Improving outcome in out-of-hospital cardiac arrest: impact of bystander cardiopulmonary resuscitation and prehospital physician care

被引：0

作者：

Robert JH Jackson

Jerry P Nolan

机构：

[1] Intensive Care Medicine,

[2] Royal United Hospital NHS Trust,undefined

[3] Anaesthesia and Intensive Care Medicine,undefined

[4] Royal United Hospital NHS Trust,undefined

来源：

Critical Care | / 15卷

关键词：

Cardiac Arrest; Emergency Medical Service; Cerebral Performance Category; Good Neurological Outcome; Advanced Cardiac Life Support;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Evidence for the impact of prehospital, physician-delivered advanced cardiac life support (ACLS) on survival from out-of-hospital cardiac arrest is conflicting. The prospective observational study by Yasunaga and co-workers demonstrates an improved survival at 1 month associated with prehospital physician-delivered ACLS over emergency life-saving technician-delivered ACLS. These effects are additive to the survival benefit seen with bystander-initiated cardiopulmonary resuscitation (BCPR) compared with no BCPR. The present commentary places these findings in the context of the existing literature and discusses some of the unresolved controversies.

引用

共 50 条

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Nolan, Jerry P.
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