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《美国心脏学会关于改善心肺复苏质量和预后共识声明》(2013)解读

曾皋1,郭树彬2   

  1. 作者单位:1.桂林医学院附属医院重症科,广西 桂林 541001;2.中国医学科学院 北京协和医院急诊科,北京 100730
  • 出版日期:2014-11-01 发布日期:2014-11-06
  • 通讯作者: 郭树彬
  • 作者简介:郭树彬,主任医师、教授、博士生导师,中国医学科学院北京协和医院急诊科副主任。兼任中国医师协会急诊医师分会副总干事,中华医学会灾难医学分会常务委员,中华医学会科普分会副主任委员等。

Interpretation of the consensus statement of 2013 from the American heart association on improving the quality and outcomes of cardiopulmonary resuscitation

ZENG Gao**,GUO Shu-bin.   

  1. *Department of ICU,Affiliated Hospital of Guilin Medical University,Guilin 541001,China
  • Online:2014-11-01 Published:2014-11-06

摘要:

2010年国际心肺复苏指南(指南)对于高质量心肺复苏(CPR)实施方法学做了许多重要推荐,然而各地各部门CPR质量存在的巨大差异驱使国际复苏学界就改善CPR质量与促进指南贯彻于实践达成2013年专家共识(共识)。有关CPR质量改进共识详细阐述了:(1)CPR实施质量的衡量指标;(2)患者对CPR的反应以及救援团队工作表现的监测和反馈;(3)救援团队的良好组织是复杂环境下实施高质量CPR的保障;(4)系统性的持续质量改进(CQI)。

关键词: 心肺复苏, 持续质量改进, 监测, 反馈

Abstract:

Abstract:The “2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care” increased the focus on methods to ensure that high-quality cardiopulmonary resuscitation (CPR) is performed in all resuscitation attempts.However,there is considerable variation in monitoring,implementation,and quality improvement.As such,CPR quality varies widely between systems and locations.This consensus statement addresses the following key areas of CPR quality for the trained rescuer:metrics of CPR performance;monitoring,feedback,and integration of the patient’s response to CPR;team-level logistics to ensure performance of high-quality CPR;and continuous quality improvement on provider,team,and systems levels.

Key words: cardiopulmonary resuscitation, continuous quality improvement, monitoring, feedback

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