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首页> 外文期刊>Current opinion in anaesthesiology >Doing a few things right.
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Doing a few things right.

机译：做正确的事。

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The new resuscitation guidelines were awaited at the end of 2005 with tension and excitement - it was almost as emotionally charged as the publication of the latest Harry Potter novel. In the first few hours after the guidelines were released, the European Resuscitation Council's servers were completely overloaded and crashed several times as a result. This is not a phenomenon that has been noted with any other medical guidelines - plenty of which are currently available!The example illustrates very clearly the dilemma in which emergency medicine is currently caught up. It is extremely difficult to carry out scientifically high-quality investigations in emergency medicine in humans - in the context of prospective, randomized studies, for example - and such studies are therefore extremely rare. This is why only a few first-class publications are sufficient to initiate a radical paradigm shift . Parts of existing strategies - and sometimes even the whole of them -are called into question in the process.The 2005 slogan 'back to the basics', or rather the philosophy behind it, goes to the heart of the matter here - and not only in the field of resuscitation. Rigorous simplification is the first step needed to implement emergency medicine expertise on a broad front. This is all the more important for laypeople, as emergency medicine always means working in conditions of extreme stress. The educational strategies used to communicate information in the field of lay resuscitation, therefore, have to be adapted even more rigorously to what is practicably feasible. As I see it, more people could be saved if almost everyone were to carry out pure cardiac compression . Recent data are available on this topic, and these data are already being debated. It may perhaps be time to teach resuscitation even more simply - and to teach it to people at an early age, in every single school. I would like to thank Jerry P. Nolan here for his comments on the subject (pp. 194-199), as someone familiar with the scene.
机译：新的复苏指南在2005年底因紧张和激动而等待着-与最新哈里波特小说的出版一样，它在情感上受到了强烈的指责。准则发布后的最初几个小时内，欧洲复苏委员会的服务器完全超载，因此崩溃了几次。这不是任何其他医学指南都已注意到的现象-目前有许多指南可供使用！该示例非常清楚地说明了当前急诊医学陷入困境的困境。在人类的急诊医学中，进行科学，高质量的研究极其困难-例如在前瞻性随机研究的背景下-因此此类研究极为罕见。这就是为什么只有少数一流的出版物足以引发根本性范式转变的原因。现有策略的一部分-有时甚至是全部策略-在此过程中受到质疑.2005年的口号``回归基础''，或者更确切地说是其背后的哲学，在这里成为问题的核心-而不仅仅是在复苏领域。严格简化是在广泛领域实施急诊医学专业知识所需的第一步。对于外行人而言，这尤为重要，因为急诊医学总是意味着要在极端压力下工作。因此，在非常规复苏领域中用于交流信息的教育策略必须更加严格地适应实际可行的方法。如我所见，如果几乎每个人都进行纯心脏压迫，那么可以挽救更多的人。有关此主题的最新数据可用，并且这些数据已经在辩论中。也许现在该是时候更简单地讲授复苏术了，并在每所学校中向年龄较轻的人教授复苏术。我要感谢杰里·P·诺兰（Jerry P. Nolan）作为熟悉场景的人对这个问题的评论（第194-199页）。

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