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Cummins RO, 1998. Annals of Emergency Medicine18: 1269-1275 * * * * * * * * 轻 摇 患 者 肩 膊 “先生/小姐….先生/小姐 您有冇事呀 ?” 若 有 反 应 留 待 协 助 寻 找 原 因 重 覆 检 查 * 轻 摇 患 者 肩 膊 “先生/小姐….先生/小姐 您有冇事呀 ?” 若 有 反 应 留 待 协 助 寻 找 原 因 重 覆 检 查 * 观察、聆听、感觉 正常呼吸 * * * * * * no statistically significant differences between the one-person methods of chest compression (STD1 or OTH) for the average compression rate, number of chest compressions/minute, average hands-off time per cycle. OTH avarage compression depth was significanlty less than STD1 and there were more compression of incorrect depth OTH average duty cycle was significantly higher. for OTH 30.4% of compression were incorrectly placed vs 7.7% for STD1 Handley, A. J. and J. A. Handley (2004) Resuscitation 61(1): 55-61. 343: 1206-1209 Fastest 36 sec from collasp to AED, 90 sec from collasp to def * N Engl J Med, Vol. 347, No. 16 · October 17, 2002 * * The rhythm analysis by current AEDs after each shock typically results in ≥ 37 sec delay in CPR first shock eliminates VF in more than 96% of cases. If first shock fails, resumption of CPR is likely more beneficial it takes several minutes for a normal heart rhythm to return and more time for the heart to create blood flow after VF is eliminated. CPR can bridge that gap. Immediate CPR after defibrillation is not harmful. , 12, 28 -31 * * * The rhythm analysis by current AEDs after each shock typically results in ≥ 37 sec delay in CPR first shock eliminates VF in more than 96% of cases. If first shock fails, resumption of CPR is likely more beneficial it takes several minutes for a normal heart rhythm to return and more time for the heart to create blood flow after VF is eliminated. CPR can bridge that gap. Immediate CPR after defibrillation is not harmful. * 2004; 351: 647 - 56 * * * ). Porcine Survival Study, Circulation ,109, 1960-1965. * * * Over the head CPR ?! * 婴儿移动心肺复苏法 * 小休 !! * 除 颤 * * Early defibrillation 心脏去颤 极短时间内，发放能量 电流经过心脏 把不协调,各自收缩的心肌暂时停止活动， 使心肌自我回复协调的跳动 * 需要电击的