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The impact of prehospital resuscitation research on in-hospital care

机译:院前复苏研究对院内护理的影响

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Since their introduction over 40 years ago, paramedics have been trained to deliver select advanced life support interventions in the community with the goal of reducing morbidity and mortality from cardiovascular disease and trauma. The ensuing decades witnessed a great deal of interest in paramedic care, with an exponential growth in prehospital resuscitation research. As part of the CJEM series on emergency medical services (EMS), we review recent prehospital research in out-of-hospital cardiac arrest and discuss how, in a novel departure from the origins of EMS, prehospital research is beginning to influence in-hospital care. We discuss emerging areas of study related to cardiopulmonary resuscitation (CPR) quality, therapeutic hypothermia, termination of resuscitation, and the use of end-tidal carbon dioxide measurement, as well as the subtle ripple effects that prehospital research is having on the broader understanding of the management of these critically ill patients.
机译:自从40多年前引入以来,医护人员经过培训,可以在社区中提供精选的先进生命支持干预措施,以降低心血管疾病和创伤的发病率和死亡率。在随后的几十年中,人们对医护人员的兴趣浓厚,院前复苏研究呈指数级增长。作为CJEM紧急医疗服务(EMS)系列的一部分,我们回顾了院外心脏骤停的近期院前研究,并讨论了如何以新颖的方式偏离EMS的起源,院前研究如何开始影响院内关心。我们讨论了与心肺复苏(CPR)质量,治疗性体温过低,复苏的终止以及潮气中二氧化碳测量的使用有关的新兴研究领域,以及院前研究对更广泛理解的细微涟漪效应这些重症患者的治疗。

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