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复苏的要点#1*:AEIOU
原作者: Haney Mallemat,江利冰 翻 文章来源: 《中华急诊医学杂志》编辑部 发布日期:2014-12-18

Title: Tips For The Resuscitationist #1*: AEIOU
题目:复苏的要点#1*:AEIOU
Author 作者: Haney Mallemat
翻译:江利冰 校对:肖锋

Running a successful resuscitation not only means doing everything right, but also remembering all the things that can go wrong. A.E.I.O.U. is a simple mnemonic that can help you remember the simple things that are sometimes forgotten during a medical resuscitation.
一次成功的复苏不仅仅是要把所有的事情做正确,同时需要记住那些可能做错的事情。A.E.I.O.U是一种简单的记忆方法,有助于帮你记忆在复苏中有时会遗忘的简单事情。

A – Advanced airway equipment to bedside, as well as checking the correct placement of the Airway if a patient is intubated in the field. Also consider adding another A, for Arterial line; early placement can help with pulse checks and an accurate assessment of blood pressure should there be return of spontaneous circulation (ROSC); the femoral site is fast and accurate.
A-高级气道设备(Advanced airway equipment)需要放置床边,如果患者在现场已经进行插管,需要对气道的正确位置进行检查。另外需要考虑另一个A,动脉导管(Arterial line);早期置放有助于脉搏的检查以及准确的通过血压的评估判断是否恢复自主循环;股动脉置管既快速又准确。

E – End-tidal CO2 (ETCO2) helps detect ROSC. Ask for the ETCO2 monitor to be set up right after you receive notification of an arrest in transit; ETCO2 requires time to set-up / calibrate
E-呼气末二氧化碳(ET CO2),有助于发现自助循环的恢复。当你收到通知有患者在转送过程中发生心脏骤停时,就需要将呼气末二氧化碳监测仪安装正确;呼气末二氧化碳监测仪需要时间进行安装和校准。

I – Intraosseous line(s); compared to peripheral or central venous access, IO’s are faster, safer, and any medication can be administered through it, including vasopressors / inotropes.
I-骨髓腔通路(Intraosseous line);和外周或者中心静脉道路相比,骨髓腔通路更加快速、安全而且任何药物均可通过骨髓腔给药,包括缩血管药物/强心剂。

O – Order (i.e., “who’s who in the Resus room?); You may be the team leader or you may be assisting, but it is important that you, and everyone else in the room, know their role prior patient arrival. If you are leading the resus, be sure everyone knows who you are, and assign everyone in the room a specific task (e.g., chest compressions, IO placement, etc.). If you are assisting and have not been assigned a task, ask the resus leader what you can do to help. If there is nothing immediate for you to do then take the initiative to de-clutter the room and step outside; be nearby and ready to help, if needed.
O-秩序(Order,例如,在复苏抢救中人员安排?);你可能是团队的指挥者或者你可能是助手,但是重要的是你以及其他在这个房间的人员,在患者达到之前清楚自己的角色。如果你要指挥复苏,那要确定所有的人都认识你,并且你需要分配给房间里每一位人员特定的任务(例如,胸外按压,骨髓腔置管等等)。如果你是助手,并且还没有分配到任务,你需要向指挥者询问你可以帮助做些什么。如果暂时没有什么需要你做的,你要主动整理房间,然后等在抢救室外面,不要太远,随时准备帮助。

U – Ultrasound; can help prognosticate and detect reversible causes (e.g., pericardial tamponade). Have the ultrasound machine in the room prior to patient arrival. It should be powered on, with the proper probe connected, and in the proper mode. The most experienced ultrasonographer should scan the patient during a pulse check; experience is vital because hands-off time should be minimized.
U-超声(Ultrasound);有助于预测和探测可以逆转的原因(例如,心包填塞)。在患者达到之前将超声机放置房间。超声机应该打开,连接合适的探头,并且选择合适的探头模式。在检查脉搏时,应该由最有经验的超声师对患者进行扫描;经验是非常重要,应该尽量多使用超声。

文章来源:《中华急诊医学杂志》编辑部