Clinical data and methods of stretcher cardiopulmonary resuscitation

Care before use
First of all within 10 s to complete the condition determination, and then immediately with the physician with the start of the rotation without hand chest compressions, and according to C-A-B order to open and clean the airway, ready stretcher recovery machine. This group of patients without cardiac arrest caused by suffocation of the case, so no need to first tracheal intubation. Followed by a doctor prescribed pre-attached defibrillation electrode films. Because the recovery machine will take up the defibrillator electrode strap position, once the defibrillator will delay the use of a lot of time, which is particularly important for cardiovascular patients. In addition to this group of patients with open chest and back injury in 7 cases, the rest are preset defibrillation electrode films.
Handling
Patients were transferred to a stretcher resuscitation machine according to a standard procedure for training. Our department will carry the patient's procedure is divided into 6 steps, by 3 people (respectively called A, B, C) completed, each step by one of the senior health care personnel to issue instructions. The first step: A and B stations on both sides of the patient (a right, B left), hand care in patients with hip and subscapular, C lift leg. Step 2: 3 people lift the patient placed on the stretcher recovery machine, try to make the patient in the stretcher center. Step 3: adjust the position of the patient from the B, so that the head is located in the head of the stretcher head depression, shoulders and stretchers resurrection device parallel to the upper edge. Position appropriate, A, B continue to turn by hand to press, while the mechanical ready to press from the C instrument, and connect the pipeline, open the airway, wearing a mask and so on. The fourth step: When the implementation of a press, by the B side of the band will be a bundle of fixed (both sides of the arm must be fixed in the binding band or are tied to the band, not one outside). Step 5: A suspension of the press, the pressure quickly by the B placed in patients with sternal double nipple to the middle of the skin, by the rapid side of the other bundled with a fixed, the B hold down the press to make it close Patients with chest skin and maintain a certain pressure. Step Six: C fast deduction by the top of the two binding band after the press, from the rapid opening of a resuscitator switch, according to the above requirements set the parameters. For this group of 47 patients with pre-hospital patients also use this method of handling. But more emphasis on the recovery of the stretcher and the patient lying position close to the flush, and do not do a good job in the recovery machine before the preparation, more emphasis on uninterrupted manual pressure.