The 2016 Chinese experts consensus on cardiopulmonary resuscitation

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  • March 3, 2017
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"2016 China CPR expert consensus" released – Sohu health

recently, the guidance of China’s comprehensive prevention and control system of cardiac arrest and CPR clinical practice guidelines for action – the 2016 China cardiopulmonary resuscitation expert consensus (hereinafter referred to as consensus) officially released. It is reported that the "consensus" by the society of China research-oriented hospital cardiopulmonary resuscitation study collection of experts in the field of CPR domestic Specialized Committee, CPR international scientific consensus guidelines based on the combination of China’s national conditions and practice, and recently by the "critical care medicine" promulgated. China abdomen cardiopulmonary resuscitation, the founder of Chinese research hospital to learn CPR, Specialized Committee chair, Chinese Medical Association branch chairman of the popularization of science, the armed police general hospital emergency medical center director, doctoral tutor Professor Wang Lixiang said, "2016 China CPR expert consensus" in the whole process, full three-dimensional interpretation of the connotation CPR and extension of Chinese characteristics, is a guideline to China’s cardiac arrest comprehensive prevention and control system construction and CPR clinical practice.

(CA) of cardiac arrest in young people has become the main "killer"

data show that nearly 300 million of patients with cardiovascular disease, cardiovascular disease has become the leading cause of death in our country, and showed an increasing trend year by year. Cardiac arrest (CA) is a sudden stop of heart pump function of mechanical activity, resulting in systemic blood circulation and stop breathing interruption and loss of consciousness.

in recent years, the increasing incidence of CA in our country, and become the main killer of young people, at present, about 544 thousand people a year in CA, the incidence rate has the asymptotic level of the developed countries, but the overall level of rescue is far lower than that of developed countries and regions, the neural function of patients with CA good hospital survival rate is only about 1%.

CA used in the treatment of a direct threat to people’s lives — the main means of emergency cardiopulmonary resuscitation (CPR) has become the critical patients can make "revive" the protagonist. "Consensus" that caused CA common type of arrhythmia including ventricular fibrillation (VF), pulseless ventricular tachycardia (VT), ventricular standstill and pulseless electrical activity (PEA), and the latter is called electro mechanical separation. CA is a clinical syndrome in nature, is the end of a variety of diseases or disease status, can also be the first symptom of some diseases, often a direct cause of sudden cardiac death. CA attack suddenly, about 10 seconds can lead to loss of consciousness, such as in the 4-6 minutes of prime time to receive timely treatment will be adversely affected survival, biological death, and rare spontaneous reversal. CPR is to deal with CA, can form a temporary artificial circulation and artificial respiration, in order to achieve the heart autonomic circulation recovery (ROSC), spontaneous breathing and independent consciousness of life-saving technology. Therefore, to enhance clinical emergency rescue capabilities, effective implementation of high quality CPR, has become the key to the success of the rescue of CA and the fundamental guarantee. It has been confirmed that most of the CA occurred outside the hospital, some people >