The need for improving access to emergency care through community involvement in low- and middle-income countries: A case study of cardiac arrest in Hanoi, Vietnam
The need for improving access to emergency care through community involvement in low- and middle-income countries: A case study of cardiac arrest in Hanoi, Vietnam
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DOI：
10.1111/1742-6723.13134
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发表时间：
2018-12-01
影响因子：
2.3
通讯作者：
Sakamoto, Tetsuya
中科院分区：
文献类型：
--
作者：
Hoang, Bui Hai;Dao, Xuan Dung;Sakamoto, Tetsuya
院外心脏骤停患者需要旁观者和紧急医疗服务（EMS）的立即干预。然而，在许多低收入和中等收入国家（LMIC），目睹心脏骤停的旁观者很少进行胸外按压和联系EMS。本文试图从一例心脏骤停患者中吸取教训，该患者本可以通过立即干预存活下来。一名40岁男子在建筑工地触电身亡。他的同事立即通过出租车将他送往医院，没有进行胸外按压。在医院，他表现出心室颤动;复苏尝试失败，他死亡。电击引起的心室颤动是一种良性的心脏骤停。立即胸外按压和迅速除颤可增加存活机会。我们讨论了为什么旁观者没有进行复苏或联系EMS的原因，并确定了改善LMIC院前护理的方法。
Out-of-hospital cardiac arrest patients require immediate interventions by bystanders and emergency medical services (EMS). However, in many low- and middle-income countries (LMIC), bystanders witnessing a cardiac arrest rarely perform chest compressions and contact EMS. This paper attempts to draw lessons from a case of a patient with a cardiac arrest who could have survived with immediate interventions. A 40 year old man collapsed following electrocution at a construction site. His colleagues immediately transferred him to hospital via taxi, without performing chest compressions. At the hospital he showed ventricular fibrillation; resuscitation attempts failed and he died. Ventricular fibrillation due to electrocution is a benign type of cardiac arrest. The chance of survival increases with immediate chest compressions and prompt defibrillation. We discuss the reasons why the bystanders did not perform resuscitation or contact EMS and identify approaches for the improvement of pre-hospital care in LMICs.