To summarize the emergency nursing experience of a patient with cardiac arrest who was successfully discharged from hospital after public aid-prehospital first aid-in-hospital treatment. Aiming at the problems of unknown causes of sudden death,critical condition,no rescue experience of the first witness,needs of rapid recovery of vital signs,avoidance of brain injury and neurological dysfunction,a remote rescue team was established and early and rapid identification of the disease was performed to minimize the first aid blank period through remote control,unified command,division of labor and cooperation. Hemodynamic monitoring and volume management,multi-dimensional optimal target body temperature management,prevention of microcirculation disorders and other measures were implemented after spontaneous circulation recovery. After 2 hours of active rescue and meticulous nursing,the patient was transferred to EICU for further treatment,and was discharged smoothly 16 days later. After 6 months of follow-up,the patient was in good condition.
GUAN Qinling
,
LI Yao
. Emergency nursing of a patient with out-of-hospital cardiac arrest rescued by the first eyewitness guided by remote video[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(3)
: 235
-237
.
DOI: 10.3761/j.issn.2096-7446.2024.03.007
[1] 张国强. 心脏骤停及心肺复苏技术的现状、挑战与机遇[J]. 中华急诊医学杂志,2023,32(1):1-5.
Zhang GQ.Present situation,challenges and opportunities of cardiac arrest and cardiopulmonary resuscitation technology[J]. Chin J Emerg Med,2023,32(1):1-5.
[2] 钟志康,何小俊. 电话心肺复苏研究进展[J]. 护理学杂志,2023,38(10):121-126.
Zhong ZK,He XJ.Advances in telephone-assisted cardiopulmonary resuscitation[J]. J Nurs Sci,2023,38(10):121-126.
[3] 吕传柱,马岳峰,裴俏. 院前急救待援期公众应对措施专家共识[J]. 中华急诊医学杂志,2022(5):585-591.
Lü CZ,Ma YF,Pei Q.Expert consensus on public response measures in pre-hospital emergency aid period[J]. Chin J Emerg Med,2022 (5):585-591.
[4] 金静芬. 急诊预检分诊[M]. 杭州:浙江大学出版社,2020.
Jin JF.Emergency pre-examination and triage[M]. Hangzhou:Zhejiang University Press,2020.
[5] 中国研究型医院学会心肺复苏学专业委员会. 2016中国心肺复苏专家共识[J]. 解放军医学杂志,2017,42(3):1059-1079.
Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Association. 2016 National consensus on cardiopulmonary resuscitation in China[J]. Med J Chin PLA,2017,42(3):1059-1079.
[6] Sandroni C,Cronberg T,Sekhon M.Brain injury after cardiac arrest:pathophysiology,treatment,and prognosis[J]. Intensive Care Med,2021,47(12):1393-1414.
[7] 中华医学会急诊医学分会复苏学组,中国医学救援协会心肺复苏分会. 心脏骤停复苏后血流动力学管理的专家共识[J]. 中华急诊医学杂志,2019,28(11):1343-1349.
Resuscitation Group of Emergency Medicine Branch of Chinese Medical Association,Cardiopulmonary Resuscitation Branch of China Medical Rescue Association. Expert consensus on hemodynamic management after cardiac arrest and resuscitation[J]. Chin J Emerg Med,2019,28(11):1343-1349.
[8] 张玉曼,宋春霞,郑晓丽,等. 心搏骤停患者目标体温管理的最佳证据总结[J]. 中华护理杂志,2020,55(4):621-627.
Zhang YM,Song CX,Zheng XL,et al.Best evidence summary for target temperature management of patients after cardiac arrest[J]. Chin J Nurs,2020,55(4):621-627.
[9] De Backer D,Donadello K,Sakr Y,et al.Microcirculatory alterations in patients with severe sepsis:impact of time of assessment and relationship with outcome[J]. Crit Care Med,2013,41(3):791-799.
