance of resuscitation teams in relation to their previous training in cardiac resuscitation.
METHODS
Over a 10 month period all cardiopulmonary resuscitations carried out in an accident and emergency (A&E) resuscitation room were videotaped. The following variables were monitored: (1) time to perform three defibrillatory shocks; (2) time to give intravenous adrenaline (centrally or peripherally); (3) the numbers and grade of medical and nursing staff involved in the resuscitation; (4) the experience and training of these personnel.
RESULTS
Of 101 resuscitations recorded, 69 were carried out by the A&E team alone and 32 by the hospital cardiac arrest team. Resuscitation procedures were carried out significantly more rapidly by the former. Skills and protocols were most effectively used when the resuscitation team was led by an experienced doctor who had received specific training in cardiopulmonary resuscitation, that is, Advanced Life Support course (ALS) or Advanced Cardiac Life Support course (ACLS). Such an individual was always present at A&E team resuscitations but in only 6% of cardiac arrest team resuscitations.
CONCLUSIONS
ALS course completion should be regarded as a vital part of the training of any doctor involved in cardiopulmonary resuscitation.
目的
使用录像来比较复苏团队在心脏复苏方面与其先前培训相关的表现。
方法
在10个月期间，对在急诊（A&E）复苏室进行的所有心肺复苏进行录像。监测以下变量：（1）进行三次除颤电击的时间；（2）给予静脉注射肾上腺素（中心或外周）的时间；（3）参与复苏的医护人员数量和级别；（4）这些人员的经验和培训情况。
结果
在记录的101次复苏中，69次由急诊团队单独进行，32次由医院心脏骤停团队进行。前者进行复苏程序的速度明显更快。当复苏团队由接受过心肺复苏特定培训（即高级生命支持课程（ALS）或高级心脏生命支持课程（ACLS））的经验丰富的医生领导时，技能和方案得到了最有效的运用。这样的人员在急诊团队复苏时总是在场，但在心脏骤停团队复苏中仅占6%。
结论
完成ALS课程应被视为参与心肺复苏的任何医生培训的重要组成部分。
Zotero 插件