tailieunhanh - Báo cáo khoa học: "A Key advances in critical care in the out-of-hospital setting: the evolving role of laypersons and technology"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A Key advances in critical care in the out-of-hospital setting: the evolving role of laypersons and technology. | Available online http content 10 1 119 Commentary Key advances in critical care in the out-of-hospital setting the evolving role of laypersons and technology Paul E Pepe1 2 3 and Jane G Wigginton1 3 1The University of Texas Southwestern Medical Center and the Parkland Health and Hospital System 5323 Harry Hines Boulevard Dallas TX 75390-8579 USA 2City of Dallas Medical Emergency Services for Public Safety Public Health and Homeland Security 5323 Harry Hines Boulevard Dallas TX 75390-8579 USA 3Dallas Metropolitan BioTel EMS System 5323 Harry Hines Boulevard Dallas TX 75390-8579 USA Corresponding author Paul E Pepe Published 9 February 2006 This article is online at http content 10 1 119 2006 BioMed Central Ltd Critical Care 2006 10 119 doi cc4838 Abstract During the past decade critical care in the out-of-hospital setting has transcended the original emphasis on on-scene advanced life support interventions by doctors paramedics and nurses. Many of the life-saving efforts and advances in critical care situations have now begun to focus more and more on how through evolving technology the average person can save lives and perhaps even spare precious intensive care unit ICU resources. A striking example was the recent study conducted at the Chicago airports at which automated external defibrillators AEDs were deployed throughout the airline terminals for use by the public at large. Not only did random bystanders on the concourses save an extremely high percentage of cardiac arrest patients with the AEDs most patients rapidly awakened even before the arrival of professional rescuers. Thus this technology-assisted intervention performed by an average person pre-empted the need for many other critical care interventions and prolonged care in the ICU. Equipped with automated prompts to improve performance new technology also exists to help to monitor the inadequacies and too-frequent interruption of life-saving .