aed： 在中国防治猝死的出路何在？.ppt

AED在中国：筹“钱” ——社会团体、行业协会义不容辞 做实事，求实效 有专业性，公众信任，便于培训 AED在中国：筹“钱” ——企业社会责任 从我做起，落实企业社会责任，提升企业社会形象 弥补政府的不足 AED在中国：筹“钱” ——个人挽救亲人性命 SCD约有60%~70%SCD患者发生于院外，而院外SCD约80%发生于家里 高危人群可购买家庭式AED，挽救亲人性命 AED在中国：培养“人” 最紧迫：培训师资 最长远：培训公众 最关键：认证与考核 AED在中国：发展“技术” AED国产化研发 上市后调查 AED/DPS-12/15/10-RXS * Adverse Event Reportsfor External Defibrillators 2005 – 2010 Roberta Sullivan, BSN, MPH Nurse Consultant, MDR Analyst Office of Surveillance and Biometrics Division of Postmarket Surveillance Product Evaluation Branch I AED/DPS-12/15/10-RXS * Patient problem codes No patient involvement (59%) No patient consequences (10%) Unknown (9%) Not applicable (5%) No information (5%) Death (4%) No known impact to patient (3%) Resuscitation (1%) Hospitalization required (1%) Cardiac Arrest (1%) AED/DPS-12/15/10-RXS * Device problem codes Device displays error message (28%) Failure to power up (15%) Failure to charge, discharge or deliver (9%) Loss of power (4%) No display or display failure (4%) Replace (4%) Failure to run on AC/DC (3%) Failure to shock or pace properly (3%) Device issue (2%) Device inoperable (2%) AED/DPS-12/15/10-RXS * Postmarket Surveillance We need your reports for postmarket surveillance! AED在中国：建立“规则” 立法 执法 建立监督、善后机制 The Common Law - Good Samaritan Laws好撒玛利亚法 Good Samaritan laws protect from blame those who choose to aid others who are injured or ill Intention is to reduce bystanders hesitation to assist, for fear of being prosecuted for unintentional injury or wrongful death No success court case从未有成功检控案例 Up to now, we cannot find the success court case of mis-use of AED However, we find many cases of being successful sued because of not using AED AED在中国：消除“顾虑” 明确的法律保障 明晰的法律责任 完善的善后机制 Summary AED不仅仅是一种急救设备，更象是一种全新的急救理念：①急救场所由医院和救护车拉回事件发生的第一现场：大大缩短了急救时间，提高了救治成功率，尤其对于SCA患者，时间就是生命，时间就是健康，AED的出现真正做到了“对生命的呵护无处不在，无时不在”；②急救主体由经过专业培训的医务人员扩大为经过简单指导的现场目击者：一方面使得获救对象显著增加，另一方面则提高了全民参与生命急救的意识，变消极等待为积极参与，变被动为主动。总之，AED的应用是“全民参与，共建和谐社会”在生命医学领域的最直接的体现 Sum