The universal advanced life support algorithm: an advisory statement from the Advanced Life Support Working Group of the International Liaison Committee on Resuscitation.
The universal advanced life support algorithm: an advisory statement from the Advanced Life Support Working Group of the International Liaison Committee on Resuscitation.
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通用高级生命支持算法:国际复苏联络委员会高级生命支持工作组的咨询声明。
作者:
W. Kloeck;Richard O. Cummins;Douglas Chamberlain;Leo Bossaert;Victor Callanan;P. Carli;Jim Christenson;B. Connolly;Joseph P. Ornato;A. Sanders;P. Steen
Valid scientific evidence supports only three interventions as unequivocally effective in adult cardiac resuscitation:
The universal algorithm presents these interventions simplistically and recommends a specific sequence that rescuers should follow.
The sequence of interventions is based, whenever possible, on sound scientific information. But there is a paucity of convincing human data on some aspects of resuscitation. Until such time as new information becomes available, the working group made no changes to well-established procedures but suggested some modifications on educational rather than scientific grounds.
Cardiac arrest rhythms can be divided into two subsets: ventricular fibrillation/pulseless ventricular tachycardia (VF/VT) and non-VF/VT. Non-VF/VT incorporates both asystole and pulseless electrical activity (PEA). The only difference in management between the two arrest rhythms is the need for rescuers to perform defibrillation for patients in VF/VT. Otherwise the actions and interventions are essentially the same: basic CPR, tracheal intubation, epinephrine administration, and correction of reversible causes. …