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OUT WITH THE OLD: Crew resource management can improve efficiency

机译：与时俱进：机组人员资源管理可以提高效率

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摘要

The patient is in cardiac arrest. Bystanders began CPR prior to EMS arrival and the estimated down time for the patient is less than 10 minutes. On scene, there's an ambulance crew with an EMT and a paramedic. The volunteer fire department also responds with two EMTs, one of whom just obtained their initial certification.Upon arrival, the EMS team takes over CPR and performs it via accepted guidelines: hard and fast at 100 compressions per minute. A few times, the paramedic has to remind the new EMT to push faster. Pulses can be felt with compressions, so the paramedic elects to intubate the patient, which allows for continual compressions and measurement of waveform capnography, and the initial reading is 12 mmHg. The patient is defibrillated twice and receives a total of 3 mg of epi-nephrine and 300 mg of amiodorone via IV.
机译：患者处于心脏骤停状态。旁观者在EMS到达之前开始进行心肺复苏术，估计患者的停机时间少于10分钟。在现场，有一辆带有EMT和救护人员的救护人员。志愿消防部门还响应了两个EMT，其中一个刚刚获得了初始认证.EMS到达后，EMS团队接管了CPR，并按照公认的准则执行了CPR：以每分钟100次压缩的速度快速进行。几次，医护人员不得不提醒新的EMT加快速度。按压可感觉到脉搏，因此护理人员选择向患者插管，从而可以连续按压并测量波形二氧化碳图，初始读数为12 mmHg。对该患者进行两次除纤颤，并通过静脉注射总共接受3毫克表肾肾上腺素和300毫克胺碘酮。

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