机构：[1]Department of Emergency Medicine, Hainan General Hospital,Hainan Affiliated Hospital of Hainan Medical University, Haikou570311, China[2]Emergency Department & Intensive Care Unit,Renmin Hospital of Wuhan University, Wuhan 430060, China[3]Department of Poisoning and Occupational Diseases, Emergency,Qilu Hospital, Cheeloo College of Medicine, Shandong University,Jinan 250012, China[4]Center of Cerebrovascular Diseases,Department of Neurology, West China Hospital of SichuanUniversity, Chengdu 610041, China[5]Department of Emergency,People's Hospital of Wuhan University, Wuhan 430060, China[6]Department of Emergency Medicine, the First Hospital of HebeiMedical University, Shijiazhuang 050030, China[7]HospitalInfection Control Office, Hainan General Hospital, Haikou570311, China[8]Department of Occupational Diseases, JinanHospital, Jinan 250013, China[9]Department of EmergencyMedicine, Hunan Provincial People's Hospital, Changsha 410005,China[10]Department of Emergency Medicine, Sun Yat-senMemorial Hospital, Sun Yat-sen University, Guangzhou 510120,China中山大学附属第二医院[11]Department of Emergency Medicine, Zhejiang ProvincialPeople's Hospital, Hangzhou 310014, China[12]Departmentof Emergency Department, West China Hospital of SichuanUniversity, Chengdu 610041, China[13]Department of InfectiousDiseases, People's Hospital of Wuhan University, Wuhan 430060,China[14]Department of Teaching Affairs, The First Hospitalof Hebei Medical University, Shijiazhuang 050031, China[15]Department of Pulmonary and Critical Care Medicine, WestChina Hospital of Sichuan University, Chengdu 610041, China[16]Medical Service Department, Hainan General Hospital, HainanAffiliated Hospital of Hainan Medical University, Haikou 570311,China[17]Department of Emergency Medicine, the Central Hospitalof Wuhan, Wuhan 430015, China[18]Tsinghua Changgung Hospital,School of Clinical Medicine, Tsinghua University, Beijing 102218,China[19]Department of Emergency Medicine, the First MedicalCenter, Chinese PLA General Hospital, Beijing 100853, China[20]Emergency & Critical Care Center, Beijing Anzhen Hospital,Capital Medical University Beijing 100029, China首都医科大学附属安贞医院[21]People'sHospital of Henan University of Chinese Medicine, ZhengzhouPeople's Hospital, Zhengzhou 450003, China[22]EmergencyDepartment of Gansu Provincial People's Hospital, Lanzhou730000, China[23]Shaanxi University of Chinese Medicine, Xi’an712046, China[24]Hanzhong City People's Hospital, Hanzhong723000, China[25]Emergency Department in Hospital T.C.M. Affiliated to Southwest Medical University, Louzhou 646000,China[26]Department of Emergency Medicine, the 1st AffiliatedHospital of Kunming Medical University, Kunming 650032,China内科科室急诊医学科昆明医科大学附属第一医院[27]Department of Emergency Medicine, the People's Hospitalof Baoan, Shenzhen 518101, China深圳市宝安区人民医院深圳市康宁医院深圳医学信息中心[28]Department of EmergencyMedicine, the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080, China中山大学附属第一医院[29]Department of Emergency Medicine,Guangdong General Hospital of Armed Police, Guangzhou 510507,China广东省人民医院[30]Department of Surgery, Shanghai Public Health ClinicalCenter Affiliated to Fudan University, Shanghai 201514, China[31]Chinese Journal of Emergency Medicine, Hangzhou 310009,China[32]Department of Emergency Medicine, Beijing FriendshipHospital, Beijing 100050, China[33]Department of Critical CareMedicine, Haikou Municipal People's Hospital and Central SouthUniversity Xiangya Medical College Affiliated Hospital, Haikou570208, China[34]Department of Emergency, The First People'sHospital of Foshan, Foshan 528000, China
Background: Cardiopulmonary resuscitation (CPR) strategies in COVID-19 patients differ from those in patients suffering from cardiogenic cardiac arrest. During CPR, both healthcare and non-healthcare workers who provide resuscitation are at risk of infection. The Working Group for Expert Consensus on Prevention and Cardiopulmonary Resuscitation for Cardiac Arrest in COVID-19 has developed this Chinese Expert Consensus to guide clinical practice of CPR in COVID-19 patients. Main recommendations: 1) A medical team should be assigned to evaluate severe and critical COVID-19 for early monitoring of cardiac-arrest warning signs. 2) Psychological counseling and treatment are highly recommended, since sympathetic and vagal abnormalities induced by psychological stress from the COVID-19 pandemic can induce cardiac arrest. 3) Healthcare workers should wear personal protective equipment (PPE). 4) Mouth-to-mouth ventilation should be avoided on patients suspected of having or diagnosed with COVID-19. 5) Hands-only chest compression and mechanical chest compression are recommended. 6) Tracheal-intubation procedures should be optimized and tracheal-intubation strategies should be implemented early. 7) CPR should be provided for 20-30 min. 8) Various factors should be taken into consideration such as the interests of patients and family members, ethics, transmission risks, and laws and regulations governing infectious disease control. Changes in management: The following changes or modifications to CPR strategy in COVID-19 patients are proposed: 1) Healthcare workers should wear PPE. 2) Hands-only chest compression and mechanical chest compression can be implemented to reduce or avoid the spread of viruses by aerosols. 3) Both the benefits to patients and the risk of infection should be considered. 4) Hhealthcare workers should be fully aware of and trained in CPR strategies and procedures specifically for patients with COVID-19.
语种：
外文
被引次数：
WOS：
中科院(CAS)分区：
出版当年[2022]版：
大类|4 区医学
小类|4 区热带医学4 区公共卫生、环境卫生与职业卫生
最新[2023]版：
大类|4 区医学
小类|4 区公共卫生、环境卫生与职业卫生4 区热带医学
JCR分区：
出版当年[2021]版：
Q2TROPICAL MEDICINEQ3PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版：
Q2TROPICAL MEDICINEQ3PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
第一作者机构：[1]Department of Emergency Medicine, Hainan General Hospital,Hainan Affiliated Hospital of Hainan Medical University, Haikou570311, China
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Wei Song,Jie Wei,Xiangdong Jian,et al.Expert consensus on prevention and cardiopulmonary resuscitation for cardiac arrest in COVID-19[J].ASIAN PACIFIC JOURNAL OF TROPICAL MEDICINE.2021,14(6):241-253.doi:10.4103/1995-7645.315897.
APA：
Wei Song,Jie Wei,Xiangdong Jian,Deren Wang,Yanhong Ouyang...&Tian’en Zhou.(2021).Expert consensus on prevention and cardiopulmonary resuscitation for cardiac arrest in COVID-19.ASIAN PACIFIC JOURNAL OF TROPICAL MEDICINE,14,(6)
MLA：
Wei Song,et al."Expert consensus on prevention and cardiopulmonary resuscitation for cardiac arrest in COVID-19".ASIAN PACIFIC JOURNAL OF TROPICAL MEDICINE 14..6(2021):241-253
