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心脏月:研究人员创建德克萨beplay苹果手机能用吗斯州的首个全州心脏骤停登记册,重点介绍CPR培训中的种族差异

医学博士Salil Bhandari的照片,演示了如何在19日期大流行期间安全地进行旁观者CPR。(图片由Uthealth摄)
医学博士Salil Bhandari演示了如何在19日期大流行期间安全地进行旁观者CPR。(图片由Uthealth摄)

Projections from Texas’ first cardiac arrest registry show that every day at least 60 Texans will suffer an out-of-hospital cardiac arrest, which is a sudden loss of heart function, breathing, and consciousness. If bystander cardiopulmonary resuscitation (CPR) is performed, the victim’s chance of survival can三倍, but less than half of victims in the Lone Star State receive any bystander CPR, according to data from the registry.

beplay苹果手机能用吗休斯敦德克萨斯大学健康科学中心Beplay体育中心(UTHEADY)的研究人员帮助创建了德克萨斯州计划(心脏骤停登记处,以增强生存),以跟踪心脏骤停的何处和频率以及是否正在进行必要的干预措施,以最大程度地提高心脏骤停的生存机会。该程序是一个国家努力由美国疾病控制和预防中心启动,以衡量和改善心脏骤停生存率。该注册表是大学研究人员与911个中心,EMS机构,市政消防部门和医疗保健提供者之间合作的结果,以吸引生存链的所有联系并促进标准beplay苹果手机能用吗化的护理体系。目前,它包含来自40%以上得克萨斯州社区的数据,其目标是包括该州的每个社区。

麦戈文医学院急诊医学主席和约翰·P·凯瑟琳·麦戈文(Kathrine G.在学校。“如果没有注册表,就无法衡量护理或改进以帮助人们并挽救生命。许多人没有意识到,大约有75%的心脏骤停发生在家里,这意味着您最有可能帮助的人将成为您所爱的人。CPR周围有很多犹豫,因为许多人对此不满意。我们想进一步了解这些差异存在的位置,以便我们可以以更有效的方式训练更多的人。”

UTHealth研究,揭示raci起到了推波助澜beplay苹果手机能用吗的作用al and economic disparities in where bystander CPR is being performed, especially when it comes to outcomes for children. The study showed that from January 1, 2013, until December 31, 2017, white children in the U.S. received bystander CPR in 56.9% of cardiac arrest cases, Hispanic children in 46.6% of cases, and Black children in 39.3% of cardiac arrests.

“If a child lives in a predominantly Black neighborhood, they are 20% less likely to receive bystander CPR or to survive compared to children in predominantly white neighborhoods,” Bobrow said. “This disparity is large and unacceptable.”

With the COVID-19 pandemic, there could be even more hesitation among all community members to attempt bystander CPR. The American Heart Association recently released interim guidelines on how to do CPR during the pandemic if the victim is someone outside your home, and Bobrow said the most significant change is that the rescuer should put a mask or a cloth over the victim’s mouth, if possible, to reduce the spread of particles.

A common misconception about CPR is that you have to do the mouth-to-mouth rescue breathing, which is not the case, Bobrow said. The most important thing you can do is compressions, by pushing hard and fast on the victim’s chest.

“想法是您的手是他们的心,如果您停下来,甚至短暂地没有血流。请记住,您不会弄乱这一点,也不会伤害该人。唯一的错误不是开始CPR。”鲍勃罗说。

Below is a quick guide to bystander CPR for adults, as well as ahow-to video

  • 评估该人是否正在心脏骤停。如果他们突然崩溃了,昏迷和呼吸异常,就像一条从水中跳出并喘着粗气的鱼,请与CPR一起前进。
  • 在您的手机上拨打911并将其放在扬声器手机模式下。放下它,以便您可以听到调度员的说明并同时使用双手。调度员会告诉您该怎么做,请准备好。
  • Make sure the victim is on a hard surface,like the floorThey cannot be on a bed.
  • Begin compressions。Put one hand on top of the other, lock your elbows, place your palm on the center of the chest, and start pushing down. The key here is simple: Push hard and push fast at a rate of about 100-120 beats per minute. A good way to remember this is to sing “Staying Alive” by the Bee Gees in your head, since the beat matches the rate you should be doing compressions.
  • Don’t stop直到专业帮助到达并接管护理。

There are two important differences when it comes performing CPR for children.

  • 建议复苏呼吸, since most children go into cardiac arrest due to a respiratory cause. Do 30 compressions and then give two quick rescue breaths, so the chest rises up and down.
  • CPR can be done with one hand in toddlers and children, and with just two fingers for infants,since children are smaller than adults.

鲍勃罗(Bobrow)和其他UTHELADY研究人员beplay苹果手机能用吗还正在研究心脏骤停患者护理其他方面的差异。例如,他们正在研究有针对性的温度管理或对患者体温的冷却,有助于他们在医院时康复,以及是否以标准化的方式将911个外行救援人员的电话CPR指令交付给所有可以受益的人。

“第一步是量化问题,我们正在使用心脏骤停登记册。下一步是设计有针对性的干预措施来加强“生存之链”,包括对公众进行旁观者CPR的教育以及在911调度中心,EMS机构和可以解决这些差异的医院进行改进的协议。最终,我们的目标是帮助减少心肺复苏式差异并改善德克萨斯州每个人的生存。”鲍勃罗说。

有关更多信息,请访问www.tx-cares.com

媒体查询:713-500-3030

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