The clinical application of new cooperative mode of 3 nurses and 1 doctor with integrated vehicle in CPR

HUANG Guo-ming; XU Jie; QI Zhen-hong; MA Ming-yuan; LAI Hui-jing; XU Yong-hao; LUN Ming-hui

Abstract：Objective To discuss the clinical application of new cooperative mode of 3 nurses and 1 doctor with integrated vehicle in CPR .Methods A total of 81 cases of patients with cardiopulmonary arrest were included and ran-domly divided into control group ( n=41 ) and treatment group ( n=40 ); in which cooperative mode of 2 nurses and 1 doctor with conventional emergency vehicle and mode of 3 nurses and 1 doctor with advanced integrated vehicle were used , respectively.The APACHE Ⅱscores, primary diseases, CPR duration, endotracheal intubation time , electrical defibril-lation time, resuscitation success rate, survival rates at 24 h and on 14 d, pH value, and PaO2, PO2 and Lac after CPR were compared;and the satisfaction degree from medical staff were also investigated .Results At admission , there was no significant difference in the APACHE Ⅱ score or primary disease between the two groups (P>0.05).After CPR, the CPR duration, endotracheal intubation time and electrical defibrillation time were significantly shorter in treatment group than those in control group (P<0.01), with significantly higher resuscitation success rate (P<0.05), survival rate on 14 d (P<0.01);Significant higher artery pH value (P<0.01) and PaO2(P<0.01), and lower PaCO2(P<0.05) and Lac level (P<0.05) were also observed in treatment group .Meanwhile, the satisfaction degree from medical staff was al-so significantly higher in treatment group (P<0.05).Conclusion Compared with conventional mode and vehicle , the new cooperative mode of 3 nurses and 1 doctor with advanced integrated vehicle can reduce the rescue time , improve the acid-base imbalance and oxygenation , increase resuscitation success rate and survival rate in CPR patients , with more feasible application .