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The C. J. Shanaberger lecture: the evolution of prehospital cardiac care: 1966-2006 and beyond.

机译:C. J. Shanaberger演讲:院前心脏保健的演变:1966-2006年及以后。

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Prehospital cardiac care began 40 year ago. This lecture reviews the origins and evolution of prehospital emergency care for cardiac arrest. Several national and international guidelines have defined an evolving standard of care. The most recent guidelines, published in 2005, argue for a return to the basics and emphasize the importance of CPR and defibrillation. In 40 years we have learned much about the epidemiology of cardiac arrest and the factors associated with successful resuscitation. Timely CPR and defibrillation remain the cornerstones of successful therapy. A new role for EMS personnel may help identify at-risk patients and thus prevent future cardiac arrest. A pilot program, know as SPHERE (Supporting Public Health with Emergency Responders) is underway in King County, Washington. The goal is to identify patients with risk factors of high blood pressure or high blood glucose and motivate the patient to seek follow-up care. Several intervention strategies are being tested. Since EMS providers see up to 10% of the population in any given year the chance to identify at-risk patients provides a public health opportunity. of EMS Physicians and the National Association of State EMS Directors.
机译:院前心脏保健始于40年前。本讲座回顾了心脏骤停的院前急救护理的起源和演变。一些国家和国际准则已经定义了不断发展的护理标准。 2005年发布的最新指南主张恢复基础知识,并强调了心肺复苏和除颤的重要性。在40年中,我们已经学到了很多有关心脏骤停的流行病学以及与成功复苏相关的因素的知识。及时的心肺复苏术和除颤仍然是成功治疗的基础。 EMS人员的新角色可能有助于识别高危患者,从而防止将来发生心脏骤停。华盛顿州金县正在进行一项名为SPHERE(用紧急响应人员支持公共卫生)的试点计划。目的是确定患有高血压或高血糖危险因素的患者,并激发患者寻求后续护理。几种干预策略正在测试中。由于EMS提供者在任何给定的年份中都能看到多达10%的人口,因此识别高危患者的机会提供了公共卫生机会。 EMS医师和国家EMS局长协会。

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