Goldberg,Year in review 2012_Critical Care_Out of hospital cardiac arrest and truma, Crit Care 2013

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1、Goldbergetal.CriticalCare2013,17:248http://ccforum.com/content/17/6/248REVIEWYearinreview2012:CriticalCare-out-of-hospitalcardiacarrestandtrauma*ScottAGoldberg,AunaLeathamandPaulEPepereviewandannotatethefindingsofthesestudiesthatAbstractcontributedtoourevolvingunderstandingofOHCAIn

2、2012CriticalCarepublishedmanyarticlespertainingandtraumaresuscitationin2012.totheresuscitationofout-of-hospitalcardiacarrestandtrauma.Inthisreview,wesummarizeseveralofSuccessrateoffieldendotrachealintubationthesearticles,includingthoseregardingadvancesindependsonprovidertyperesusci

3、tationtechniquesandmethods.Weexaminear-ticlespertainingtoprehospitalendotrachealintub-PreviousstudieshaveconfirmedthatETIcanpreventhypoxiaanddiminishthemortalityratesinresuscitatedation,theuseofspecializeddevicesforcardiopulmonaryresuscitationandpoliciesregardingpatientswithairwayc

4、ompromise[1,2].Nevertheless,in-transportdestinationsforbothcardiacarrestandcorrectlyperformedETIcarrieshighmorbidity[3].ThefailureratesforETIplacementbynonphysicianpro-traumapatients.Articlesonthepredictorsofoutcomeinbothpediatricandadultpopulationsareevaluated,vidersmaybeasmuchas1

5、5%higher[4,5]thanthefail-includingarticlesontheeffectsofobesityonsurvivalureratesdocumentedforphysiciansintheprehospitalandhospitalsettings[6].Amongseveralrelatedfactors,fromhemorrhageandpediatricoutcomesfromtrau-maticcardiacarrest.Theeffectsofthetypeandvol-oneexplanationforthisdis

6、crepancymaybethegreaterumeofresuscitationfluidsforbothadultandpediatricavailabilityanduseofrapidsequenceinduction(RSI)in-tubationtechniquesbyphysicians.TheuseofRSIcanpatientsarediscussed,asarethefactorscontributingtohypothermiaintraumapatients.facilitateETIandthusmaydecreasetheadve

7、rseout-comesassociatedwithdifficultairwaymanagement[7].Ina2012articleinCriticalCare,Lossiusandcol-Introductionleaguescompletedameta-analysistoreviewphysicianManyarticlespertainingtoresuscitationforout-of-versusnonphysicianETIsuccessratesintheprehospitalhospitalcardiacarrest(OHCA)an

8、dtraumawerepub-setting[8].