摘要
心脏骤停是全球范围内最严重的急危重症之一.建立科学、高效、可及的区域协同救治体系对于改善院外心脏骤停患者生存结局至关重要,社区/目击者现场、院前急救中心、医院急诊科三个子系统间的信息、服务、资源协同是体系建设的关键.体系建设的基本思路应以急救医疗资源的供需匹配为基本出发点,将院前与院内服务的有效衔接作为核心环节,同时以数据信息平台的互联互通为重要载体,为院外心脏骤停患者提供快速、连续、优质的综合性救治.当前我国在心肺复苏高质量实施规范、自动体外除颤仪精准配置与有效使用、院前快速响应调度能力、院前院内无缝衔接的标准化救治流程等方面存在较大的改进空间,应从制度安排、政策设计、技术应用、实证研究等各个层面综合完善,形成系统的建设方案.
Abstract
Cardiac arrest is one of the most acute illnesses worldwide.Establishing a scientific,efficient,and accessible regional collaborative treatment system is crucial for improving the survival outcomes of out-of-hospital cardiac arrest patients.The collaboration of information,services,and resources among the three subsystem,including community/witness site,pre-hospital emergency center,and hospital emergency department is the key to building this system.The fundamental idea of system construction should start with the supply-demand matching of emergency medical resources,with effective linkage between pre-hospital and in-hospital services as the core element.Additionally,the interconnection and interoperability of data information platforms should serve as an important carrier to provide fast,continuous,and high-quality comprehensive treatment for out-of-hospital cardiac arrest patients.Currently,there is significant room for improvement in China regarding the high-quality implementation of CPR standards,precise deployment and effective use of automated external defibrillators,rapid pre-hospital response and dispatch capabilities,and standardized treatment processes for seamless pre-hospital and in-hospital connections which should be comprehensively improved from various aspects such as institutional arrangement,policy design,technology application,and empirical research to form a systematic construction plan.
维普
万方数据