Part 7: Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Part 7: Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
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DOI：
10.1161/cir.0000000000000261
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发表时间：
2015-11-03
期刊：
影响因子：
37.8
通讯作者：
Donnino, Michael W.
中科院分区：
文献类型：
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作者：
Link, Mark S.;Berkow, Lauren C.;Donnino, Michael W.
基本生命支持(BLS)、高级心血管生命支持(ACLS)和心脏骤停后护理是便利的标签，每个标签都描述了一套在心脏骤停患者的治疗过程中顺序应用的技能和知识。随着每一阶段的护理进展到下一阶段，存在重叠，但一般情况下，ACLS包括BLS和心脏骤停后护理之间的护理水平。建议对院前和院内医疗护理的高级提供者进行ACLS培训。过去，许多关于复苏的数据都是从院外的心跳骤停中收集的，但近年来，也从院内的心跳骤停中收集了数据，以便对这两种情况下的心脏骤停和复苏进行比较。虽然有许多相似之处，但院内和院外心脏骤停的病因也有一些不同，这可能会导致推荐的复苏治疗或护理顺序的变化。考虑使用类固醇治疗院内心脏骤停(IHCA)与院外心脏骤停(UchA)是本部分讨论的一个例子。
Basic life support (BLS), advanced cardiovascular life support (ACLS), and post–cardiac arrest care are labels of convenience that each describe a set of skills and knowledge that are applied sequentially during the treatment of patients who have a cardiac arrest. There is overlap as each stage of care progresses to the next, but generally ACLS comprises the level of care between BLS and post–cardiac arrest care. ACLS training is recommended for advanced providers of both prehospital and in-hospital medical care. In the past, much of the data regarding resuscitation was gathered from out-of-hospital arrests, but in recent years, data have also been collected from in-hospital arrests, allowing for a comparison of cardiac arrest and resuscitation in these 2 settings. While there are many similarities, there are also some differences between in-and out-of-hospital cardiac arrest etiology, which may lead to changes in recommended resuscitation treatment or in sequencing of care. The consideration of steroid administration for in-hospital cardiac arrest (IHCA) versus out-ofhospital cardiac arrest (OHCA) is one such example discussed in this Part.