查詢結果分析
來源資料
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頁籤選單縮合
| 題 名 | 2010年版美國心臟學會心肺復甦術準則之重大改變=Major Changes in the 2010 AHA Guidelines for CPR |
|---|---|
| 作 者 | 施美秀; 桑潁潁; 胡勝川; | 書刊名 | 榮總護理 |
| 卷 期 | 28:2 2011.06[民100.06] |
| 頁 次 | 頁213-218 |
| 分類號 | 415.22 |
| 關鍵詞 | 心肺復甦術; 心臟停止; Cardiopulmonary resuscitation; Cardiac arrest; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 美國心臟學會根據近年來的實證醫學研究結果,公佈了2010年版心肺復甦術(Cardiopulmonary Resuscitation, CPR)與緊急心臟照護(Emergency Cardiovascular Care, ECC)準則,並刊載於11月份Circulation雜誌,適逢CPR發展至今50年!顛覆五十年來急救時先建立呼吸道的準則,而改以「叫、叫、C-A-B」的流程,即施救者要儘快先確認心臟停止,將壓胸提前於吹氣前,即先壓胸(C-chest compression),然後打開呼吸道(A-airway),給予吹氣(B-breathing),以提早第一次壓胸的時間。不再以「看、聽、感覺」評估呼吸,不強調以評估脈搏當成是判斷心臟停止的方法,鼓勵未受訓練之民眾可提供純壓胸式CPR(hands-only CPR),以提高施救成功率。對高品質CPR也有更明確要求,如壓胸速率應「至少100下/每分鐘」,壓胸深度應「至少五公分」。期望藉由本文介紹,讓國內讀者之急救知能與國際同步,在急救實務上更能提供高品質的心肺復甦照護。 |
| 英文摘要 | American Heart Association (AHA) had published the 2010 guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) in Circulation based on recent evidence-based researches. The Guidelines emphasize the importance of immediate recognition of sudden cardiac arrest and consider the benefits of chest compression. A major change is to recommend the initiation of compressions before open airway. That is, a C-A-B process (compression, airway and breathing) leads to a shorter delay to first compression. Instead of "Look, Listen, and Feel" and checking the pulse to determine the breath, we encourage hands-only CPR for the lay-rescuer to improve the rescue rate. Moreover, a high-quality CPR has precise requirements. There should be at least 100 chest compressions per minute with a compression depth of 2 inches. We hope that our readers can obtain the latest information of resuscitation and provide high-quality CPR in practice. |
本系統中英文摘要資訊取自各篇刊載內容。