循環器ジャーナル66巻4号

2018年10月発行

特集 循環器救急の最前線—初期診療と循環管理を極める Ⅱ．心原性心停止を救う

蘇生ガイドラインの概要と心肺蘇生の普及

著者： 石見拓¹

所属機関： ¹京都大学健康科学センター

ページ範囲：P.491 - P.497

Point
・心臓突然死を減らすために，心肺蘇生の普及，AEDの効果的な設置など，フォーカスを院外にも当てる必要がある．
・最新の蘇生ガイドラインでは，絶え間のない胸骨圧迫に加えて，判断に迷った際に行動を開始することの重要性を強調している．
・AEDを活用した救命戦略として，胸骨圧迫のみの心肺蘇生の普及，学校教育への導入，ソーシャルメディアの活用などが求められる．

参考文献

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2) 総務省消防庁平成28年版救急救助の現況　http://www.fdma.go.jp/neuter/topics/fieldList9_3.html

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4) JRC蘇生ガイドライン2015　一般社団法人日本蘇生協議会　2016年2月　医学書院

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11) SOS-KANTO study group:Cardiopulmonary resuscitation by bystanders with chest compression only（SOS-KANTO）:an observation study. Lancet 369:920-926, 2007

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16) Ringh M, Rosenqvist M, Hollenberg J, et al:Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. N Engl J Med 372:2316-2325, 2015