한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제13권4호
  • /
  • Pages.1699-1705
  • /
  • 2012
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

심폐소생술 구조자의 무릎 높이 정도가 흉부압박의 질에 미치는 효과

Effects of Knee Height of CPR Rescuer on the Quality of Chest Compression

  • 박대성 (광주보건대학 응급구조과)
  • Park, Dae-Sung (Department of Emergency Medical Technology, Gwangju Health College)
  • 투고 : 2012.01.19
  • 심사 : 2012.04.12
  • 발행 : 2012.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 심폐소생술 시행 시 구조자의 무릎이 바닥으로부터 10 cm 높은 위치와 바닥 위치 간에서 흉부압박의 질에 차이가 있는지를 알아보고자 시행하였다. G광역시의 G대학 응급구조과 1학년 재학생으로 심폐소생술 교육 과정을 이수한 66명 중, 무작위추출과정을 통해 2011년 11월 8일부터 9일까지 실험군 31명, 대조군 32명으로 선정하였다. 바닥으로부터 10 cm 위치(재질: B4 Copy Paper)와 바닥 위치에는 공통으로 매트리스(재질: PVC, 사이즈: $185{\times}125{\times}0.65cm$)를 깔고 2분 동안 흉부압박 만을 시행하였다. 실험 처치는 Resusci Anne 마네킨 1대를 사용하였으며, Laerdal PC SkillReporting System으로 시행결과를 기록하였다. 수집된 자료는 SPSS 14.0 for Window으로 $x^2$-test와 Fisher's exact probability test, Mann-Whitney U-test, Wilcoxon signed rank test를 사용하였다. 연구결과, 심폐소생술 구조자의 무릎이 바닥으로부터 10 cm 높은 위치가 바닥 위치보다 흉부압박 적절한 깊이(회), 평균 흉부압박 깊이(mm)가 더 효과적이었는데, 신장 170 cm 이하 그룹, 몸무게 65 kg 이하 그룹에서 흉부압박의 적절한 깊이(회), 평균 흉부압박 깊이(mm)가 효과적 이었다.

This study was conducted to examine the differences of the quality of chest compression between 10 cm higher position of rescuer's knee from the bottom and its bottom position during implementation of CPR. It selected randomly subjects out of 66 students who attend the Dept. of Emergency Medical Technology in G college, G metropolitan city as the first grader and divided them into 31 experimental group and 32 control group from Nov. 8 to 9, 2011. Mattress was spread 10 cm higher from the bottom(material: B4 Copy Paper) and on the bottom(material: PVC, size: $185{\times}125{\times}0.65cm$) and only chest compression was conducted for 2 minutes. Experiment was conducted with 1 Resusci Anne mannequin and the results of experiment were recorded with Laerdal PC Skill Reporting System. Data collected were analyzed with $x^2$-test and Fisher's exact probability test using SPSS 14.0 for Window, Mann-Whitney U-test, and Wilcoxon signed rank test. As a result of the study, it was found that 10 cm higher position of rescuer knee from the bottom than the bottom position and group below 170 cm in their height and 65 kg in their weight were more effective in proper depth of chest compression and average chest compression depth.

키워드

참고문헌

  1. American Heart Association(AHA), "Highlights of the 2010 American Heart Association Guidelines for CPR and ECC," 2010.
  2. A. J Handley, J. A Handley, "Performing chest compressions in a confined space," Resuscitation, Vol.61, No.1, pp.55-61, 2004. https://doi.org/10.1016/j.resuscitation.2003.11.012
  3. American Heart Association(AHA), "Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. Part 3. Adult basic life support," Circulation, Vol.102, No.8(Suppl): I-22-I-59, 2000. https://doi.org/10.1161/01.CIR.102.suppl_2.1-i
  4. G. D. Perkins, C. M. Smith, C. Augre, M. Allan, H. Rogers, B. Stephenson, D. R. Thickett, "Effects of a backboard, bad height, and operator position on compression depth during simulated resuscitation," Intensive Care Med, Vol.32, No.10, pp.1632-1635, 2006. https://doi.org/10.1007/s00134-006-0273-8
  5. B. S. Abella, N. Sandbo, P. Vassilatos, J. P. Alvarado, N. O'Jearn, H. N. Wigder, et al., "Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest," circulation, Vol.111, No.4, pp.428-434, 2005. https://doi.org/10.1161/01.CIR.0000153811.84257.59
  6. L. Wik, J. Kramer-Johansen, H. Myclebust, H. Sorebo, L. Svensson, B. Fellows, P. Andreas, "Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest," JAMA, Vol.293, No.3, pp.299-304, 2005. https://doi.org/10.1001/jama.293.3.299
  7. B. S. Abella, J. P. Alvarado, H. Myclebust, D. P. Edelson, A. Barry, N. O'Hearn, T. L. Vanden Hoek, L. B. Becker, "Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest," JAMA, Vol.293, No.3, pp.305-310, 2005. https://doi.org/10.1001/jama.293.3.305
  8. T. D. Valenzuela, K. B. Kern, L. L. Clark, R. A. Berg, M. D. Berg, D. D. Berg, et al., "Interruptions of chest compressions during emergency medical systems resuscitation," Circulation, Vol.112, No.9, pp.1259-1265, 2005. https://doi.org/10.1161/CIRCULATIONAHA.105.537282
  9. R. A. Berg, R. W. Hilwig, M. D. Berg, D. D. Berg, R. A. Samson, J. H. Indik, K. B. Kern, "Immediate post-shock chest compressions improve outcome from prolonged ventricular fibrillation," Resuscitation, Vol.78, No.1, pp.71-76, 2008. https://doi.org/10.1016/j.resuscitation.2008.02.014
  10. W. Tang, D. Snyder, J. Wamg, L. Huang, Y. T. Chang, S. Sun, M. H. Weil, "One-shock versus three-shock defibrillation protocol significantly improves outcome in a porcine model of prolonged ventricular fibrillation cardiac arrest," Circulation, Vol.113, No.3, pp.2683-2689, 2006. https://doi.org/10.1161/CIRCULATIONAHA.105.592121
  11. N. T. Sugerman, D. P. Edelson, M. Leary, E. K. Weidman, D. L. Herzberg, T. L. Vanden Hoek, B. S. Abella, "Rescuer fatigue during actual in-hospital cardiopulmonary resuscitation with audiovisual feedback: a prospective multicenter study," Resuscitation, Vol.80, No.9, pp.981-984, 2009. https://doi.org/10.1016/j.resuscitation.2009.06.002
  12. S. Manders, F. E. Geijsel. "Alternating providers during continuous chest compression for cardiac arrest: every minute or every two minutes?," Resuscitation, Vol.80, No.9, pp.1015-1018, 2009. https://doi.org/10.1016/j.resuscitation.2009.05.014
  13. J. W. Heidenreich, R. A. Berg, T. A. Higdon, G. A. Ewy, K. B. Kern, A. B. Sanders, "Rescuer fatigue: standard versus continuous chest-compression cardiopulmonary resuscitation," Acad Emerg Med, Vol.13, No.10, pp.1020-11026, 2006. https://doi.org/10.1111/j.1553-2712.2006.tb00272.x
  14. T. P. Aufderheide, R. G. Pirrallo, D. Yannopoulos, J. P. Klein, C. Von Briesen, C. W. Sparks, et al., "Incomplete chest wall decompression: a clinical evaluation of CPR performance by EMS personnel and assessment of alternative manual chest compressiondecompression techniques," Resuscitation, Vol.64, No.3, pp.353-362, 2005. https://doi.org/10.1016/j.resuscitation.2004.10.007
  15. H. R. Kwon, D. S. Park, "Comparison of Qualities of Chest Compression according to Changes of Position in Cardiopulmonary Resuscitation Performance", Journal of the korean society of emergency medical technology (KEMT), Vol.15, No.1, pp.37-46, 2011.
  16. American Heart Association(AHA). "Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care," Circulation, Vol.102, No.8(Suppl): I-358-I-370, 2000. https://doi.org/10.1161/01.CIR.102.suppl_2.1-i
  17. E. J. Gallagher, G. Lombardi, P. Gennis, "Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest," JAMA, Vol.274, No.24, pp.1922-1925, 1995. https://doi.org/10.1001/jama.1995.03530240032036
  18. K. B. Kern, "Cardiopulmonary resuscitation without ventilation," Crit Care Med, Vol.28, No.11, pp.186-189, 2000. https://doi.org/10.1097/00003246-200011001-00003
  19. G. D. Perkins, C. M. Smith, C. Augre, M. Allan, H. Rogers, B. Stephenson, D. R. Thickett, "Effects of a backboard, bad height, and operator position on compression depth during simulated resuscitation," Intensive Care Med, Vol.32, No.10, pp.1632-1635, 2006. https://doi.org/10.1007/s00134-006-0273-8
  20. P. D. Larsen, K. Perrin, D. C. Galletly, "Patterns of external chest compression," Resuscitation, Vol.53, No.3, pp.281-287, 2002. https://doi.org/10.1016/S0300-9572(02)00026-6
  21. L. O. Andersen, D. L. Isbye, L. S. Rasmussen. "Increasing compression depth during manikin CPR using a simple backboard," Acta Anaesthesiol Scand, Vol.51, No.6, pp.747-750, 2007. https://doi.org/10.1111/j.1399-6576.2007.01304.x
  22. J. H. Jang, "comparison study for chest compression during CPR between on the floor and on the bed with backboard," thesis for a master's degree at the graduate school of Chung-Ang University 2009.
  23. D. S. Park, "comparison of quality of CPR between knee protection and no knee protection in CPR", Journal of the korea academia-industrial, Vol.11, No.2, pp.733- 740, 2010.
  24. P. D. Larsen, K. Perrin, D. C. Galletly, "Patterns of external chest compression," Resuscitation, Vol.53, No.3, pp.281-287, 2002. https://doi.org/10.1016/S0300-9572(02)00026-6