cov European Resuscitation Council (ERC) 

Nyob rau hauv 2010 lub Cov Pab Neeg Sib Koom rau Cov Neeg Sib Ceg (Resource Citation) (ILCOR) tau sau tseg tias txawm hais tias siv adrenaline ntau dua (epinephrine) thiab lwm yam vasopressors thaum rov kho dua nyob rau qee lub tebchaws, tsis muaj pov thawj zoo rau cov lus qhia kho mob txog lawv siv. [1] Qee qhov kev tshawb fawb pom tau hais tias tsis muaj kev cuam tshuam los yog muaj kev phom sij ntawm kev muaj sia nyob ntev thiab cov txiaj ntsig ntawm lub paj hlwb.

cov European Resuscitation Council (ERC) yog li ntawd tos txais cov ntawv tshaj tawm ntawm PARAMEDIC 2 kev tshawb nrhiav, kev sim randomized tswj ntawm adrenaline piv rau cov placebo hauv 8016 cov neeg mob uas tawm hauv tsev kho mob plawv nres hauv UK. [4] Qhov kev sim tau muab pov thawj zoo txog qhov teeb meem ntawm adrenaline ntawm cov txiaj ntsig tau luv thiab ntev. Lub ntsiab ntawm qhov kev tshawb nrhiav, kev muaj sia nyob rau 30 hnub, yog 3.2% hauv pawg adrenaline tiv thaiv 2.4% hauv pawg placebo (tsis muaj kev sib txig sib txawv 1.390; 95% CI 1.062 rau 1.819; P = 0.017). Thaum lub sij hawm ntawm tsev kho mob tawm, txawm li cas los xij, qhov teeb meem loj heev ntawm cov survivors nyob rau hauv cov neeg adrenaline tsawg dua ntawm cov placebo pawg (39 ntawm 126 cov neeg mob [31.0%] thiab 16 ntawm 90 cov neeg mob [17.8%]).

Cov lus txhais ntawm cov ntsiab lus no yuav tsum tau ua tib zoo saib xyuas los ntawm ERC Lawb Xov Xwm Tshawb Xyuas Kev Kawm Ntawv thiab Kev Kawm Ntawv (ALS SEC). Qhov kev tshwm sim ntawm PARAMEDIC 2 mus sib hais kuj yuav raug xam los ntawm ILCOR hauv nws qhov kev ntsuam xyuas tas mus li. Cov kev hloov hauv ILCOR cov kev tawm tswv yim yuav raug muab suav ua zoo xyuas los ntawm ERC ALS SEC yog tias muaj kev hloov tshiab rau ERC Cov Kev Cai yuav tsum tau ua [5]

Xib fwb Koen Monsieurs, ERC vice lub rooj zaum thiab Cov xibfwb txog kev tshuaj xyuas thaum muaj xwm ceev ntawm tus Tsev kawm ntawv ntawm Antwerp Hais tias:

"Qhov no yog ib qho kev sim nyob rau hauv kev cawm siav uas yuav ua pov thawj rau cov neeg mob. Kev sim tau piv rau adrenaline nrog placebo ntau tshaj 8000 tawm ntawm tsev kho mob plawv nres cov neeg mob. Cov kev tshwm sim qhia tau hais tias kev siv cov adrenaline thaum lub sij hawm muaj kev cawm dim tau ua rau cov neeg tuag ntau dua ntawm 30 hnub nrog adrenaline, tab sis lawv txoj kev ua paj hlwb raug mob loj dua cov survivors uas tau txais placebo. Yog li nws pom tias nrog adrenaline peb txuag ntau lub siab tab sis tsis pub ntau lub hlwb. Nws yuav muaj nqis heev kom paub tias cov neeg raug mob plawv (uas yog peb txhua tus) xav tau txog qhov no. Cov kev tshwm sim ntawm kev sib sim no yuav tam sim no tau soj ntsuam thiab tham los ntawm ILCOR ntawm tag nrho cov pov thawj yav dhau los. Lub ILCOR qhov kev pom zoo yuav raug xam los ntawm ERC, yog li xyuas kom paub txog kev kho tshiab ERC cov lus qhia rau ntawm adrenaline sai sai no! "

Sau ntawv:

Lub European Resuscitation Council tau tsim nyob rau hauv 1989 thiab "... yuav tsum khaws cia tib neeg lub neej los ntawm kev ua tau zoo tshaj plaws kev kho muaj rau tag nrho cov". Lub network ntawm 33 National Resuscitation Councils (NRCs) sawv cev rau ERC ntawm lub tebchaws. Txhua NRC saib xyuas kev xa ntawv, kev cob qhia rov tsim kho thiab kev tswj kom zoo hauv nws lub tebchaws.

References: 

1. Deakin CD, Morrison LJ, Morley PT, li al. Part 8: Kev txhawb nqa lub neej: 2010 International Consensus rau Cardiopulmonary Resuscitation thiab Kev Kub Ntxhov Kev Mob Tom Qab Kev Xiam Hloov Kev Kho Mob nrog Kev Kho Mob. Resuscitation 2010; 81 khoom 1: e93-e174.
2. Soar J, Callaway CW, Aibiki M, li al. Part 4: Kev txhawb nqa lub neej: 2015 International Consensus rau Cardiopulmonary Resuscitation thiab Kev Kub Ntxhov Kev Mob Tom Qab Kev Xiam Hloov Kev Kho Mob nrog Kev Kho Mob. Resuscitation 2015; 95: e71-120.
3. Kleinman Kuv, Perkins GD, Bhanji F, li al. ILCOR Kev Tshawb Fawb Txog Kev Txawj Ntse thiab Kev Ntsuas Cov Hau Kev Soj Ntsuam Ua Ntej Rau Kev Tiv Thaiv Cardiopulmonary thiab Kev Kho Mob Thaum Muaj Xwm Ceev Cardiovascular. Daim Ntawv Pom Zoo Kev Pom Zoo. Resuscitation 2018; 127: 132-46.
4. Perkins GD, Ji C, Deakin CD, Quinn T, Nolan JP, Scomparin C, Regan S, Ntev J, Slowther A, Pocock H, Dub JJM, Moore F, Fothergill RT, Rees N, O'Shea L, Docherty M, Gunson I, Han K, Charlton K, Finn J, Petrou S, Stallard N, Rooj vag S, thiab Loob R, rau PARAMEDIC2 Collaborators * Ib txoj kev sib tw ntawm Epinephrine hauv kev kho mob tawm ntawm tsev kho mob. NEJM 2018 E-luam tawm www.nejm.org/doi/full/10.1056/NEJMoa1806842
5. Soar J, Nolan JP, Bottiger BW, li al. European Resuscitation Council Cov Txheej Txheem rau Kev Tiv Thaiv 2015: Seem 3. Cov neeg laus txhawb kev loj hlob. Resuscitation 2015; 95: 100-47.