Читать книгу Emergency Medical Services - Группа авторов - Страница 329

The management of the post‐cardiac arrest patient is a low‐frequency, resource‐intensive event requiring regimented, multidisciplinary strategies to optimize outcome [120–122]. One retrospective study has demonstrated that the risk of rearrest during prolonged air medical transport is low, but critical events such as hypotension or hypoxemia were encountered in 23% of patients [123]. Because many hospitals cannot provide these services at all hours, some systems have regionalized the care of post cardiac arrest patients [124]. EMS medical directors should consider developing policy regarding the proper destination for post cardiac arrest patients in their systems. Recent data have shown lower mortality in patients either directly transported or transferred early in the post resuscitation course to a cardiac arrest–receiving center (hazard ratio for mortality 0.84; 95% CI 0.74‐0.94) [125].