自己幫自己的CPR(转帖）

真他妈的困

不知倒是真的還假的.......假設現在時刻是下午五點五十分，忙忙碌碌的你上了                       
一整天的班，正在開車回家的路上(當然是一個人囉！)。其實，工作忙碌沉重也就                       
罷了， 今天還跟上司意見不合。 好說歹說，說破了嘴，他就是不肯換個角度來看                       
你的立場。你真是氣炸了！到現在是越想越氣。突然，你感到胸口有一股劇痛，                       
並且開始漫延到手臂和下巴。可是，離最近的醫院大概還有五公里遠。更糟糕的是                       
，你自己都不知道能不能撐得了那麼遠。怎麼辦？以前曾經受過心肺複甦術CPR訓                       
練，但是教課老師並沒教你怎麼自己給自己做 急救的方法                        
獨處時，心臟病發作急救術(許多人心臟病發作時，四周沒有旁人因此，學會 能                       
自己給自己做簡單的心肺複甦術是非常重要的。) 一個人若是心臟不能正常跳動，                       
並且開始感到快要昏! 過去時，他大概只有十秒鐘的時間，然後就會失去知覺，                       
不省人事。 若是四周沒有旁人能幫忙急救 ,   患者要立刻把握這十秒鐘的短暫時                       
間自己救自己。要不停咳嗽！用力的咳！每一次咳嗽前， 都要先深吸一大口氣                       
。 然後，用力地、深深地、長長地咳，好像要把胸腔深處的痰咳出來一般。每                       
間隔大約兩秒鐘 ,要做一次吸、一次咳，一直要做到救護趕到時，或者已經感到
心跳恢復正常，才能休息。做深呼吸的目的是要把氧氣吸進肺部，咳嗽的目的則
是要以這個動作壓擠心臟，進而促進血液循環。對心臟的擠壓也可以幫它恢復正
常脈搏。如此急救，可以讓心臟病發作患者有機會打電話求救，或者在每次吸氣
間呼 救。救人一命，勝造七級浮屠。請大家把這個自我心肺複甦急救術告訴大家
，或再影印分發。說不定就因此救了您的家人、親戚、朋友、同事、左鄰右舍或
任何一個不管您認識或不認識的人一命。

也和话

Urban Legend

Analysis: This message gives the impression that the technique described has the endorsement of Rochester General Hospital and Mended Hearts, Inc., a heart attack victims' support group. It does not. Although the text was first published in a Mended Hearts newsletter, the organization has since retracted it. Rochester General Hospital played no part in the creation or dissemination of the message, nor does it endorse its contents.

According to the best information I can find, "cough CPR" (referred to in some variants as "self-CPR") is a real procedure occasionally used in emergency situations under professional supervision. It is not, however, taught in standard CPR courses, nor do most medical professionals presently recommend it as a "life-saving" measure for people who experience the most common types of heart attack while alone (note: see update below).

One doctor I contacted — a heart specialist — had never even heard of the procedure.

Other doctors say they're aware of the "cough CPR" technique but would only advise it under very specific circumstances. For example, in certain cases where a patient has abnormal heart rhythms, coughing can help normalize them, according to Dr. Stephen Bohan of Brigham and Women's Hospital in Boston. However, most heart attacks are not of this type. Dr. Bohan says the best course of action for a typical heart attack victim is to immediately take an aspirin (which helps dissolve blood clots) and call 911.

This is a case where a nugget of truth has apparently been misunderstood and misrepresented to the public, though not intentionally. A chapter of Mended Hearts published it without proper research. It was then reprinted by other chapters and eventually found its way into email form.

Darla Bonham, the organization's executive director, issued a statement afterward which read, in part:

I've received email from people all across the country wanting to know if it is a valid medically approved procedure. I contacted a scientist on staff with the American Heart Association Emergency Cardiac Care division, and he was able to track a possible source of the information. The information comes from a professional textbook on emergency cardiac care. This procedure is also known as "cough CPR" and is used in emergency situations by professional staff. The American Heart Association does not recommend that the public use this method in a situation where there is no medical supervision.
As with all medical rumors, the most prudent course of action is to verify the information with your own doctor or other medical professional before acting upon it or sharing it with others.

2003 update: In September 2003, four years after this email rumor began circulating, Polish physician Tadeusz Petelenz presented the results of a study which he said demonstrates that cough CPR can indeed save the lives of some heart attack victims. While not immediately embraced by all the members attending the European Society of Cardiology meeting where Petelenz spoke, the findings were characterized by some as "interesting." At least one heart specialist, Dr. Marten Rosenquist of Sweden, found fault with the study, objecting that Petelenz had presented no evidence that the subjects had actually experienced cardiac arythmias. He called for further research.