移动ICU院内急救模式在呼吸心搏骤停患者抢救中的应用

Application of in-hospital emergency mode of mobile ICU in rescuing respiratory and cardiac arrest patients

目的探讨移动ICU院内急救模式在呼吸心搏骤停患者抢救中的应用效果。方法设立移动ICU，基本设施包括必要的抢救设备及足量的抢救药物，并在此基础上提供有急救技术准入的医护人力支援。对临床科室抢救的22例呼吸心搏骤停患者，启动移动ICU协助救治。分析其应用效果。结果移动ICU在（2.5±0.5）min到达急救现场并建立抢救团队。22例患者中，死亡4例（18.18%），抢救成功12例（54.55%），转入ICU继续救治6例（27.27%）。未发生一例医疗纠纷。结论移动ICU院内急救模式的建立，提高了住院患者呼吸心搏骤停的救治水平，提高了救治成功率，最大限度地挽救了患者的生命。

Objective To study the effect of in-hospital emergency mode of mobile ICU to rescue respiratory and cardiac arrest patients. Methods Mobile ICU infrastructure including necessary rescue equipment, sufficient amount of rescue medication and medical staff proficient in first aid techniques was established. Mobile ICU was used to rescue 22 cases of respiratory and cardiac arrest patients from January 2009 to July 2011 in our hospital clinical departments, and the effects were analyzed. Results Mobile ICU arrived at the scene and set up its emergency rescue team in （2.5 ± 0.5 ） min. Out of the 22 cases, 4 cases died （18.18%）, 12 cases were successfully rescued （54.55%）, 6 cases were transferred to ICU for further treatment （27.27%）. No medical dispute happened. Conclusions The establishment of in-hospital emergency mode of mobile ICU can elevate the level of treatment of respiratory and cardiac arrest patients, improve the successful rate, and save patients lives to the maximum extend.