车载除颤仪在高速公路院前急救中应用及护理.docVIP

车载除颤仪在高速公路院前急救中应用及护理【摘要】 目的 探讨车载除颤仪在高速公路院前急救中的应用及其护理，以提高院前心肺复苏成功率。方法 876例中患者使用车载除颤仪的资料进行回顾性分析；所有急救员上岗前均进行了包括除颤仪使用在内的急救技术培训并探讨护理程序。结果 急救员均掌握了除颤仪操作程序，保证了仪器完好，熟悉观察内容；876例伤者中有18例发生心室纤颤，现场及途中立即给予了150~200 J除颤，均能转复窦律，最终心肺复苏成功15例。结论 车载除颤仪的备用，提供了早期及时除颤的可能，提高了院前及途中心肺复苏成功率；急救员应掌握心肺复苏程序，熟悉心肺复苏药物和器械的使用，锻炼现场急救能力。? 【关键词】 院前急救;心肺复苏;高速公路 ?? The application and nursing of on-board defibrillation instrument in CPR DING Ya-qin, HAO Jiang, PAN Xian-feng, et al. Department of Emergency Care, Kunming General Hospital of PLA, Kunming 650032, China ? 【Abstract】 Objective To explore the application and nursing of on-board defibrillation instrument in CRP, and improve the success rate of CPR. Methods The clinical dates of 876 cases were reviewed.All first-aider were received teaching module before pre-job, and the nursing procedure were discussed. Results All first-aider mastered the procedures of the on-board defibrillation instrument, and ensured the equipment in good condition, and familiar with observation content; 876 cases of wounded 18 cases occur in ventricular fiber shock, after defibrillation has 15 cases were successful cardiopulmonary resuscitation (CPR).Conclusion on-board defibrillation meter spare, provides early defibrillation might, improve the way prehospital and cardiopulmonary resuscitation (CPR) success rate; The first aid instructor should master cardiopulmonary resuscitation (CPR) program, familiar with cardiopulmonary resuscitation (CPR) the use of drugs and devices, exercise the first aid ability.? 【Key words】 Prehospital medical care;CPR;High way 我院自2005年9月与云南省高速公路管理支队签订“军警共建生命绿色通道”以来,年救治伤员1200多人，其中重伤者可因休克、缺血缺氧等，引发心肌损伤、内环境紊乱等，导致心肺功能障碍、猝死。车载除颤仪是院前急救的重要设备，除完成生命体征监护外，更为院前心肺复苏的施行提供了及时有力的电转律保障。? 1 资料与方法? 1.1 一般资料 本组发生室颤患者为18例，其中男11例，女7例，年龄最大65岁，最小3岁，包括多发伤10例，单纯重型颅脑伤4例，多发肋骨骨折及血胸、严重肺挫伤 4例；其中并发不同程度休克13例。? 1.2 方法 所有急救车辆均配备美国ZOO轻便监护除颤仪，该机为双相除极原理，抗震性能优良，适合高速公路快速转移条件。要求随时保持完好待用状态，每周至少充放电一次，使用说明佩带到位。高速公路驻点急救员与驾驶员接到报警电话后，立即驱车到达车祸现场，经快速伤情判断，对现