借鉴美国心脏协会基础生命支持课程推进我国医务人员的心肺复苏培训

Learning from the basic life support course of American Heart Association to optimize the training of cardiopulmonary resuscitation for Chinese medical staffs

我国要建立独立、完整、科学的心肺复苏教育培训体系。本文对2011年以来采用美国心脏协会基础生命支持课程进行心肺复苏培训的经验进行了分析和总结。提出该课程值得借鉴的优点,包括严格的教师培训和准入机制、标准化视频和视练同步的教学方式、小班授课模式、团队合作的培训内容和单项否决的技能考核。同时也指出该课程存在的一些问题,主要包括缺少心脏骤停监测和预防的教育、缺少心脏骤停时心电波形识别的培训、仅涉及自动体外除颤器的使用、特殊人群的心肺复苏培训缺乏针对性。因此,美国心脏协会基础生命支持课程可能并不适合直接"移植"用于中国医务人员的培训。未来需要更多的探索和研究以建立符合中国特色的心肺复苏培训课程体系。

China should establish an independent,complete and scientific cardiopulmonary resuscitation education and training system.This article summarized the experience of cardiopulmonary resuscitation training with the basic life support(BLS)course of American Heart Association since 2011.The advantages of BLS course included strict trainers'training and access system,standardized video and"practice while watching"mode,small class teaching mode,team training content and line-item veto in skill testing.The weaknesses of BLS course included the lack of education on the monitoring and prevention of cardiac arrest,the insufficient training on the reading of electrocardiogram waveforms during cardiac arrest,the use of automatic but not manual external defibrillator,and the lack of specific training for special patient groups.These weaknesses made BLS course not suitable for Chinese medical staffs.In the future,more researches were needed to build a new CPR training system with Chinese characteristics.