To sudden heart stop (in front of the hospital Out-of Hospital Cardiac Arrest, OHCA ) has been a problem on health care. Of approximately two million cases occur each year, which occurred about a year Hsinchu County 400 names, non-pre-hospital trauma to the patient resting heartbeat. How perfect recovery and Save a Life is our goal, the American Heart Association put forward to the prehospital chain resting heartbeat of life. It must be the perfect front-end connection Hospital (enthusiastic people rescue, fire-side) and hospital care after discharge end, by mutual interlocking and dying pillow save lives, further good neurological outcome survived to hospital discharge.
The first ring: Early help focus
Rapid heartbeat stop and identify early distress as the main focus, but the report 119 Please do not hang up the phone immediately , China Fire Department repose case for pre-hospital heart, there are guidelines governing the informant entered into the dispatcher's rescue cardiopulmonary resuscitation ( Assisted CPR-the Dispatcher ). Dispatchers will be over the phone, online guide immediately begin cardiopulmonary resuscitation.
Second ring: Early CPR
CPR as soon as possible is one of the major factors to improve pre-hospital heart stop prognosis. Fire Department emergency ambulance arrived at the scene for about 5 to 10 minutes, this period of blank time, without receiving CPR, the survival rate will drop substantially and cause hypoxic brain damage, enthusiastic rescuer CPR will be given to can improve survival after the incident and to give a good neurological outcome. To encourage the behavior of the rescue, the Republic of China 102 completion of the upgrading emergency medical Method 14-2 bar, also known as a good person Samaliya terms, to the protection of the law.
The third ring: Please close companions immediately pick AED to analyze whether a shockable
Early defibrillation shock is the only way to reverse a shockable heart rate (ventricular fibrillation, pulseless ventricular tachycardia) means, and heartbeat stop in front of the hospital for about a quarter of patients in heart rhythm, heart and lungs with early rescue resuscitation, can effectively increase the proportion survived to hospital discharge. Also in the Republic of 102 completed in 8 large public locales automated external cardiac shock defibrillators ( Automated External Defibrillator, AED ) statute updating, and automatic external cardiac shock defibrillator is commonly known as fool defibrillator, the voice guidance operation is completed electric shock. In identifying the patients heartbeat stop, please close companions immediately pick AED to analyze whether a shockable.
The fourth ring and second rings: give advanced life support
Ambulance arrived at the scene, will depend on the condition of the patient to the hospital advanced life support after surgery. Served on the hospital, the hospital will end the reasons for analysis and the rest of the heart to care for resuscitation. For the restoration of spontaneous circulation heart pregnant patients ( the Return Of Spontaneous. Circulation, ROSC ) have special care process,
First: reduce brain damage ;
Second: the treatment of cardiovascular disability, such as: treatment of acute myocardial infarction of the heart catheter ;
Third: the treatment of shock states and avoid tissue reperfusion injury ;
Fourth: Management core body temperature ( Targeted Temperature Management, TTM ), to avoid the fever generated. The management of the core body temperature is mainly for patients still in a coma after recovery heartbeat cycle, we will control the temperature in Celsius 32 to 36 and continued after the degree within 24- hours, and the aim to improve due to increased body temperature caused by oxygen supply and demand imbalance, thereby affecting nerves Studies on the prognosis.
in conclusion
Former three-ring chain of life, but not completely rely on professionals need enthusiastic rescue rescuer side of a helping hand, after two rings depend on professionals to provide emergency medical services and hospital care in the end to rest after heart resuscitation , by exhaustive pillow series and save every life。
The first ring: Early help focus
Rapid heartbeat stop and identify early distress as the main focus, but the report 119 Please do not hang up the phone immediately , China Fire Department repose case for pre-hospital heart, there are guidelines governing the informant entered into the dispatcher's rescue cardiopulmonary resuscitation ( Assisted CPR-the Dispatcher ). Dispatchers will be over the phone, online guide immediately begin cardiopulmonary resuscitation.
Second ring: Early CPR
CPR as soon as possible is one of the major factors to improve pre-hospital heart stop prognosis. Fire Department emergency ambulance arrived at the scene for about 5 to 10 minutes, this period of blank time, without receiving CPR, the survival rate will drop substantially and cause hypoxic brain damage, enthusiastic rescuer CPR will be given to can improve survival after the incident and to give a good neurological outcome. To encourage the behavior of the rescue, the Republic of China 102 completion of the upgrading emergency medical Method 14-2 bar, also known as a good person Samaliya terms, to the protection of the law.
The third ring: Please close companions immediately pick AED to analyze whether a shockable
Early defibrillation shock is the only way to reverse a shockable heart rate (ventricular fibrillation, pulseless ventricular tachycardia) means, and heartbeat stop in front of the hospital for about a quarter of patients in heart rhythm, heart and lungs with early rescue resuscitation, can effectively increase the proportion survived to hospital discharge. Also in the Republic of 102 completed in 8 large public locales automated external cardiac shock defibrillators ( Automated External Defibrillator, AED ) statute updating, and automatic external cardiac shock defibrillator is commonly known as fool defibrillator, the voice guidance operation is completed electric shock. In identifying the patients heartbeat stop, please close companions immediately pick AED to analyze whether a shockable.
The fourth ring and second rings: give advanced life support
Ambulance arrived at the scene, will depend on the condition of the patient to the hospital advanced life support after surgery. Served on the hospital, the hospital will end the reasons for analysis and the rest of the heart to care for resuscitation. For the restoration of spontaneous circulation heart pregnant patients ( the Return Of Spontaneous. Circulation, ROSC ) have special care process,
First: reduce brain damage ;
Second: the treatment of cardiovascular disability, such as: treatment of acute myocardial infarction of the heart catheter ;
Third: the treatment of shock states and avoid tissue reperfusion injury ;
Fourth: Management core body temperature ( Targeted Temperature Management, TTM ), to avoid the fever generated. The management of the core body temperature is mainly for patients still in a coma after recovery heartbeat cycle, we will control the temperature in Celsius 32 to 36 and continued after the degree within 24- hours, and the aim to improve due to increased body temperature caused by oxygen supply and demand imbalance, thereby affecting nerves Studies on the prognosis.
in conclusion
Former three-ring chain of life, but not completely rely on professionals need enthusiastic rescue rescuer side of a helping hand, after two rings depend on professionals to provide emergency medical services and hospital care in the end to rest after heart resuscitation , by exhaustive pillow series and save every life。
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