Establishment and implementation effect of rapid response medical team for extracorporeal cardiopulmonary resuscitation in emergency department
10.3760/cma.j.issn.1671-0282.2023.11.028
- VernacularTitle:急诊科体外心肺复苏术快速反应医护团队的建立和实施效果
- Author:
Li MA
1
;
Mingxue LI
;
Xueqian MA
;
Qingbian MA
;
Shuo LI
;
Ci TIAN
Author Information
1. 北京大学第三医院急诊科，北京 100191
- Keywords:
Emergency;
Extracorporeal cardiopulmonary resuscitation;
Medical team;
ECPR startup;
Pipeline pre -rushing
- From:
Chinese Journal of Emergency Medicine
2023;32(11):1564-1568
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrospectively analyze the establishment and implementation effect of ECPR rapid response medical team in emergency department, and to explore a more efficient rescue mode.Methods:A total of 41 patients who started ECPR in the emergency room of a tertiary hospital in Beijing from November 2017 to September 2022 were selected as subjects. The 14 patients treated by the ECPR rapid response medical team in the emergency department were set as the experimental group, and the 27 patients treated by the ECPR team of the MDT mode led by the cardiac surgeon were set as the control group. The ECPR start-up time, pipeline pre-filling time, ECPR start-up to ECMO successful operation time, complication rate and treatment success rate were compared between the two groups.Results:There was no significant difference in the outcome between the two groups (all P>0.05), but the total time (min) of ECPR implementation by the rapid response medical team in the emergency department was shorter (20.86 ± 10.86 vs. 23.04 ± 11.40), the incidence of complications was lower, and the success rate of treatment was higher (28.57 % vs. 25.93 %). Conclusion:Establishing a mature ECPR rapid response team dominated by emergency medical care helps improve the rescue coordination and work efficiency, thereby providing the emergency protection and management of full -chain for the treatment of critical condition.
