par Bouton, Jean Marie ;Biarent, Dominique
Référence Annales de pédiatrie, 41, 3, page (171-176)
Publication Publié, 1994
Article révisé par les pairs
Résumé : A meaningful discussion of cardiopulmonary arrest should justify, and thereby encourage, use of the full range of available preventive strategies in a broad variety of situations including delivery, asphyxia, motor vehicle injuries, and primary care. A review of the literature found that outcomes have improved over time and that development of an international terminology allows objective comparison and analysis of published data. Patients are monitored from the time of the event and on-the-scene primary care to initiation of patient care. Emergency care is organized so as to make optimal use of the abilities of health care professionals from 'adult' specialties in the event of out-of-hospital perinatal or postnatal emergencies. Every effort should be made to decrease the time to effective intervention. In particular, parents of high-risk infants should be taught basic resuscitation techniques, and witnesses of cardiopulmonary arrests (CRA) should be given instructions concerning management over the telephone. The overall 'CRA' program should reflect intelligent team work, which is a prerequisite to effective intervention.