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[Chinese expert consensus on the clinical application of innovative first-aid resuscitation technology for traumatic
Health Emergency Committee Of Chinese Research Hospital Association1, Cardiopulmonary Resuscitation Specialized Committee Of Chinese Research Hospital Association, Cardiopulmonary Resuscitation Specialized Committee Of Henan Hospital Association
1Corresponding author: Zhang Sisen, Email: 2362176700@qq.com; Yue Maoxing, Email: yuemx888@163.com; Wang Lixiang,
Insights
Innovative first-aid resuscitation technologies, including hypertonic gel and abdominal lifting cardiopulmonary resuscitation (CPR), offer improved treatment for traumatic shock and cardiac arrest. These methods enhance pre-hospital care and patient outcomes in emergency situations.
Area of Science:
- Emergency Medicine
- Trauma Care
- Resuscitation Science
Background:
- Traumatic shock and cardiac arrest present significant pre-hospital challenges, particularly when traditional treatments like blood products or chest compressions are contraindicated.
- Existing emergency protocols require advancement to address specific needs in trauma resuscitation.
Purpose of the Study:
- To establish expert consensus on innovative first-aid resuscitation technologies for traumatic shock and cardiac arrest in China.
- To address limitations in pre-hospital transfusion and cardiopulmonary resuscitation for trauma patients.
Main Methods:
- Development and popularization of hypertonic gel compound liquid for traumatic shock management.
- Implementation and validation of abdominal lifting and compression cardiopulmonary resuscitation (CPR) for post-traumatic cardiac arrest.
- Synthesis of domestic and international scientific evidence on traumatic shock and cardiac arrest.
Main Results:
- Hypertonic gel compound liquid effectively stabilizes blood pressure in traumatic shock with minimal dosage, serving as a viable alternative to blood products.
- Abdominal lifting and compression CPR improves success rates for patients with traumatic cardiac arrest, especially when chest compressions are not feasible.
- The developed technologies offer a high treatment rate with few side effects, enhancing pre-hospital emergency medical treatment.
Conclusions:
- The expert consensus provides a new stage for training in traumatic shock and cardiac arrest management in China.
- Innovative resuscitation technologies improve the safety and efficacy of pre-hospital care for trauma patients.
- This consensus integrates global knowledge with Chinese national conditions to optimize emergency medical response.
Objective:
To promote the clinical treatment technical training and popularization of traumatic shock and cardiac arrest, Health Emergency Committee of Chinese Research Hospital Association, Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Association, Cardiopulmonary Resuscitation Specialized Committee of Henan Hospital Association jointly established "Chinese expert consensus on the clinical application of innovative first-aid resuscitation technology for traumatic shock in 2019". This consensus has solved the problem of volume resuscitated gel mix and ratio in the emergency situation of pre-hospital transfusion and blood products unable to be used in traumatic shock. Hypertonic gel compound liquid can treat traumatic shock with small dosage and good effect of stabilizing blood pressure, which can replace whole blood and other blood products, improve the safety of transport to hospital, and provide an opportunity for life-saving surgery. At the same time, abdominal lifting and compression cardiopulmonary resuscitation (CPR) has solved the difficulty of treating patients with post-traumatic cardiac arrest who cannot perform traditional chest compressive CPR, and greatly improved the success rate of pre-hospital treatment for patients with traumatic shock. In view of the actual demand of emergency medical treatment in China and the contraband of chest CPR for chest trauma, the combination of "administration, production, study, research and application" was adopted, and the abdominal lifting and compression CPR was successfully developed and popularized. This expert consensus summarized the scientific evidence on traumatic shock and traumatic cardiac arrest published at home and abroad so far, and put forward the expert consensus on the clinical application of innovative first-aid resuscitation technology for traumatic shock based on Chinese national conditions. This consensus incorporated the wisdom and philosophy of Chinese and foreign scholars in the training of traumatic shock and CPR, and would certainly make the training of traumatic shock and cardiac arrest in China entering a new stage with strong pertinence, quick onset, few side effects and high treatment rate.
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