Chinese consensus on CPR and American guidelines on CPR
10.3760/cma.j.issn.2095-4352.2017.10.001
- VernacularTitle:中国CPR共识与美国CPR指南
- Author:
Lixiang WANG
1
;
Qingyi MENG
;
Tao YU
Author Information
1. 100039 北京,武警总医院急救医学中心,中国研究型医院学会心肺复苏学专业委员会
- Keywords:
Cardiopulmonary resuscitation;
Cardiac arrest;
Guideline;
Consensus
- From:Chinese Critical Care Medicine
2017;29(10):865-870
- CountryChina
- Language:Chinese
-
Abstract:
In the article, we compared "2016 national consensus on cardiopulmonary resuscitation in China"and "2015 American Heart Association guidelines on cardiopulmonary resuscitation and emergency cardiovascular care"with their definition, orientation, characterization, quantifying and thinking mode. Chinese consensus on cardiopulmonary resuscitation (CPR) emphasizes the concept of "survival cycle" and focuses on the victim, it defines the rate of survival in its broad sense, and the thinking mode of the document is typically oriental style. However, American guidelines on CPR emphasize the concept of "survival chain" and the rescuer, it defines the rate of survival in its narrow sense, and the thinking mode is western style. The Chinese consensus cited American guidelines as part of references, and specialized them locally according to the current situation in China. In Chinese consensus, the cycle of survival covers three periods, pre-arrest phase, intra-arrest phase and post-resuscitation phase. In the pre-arrest phase, "three-prevention" policies should be adopted, which are precaution, pre-identification and early warning. During intra-arrest phase, CPR should be carried out with "three-ways" strategies, which are standardization, diversification and individuation. The "three lives" general plans should be considered during the post-resuscitation phase, which are demutation, transcending and extension. Chinese consensus on CPR has provided an omnibearing, overall-process and three-dimensional program with Chinese wisdom.