https://scholars.lib.ntu.edu.tw/handle/123456789/455779
標題: | Recommendations on ambulance cardiopulmonary resuscitation in basic life support systems | 作者: | Hock Ong M.E. Shin S.D. Sung S.S. Tanaka H. MATTHEW HUEI-MING MA Song K.J. Nishiuchi T. Leong B.S.-H. Karim S.A. Lin C.-H. Ryoo H.W. Ryu H.H. Iwami T. Kajino K. PATRICK CHOW-IN KO Lee K.W. Sumetchotimaytha N. Swor R. Myers B. Mackey K. McNally B. |
公開日期: | 2013 | 卷: | 17 | 期: | 4 | 起(迄)頁: | 491-500 | 來源出版物: | Prehospital Emergency Care | 摘要: | AbstractAim. Cardiopulmonary resuscitation (CPR) during ambulance transport can be a safety risk for providers and can affect CPR quality. In many Asian countries with basic life support (BLS) systems, patients experiencing out-of-hospital cardiac arrest (OHCA) are routinely transported in ambulances in which CPR is performed. This paper aims to make recommendations on best practices for CPR during ambulance transport in BLS systems. Methods. A panel consisting of 20 experts (including 4 North Americans) in emergency medical services (EMS) and resuscitation science was selected, and met over two days. We performed a literature review and selected 33 candidate issues in five core areas. Using Delphi methodology, the issues were classified into dichotomous (yes/no), multiple choice, and ranking questions. Primary consensus between experts was reached when there was more than 70% agreement. Questions with 60-69% agreement were made more specific and were submitted for a second round of voting. Results. The panel agreed upon 24 consensus statements with more than 70% agreement (2 rounds of voting). The recommendations cover the following: length of time on the scene; advanced airway at the scene; CPR prior to transport; rhythm analysis and defibrillation during transport; prehospital interventions; field termination of resuscitation (TOR); consent for TOR; destination hospital; transport protocol; number of staff members; restraint systems; mechanical CPR; turning off of the engine for rhythm analysis; alternative CPR; and feedback for CPR quality. Conclusion. Recommendations for CPR during ambulance transport were developed using the Delphi method. These recommendations should be validated in clinical settings. ? 2013 National Association of EMS Physicians. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/455779 | DOI: | 10.3109/10903127.2013.818176 | SDG/關鍵字: | ambulance; article; Delphi study; emergency health service; human; microclimate; out of hospital cardiac arrest; resuscitation; standard; emergency health service; Out-of-Hospital Cardiac Arrest; resuscitation; standards; Ambulances; Cardiopulmonary Resuscitation; Delphi Technique; Emergency Medical Services; Humans; Life Support Systems; Out-of-Hospital Cardiac Arrest; Ambulances; Cardiopulmonary Resuscitation; Delphi Technique; Emergency Medical Services; Humans; Life Support Systems; Out-of-Hospital Cardiac Arrest |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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