The I-European Resuscitation Council (ERC) 

Ku-2010 the IKomiti Yokuxhumana Yomhlaba Wonke Yokuvuselelwa (ILCOR) kuphawulwe ukuthi yize kusetshenziswe kabanzi i-adrenaline (epinephrine) namanye ama-vasopressor ngesikhathi sokuvuselelwa kwamanye amazwe, bekungekho ubufakazi obusezingeni eliphakeme ukwazisa izincomo zokwelashwa ngokusetshenziswa kwazo. [1] Olunye ucwaningo lokuhlola luphakamise ukuthi akunamphumela noma imiphumela engaba yingozi ekusindeni kwesikhathi eside nomphumela wezinzwa. [2], [3] ILCOR icele izivivinyo ezilawulwa nge-placebo ukunquma ukuphepha nokusebenza kwale mithi kubantu.

The I-European Resuscitation Council (ERC) Ngakho-ke wamukela ukushicilelwa kwe I-PARAMEDIC 2 ukutadisha, ukuhlolwa okungahleliwe okulawulwa kwe-adrenaline kuqhathaniswa ne-placebo ezigulini ze-8016 ngaphandle kokuboshwa kwe-cardiac esibhedlela e-UK. [4] Icala linikeza ubufakazi obuphezulu obuphezulu ngemiphumela ye-adrenaline emiphumeleni emifushane neyesikhathi eside. Umphumela oyinhloko wesifundo, ukusinda ezinsukwini ze-30, kwakuyi-3.2% eqenjini le-adrenaline elihambisana ne-2.4% eqenjini le-placebo (ukungalingani okulinganiselwe ku-1.390; 95% CI 1.062 ku-1.819; P = 0.017). Kodwa ngesikhathi sokukhishwa kwesibhedlela, ukukhubazeka okukhulu kwe-neurologic kwenzeke kunabasindile abaningi eqenjini le-adrenaline kuneqembu le-placebo (39 yeziguli ze-126 [31.0%] vs. 16 weziguli ze-90 [17.8%]).

Ukuchazwa kwalo miphumela kuzodinga ukucatshangisisa ngokucophelela yi-ERC Advanced Life Support Science and Education Committee (ALS SEC). Imiphumela yecala likaPARAMEDIC 2 izocatshangwa yi-ILCOR ohlelweni lwayo lokuhlola ubufakazi obuqhubekayo. Noma yiziphi izinguquko ezincomo zezokwelapha ze-ILCOR zizocatshangelwa ngokucophelela yi-ERC ALS SEC uma kwenzeka ukubuyekezwa kuya ku-ERC Guidelines kuyadingeka. [5]

UProfesa Koen Monsieurs, ERC Vice inyama futhi UProfesa we-Emergency Medicine at IYunivesithi yase-Antwerp Wathi:

"Lokhu kuyilingo eliphawulekayo ekuvuseleleni okungase kubonakale kubaluleke kakhulu kuziguli eziningi. Icala liqhathanisa i-adrenaline ne-placebo ezingaphezu kwe-8000 ngaphandle kweziguli zokubopha inhliziyo. Imiphumela ibonisa ukuthi ukusetshenziswa kwe-adrenaline ngesikhathi sokuvuselela kubangele abasindile abaningi ezinsukwini ze-30 nge-adrenaline, kodwa umsebenzi wabo we-neurologic wawubi kunabasindile abathola indawo ye-placebo. Ngakho kubonakala sengathi nge-adrenaline sigcina izinhliziyo eziningi kodwa hhayi ubuchopho obungaphezulu. Kungaba usizo kakhulu ukwazi ukuthi izisulu ezingasetshenziswa kanjani ukuboshwa komzimba (okuwukuthi sonke thina) sizizwa ngalokhu. Imiphumela yalolu cwaningo manje izohlaziywa futhi ixoxwe yi-ILCOR ngokubheka bonke ubufakazi obandulele. Isiphakamiso se-ILCOR esibangelwayo sizocatshangelwa i-ERC, ngakho-ke hlola isiqondiso esibuyekeziwe se-ERC ku-adrenaline maduzane! "

amanothi:

I-European Resuscitation Council yasungulwa ku-1989 kanti "... ihlose ukulondoloza impilo yabantu ngokwenza ukuvuselelwa okuphezulu kwelabo bonke". Inethiwekhi ye-33 National Resuscitation Councils (NRCs) imelela i-ERC ezingeni likazwelonke. I-NRC ngayinye iqondisa ukulethwa kweziqondiso, ukuqeqeshwa kabusha nokulawulwa kwekhwalithi ezweni lakubo.

References: 

1. Deakin CD, Morrison LJ, Morley PT, et al. Ingxenye 8: Ukusekelwa kokuphila okuthuthukisiwe: Ukubambisana kwe-2010 International nge-Cardiopulmonary Resuscitation kanye Nokunakekelwa Kwezinhliziyo Eziphuthumayo Isayensi Nezincomo Zezokwelapha. Ukuvuselelwa kwe-2010; 81 Suppl 1: e93-e174.
2. Soar J, Callaway CW, Aibiki M, et al. Ingxenye 4: Ukusekelwa kokuphila okuthuthukisiwe: Ukubambisana kwe-2015 International nge-Cardiopulmonary Resuscitation kanye Nokunakekelwa Kwezinhliziyo Eziphuthumayo Isayensi Nezincomo Zezokwelapha. Ukuvuselelwa kwe-2015; 95: e71-120.
3. Kleinman ME, Perkins GD, uBhanji F, et al. I-ILCOR Ulwazi lwezesayensi nolwazi olubalulekile lwezokwelapha ngezokwelapha ezibalulekile zokuvuselelwa kweCardiopulmonary and Emergency Care Cardiovascular. Isitatimende Sokuvumelana. Ukuvuselelwa kwe-2018; 127: 132-46.
4. I-Perkins GD, i-Ji C, i- CD Deakin, i- Quinn T, i-Nolan JP, i-Scomparin C, i-Regan S, i-Long J, i-Slowther A, i-Pocock H, i-Black JJM, i-Moore F, i-Fothergill RT, u-Rees N, i-Shea L, u-Docherty M, U-Gunson I, Han K, Charlton K, Finn J, Petrou S, Stallard N, Gates S, noLall R, abahlanganyeli be-PARAMEDIC2 * Uhlolo Oluhlelekile lwe-Epinephrine ku-Out-of-Hospital Ukukhishwa Kwezinhliziyo. I-NEJM 2018 E-ukushicilelwa www.nejm.org/doi/full/10.1056/NEJMoa1806842
5. I-Soar J, uNolan JP, uBottiger BW, et al. Imihlahlandlela ye-European Resuscitation Council Yokuvuselelwa 2015: Isigaba 3. Ukusekelwa kwezempilo okudala yabantu abadala. Ukuvuselelwa kwe-2015; 95: 100-47.