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

一次救命処置（BLS）

著者： 加藤啓一¹ 柄澤俊二¹

所属機関： ¹日本赤十字社医療センター麻酔科

ページ範囲：P.498 - P.505

Point
・強く（約5cmで，6cmを超えない），速く（100〜120回/分），絶え間ない胸骨圧迫から心肺蘇生（CPR）を開始する．
・バッグ・バルブ・マスクの準備ができ次第，30：2で胸骨圧迫に人工呼吸を加える．
・除細動器が到着するまでは，医療従事者であっても脈拍をチェックすることなくCPRを続ける．

参考文献

1) 日本蘇生協議会：JRC蘇生ガイドライン2015．医学書院，東京，2016

2) Stiell IG, Brown SP, Nichol G, et al:What is the optimal chest compression depth during out-of-hospital cardiac resuscitation of adult patients? Circulation 130:1962-1970, 2014

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15) Moriwaki Y, Sugiyama M, Tahara Y, et al:Complications of bystander cardiopulmonary resuscitation for unconscious patients without cardiopulmonary arrest. J Emerg Trauma Shock 5:3-6, 2012