smpСкорая медицинская помощьEMERGENCY MEDICAL CARE2072-6716Northwest State Medical University named after II Mechnikov10.24884/2072-6716-2018-19-4-10-16smp-305Research ArticleСТАТЬИARTICLESСердечно-легочная реанимация под руководством диспетчера — действенный способ повышения выживаемости при внегоспитальной остановке кровообращенияDISPATCHER-ASSISTED CARDIOPULMONARY RESUSCITATION — AN EFFICIENT WAY FOR IMPROVING SURVIVAL AFTER OUT-OFHOSPITAL CARDIAC ARRESTБиркунА. А.BirkunA. A.

кандидат медицинских наук, доцент кафедры анестезиологии-реаниматологии и скорой медицинской помощи Медицинской академии им. С. И. Георгиевского ФГАОУ ВО «Крымский федеральный университет им. В. И. Вернадского»

birkunalexei@gmail.comМедицинская академия им. С.И. Георгиевского Крымского федерального университета им. В.И. Вернадского, СимферопольРоссияMedical Academy named after S. I. Georgievsky of V. I. Vernadsky Crimean Federal University, SimferopolRussian Federation2018080420191941016Copyright © Биркун А.А., 20192019Биркун А.А.Birkun A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://smp.spb.ru/jour/article/view/305

Главную роль в поддержании жизни при внегоспитальной остановке кровообращения (ВГОК) играют непосредственные свидетели. Если очевидцы не проводят базовую сердечно-легочную реанимацию (СЛР), то к моменту прибытия бригады скорой медицинской помощи (СМП) стремительно прогрессирующая гипоксия сводит шансы на спасение практически к нулю. Самым быстрым и действенным способом повышения частоты проведения СЛР свидетелями ВГОК является выполнение реанимационного комплекса под руководством диспетчера по телефону — Т-СЛР. Реализация программ дистанционного инструктирования свидетелей достоверно увеличивает выживаемость при ВГОК, и на этом основании Т-СЛР определена действующими рекомендациями по реанимации как обязательный компонент догоспитальной помощи. В настоящей статье рассмотрены современные подходы к организации и реализации программ Т-СЛР, описаны потенциальные препятствия и международный опыт внедрения таких программ. Материал адресован руководителям служб и станций СМП, работникам диспетчерских служб СМП, специалистам в области организации здравоохранения.

Immediate witnesses of out-of-hospital cardiac arrest (OHCA) play the leading role in supporting human life. In cases when basic cardiopulmonary resuscitation (CPR) is not performed by the bystanders, precipitous hypoxia brings chances for recovery almost to zero by the time of emergency medical services (EMS) arrival. Carrying out CPR following the instructions given by EMS dispatcher over the telephone (T-CPR) is the fastest and most efficient way of increasing bystander CPR rates. Implementation of T-CPR programs is proved to increase survival from OHCA. Consequently, T-CPR is defined by the effective guidelines for resuscitation as an essential component of pre-hospital care. This review discusses the modern approaches to organizing and implementing T-CPR programs, as well as potential barriers and international experience of T-CPR implementation. The paper is meant for EMS directors and managers, EMS dispatchers and public health specialists.

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The authors declare that there are no conflicts of interest present.