Analysis of Adult Cardiopulmonary Resuscitation Skill Performed by Emergency Medical Technicians in Fire Department

소방 2급응급구조사의 성인 심폐소생술에 대한 숙련도 분석

  • 최용철 (경기도소방학교 교학과) ;
  • 이창섭 (경기도소방학교 교학) ;
  • 왕순주 (한림대학교성심병원 응급의학과)
  • Published : 2004.03.01

Abstract

Purpose: The purpose of this study is to predict a reasonable direction to design a pertinent educational program in the future by evaluating an adult CPR(Cardiopulmonary Resuscitation) skill performed by EMTs engaged in fire services organization and comparing the CPR success rate of factors as like a duty place and licensed year. Methods: We studied CPR skill by the use of a CPR manikin(Skillmeter Resusci Annie, Laerdal company). The study population consisted of 320 EMTs. Every EMT performed four cycle after investigating the manikin for 2 minutes. We regarded chest compression with 100 times in a minute as the 100% success rate. We analysed the skill of chest compression, ventilation and chest compression times success rate by the records printed in the CPR paper. Results: The average success rate of chest compression was 59.42$\pm$29.26% and ventilation 49.22$\pm$29.65%. The success rate of manual CPR was different between chest compression and ventilation. Also the success rate of chest compression times was high relatively as a 87.32$\pm$9.14%(p=0.000). For the CPR skill, ventilation was lowest as 49.22%. The factors such as duty place and licensed year did not influence the CPR success rate (p>0.001). Conclusion: We could have conclusion that CPR training should be shared more time in ventilation than in chest compression. Also we could reach to a conclusion that it is important to increase the times of CPR training for improving the accuracy of CPR and that the continuing education of CPR training frequency might be more than four times in a year.

Keywords

References

  1. 어은경. 장혜영, 전영진 외, '3차 의료기관 응급의료센터에서 시행된 병원내 심정지 환자의 심폐소생술 결과 분석',대한응급의학회지,제13권,제3호(2002)
  2. 송근정, 이정훈, 성일순, 정연권, 최성욱, 'In-Hospital Utstein Style에 의한 3차 의료기관응급의료센터에서의 심폐소생술 성적', 대한응급의학회지, 제12권, 제l호, pp.369-78(200l)
  3. 김선만, 황성오, 이강현 외, '병원내 심폐소생술 결과를 예측할 수 있는 지표',대한응급의학회지, 제9권, 제l호, pp.41-42(1995)
  4. 한국보건의료관리연구원, '응급의료체계 운영평가보고서', p.29(1996)
  5. AAOS, 'Emergency Care and Transportation of the Sick and Injured', pp.13(2000)
  6. 최용철, '응급구조사 보수교육의 교과과정 개발에 관한 연구', 한국화재. 소방학회지, 제17권,제1호,pp.46-61(2002)
  7. Weaver F. J., Ramirez A. G., Dorfman S. B. and Raizner A. E., 'Trainee's Retention of Cardiopulmaonary Resuscitation', JAMA 241(9), pp.901-903(1979) https://doi.org/10.1001/jama.241.9.901
  8. 강경희 외, '심폐소생술 교육과정에 대한고찰',대한응급 의학회지 제8권, 제3호, pp.353-361(1996)
  9. 이승한, 최옥경 외, '병원전 응급처치의 시행정도와 정확도', 대한응급의학회지 제7권, 제1호, pp.70-74(1996)
  10. 백미례, 이인수, '경찰공무원을 대상으로 한 심폐소생술 교육효과 지속에 관한 연구', 한국응급구조학회지 제5권, 제9호,, pp.63-71(2001)
  11. AHA, 'Circulation : Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care', 102(8), pp.1-43(2000)
  12. 서길준, 이승한 외, '119구급대를 통한 서울지역 외상환자 진료체계에 대한 통계분석', 대한응급의학회지 제12권, 제2호(2001)
  13. Safar P. and Winchell S. W., Teaching and Testing Lay and Paramedical in Cardiopulmonary Resuscitation, 'Anesth Anag', Vol. 45, No.4, pp.441-449(1996)
  14. 유인술, 권선숙, '119구급대원들의 휠동실태와 만족도', 대한응급의학회지, 제9권, 제2호(1998)
  15. Berden H. J. J. M. and Willems E. F., 'How Frequency Should Basic Cardiopulmonary Resuscitation Training be Repeated to Maintain Adequate Skills?', BMJ 306(12), pp.1576-1577(1993) https://doi.org/10.1136/bmj.306.6892.1576
  16. Hightower D. et al., 'Decay in the Performance of Closed Chest Compressions Over Time', Ann Emerg Med 25, pp.152-157(1995)