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首页> 外文期刊>Resuscitation. >Lightning, sudden cardiac death, simulation and an automated external defibrillator: the perfect storm.
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Lightning, sudden cardiac death, simulation and an automated external defibrillator: the perfect storm.

机译：闪电，心脏猝死，模拟和自动体外除颤器：完美的风暴。

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摘要

This is a report of an 11-year-old boy who had sudden cardiac death after a lightning strike while playing lacrosse at summer camp. The camp staff had performed weekly drills to prepare for various medical emergencies and quickly activated their "Emergency Activation System". The child received immediate cardiopulmonary resuscitation (CPR) and was defibrillated with an automated defibrillator (AED) within 3 min of becoming pulseless and was ultimately resuscitated after being defibrillated three times. A community ambulance with a defibrillator on board did not arrive until several minutes after the on-site team had achieved return of spontaneous circulation. In this report, we describe the clinical course of this patient; briefly review lightning injuries, other causes of sudden cardiac death in children and use of AEDs. Finally, we review how simulation has been used in this case and others as a mechanism to ensure preparedness for medical emergencies. This child is alive and well today because of these well-trained camp counselors. Their system of using simulation to maintain emergency readiness serves as an example for lay and professional medical providers alike.
机译：这是一个11岁男孩的报告，他在夏令营打长曲棍球时因雷击而猝死。营地工作人员每周进行演习，为各种医疗紧急情况做准备，并迅速启动了他们的“紧急启动系统”。这名儿童立即接受了心肺复苏（CPR），并在无脉搏后3分钟内用自动除颤器（AED）进行了除颤，并在3次除颤后最终得以复苏。直到现场团队实现自发性循环的几分钟后，才有一辆装有除颤器的社区救护车到达现场。在本报告中，我们描述了该患者的临床过程;简要回顾一下雷击伤害，儿童猝死的其他原因以及AED的使用。最后，我们回顾了在这种情况下以及其他情况下如何使用模拟作为确保医疗紧急情况准备的机制。由于这些训练有素的营地辅导员，这个孩子现在还活着，而且很好。他们使用模拟系统来维持紧急状态的系统，为非专业人士和专业医疗提供者提供了范例。

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