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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Comparison on the Quality and fatigue of hands-Only CPR According to the Presence or Absence of Verbal counting by Some Middle-aged Women

일부 중년 여성에서 구령 유무에 따른 가슴압박소생술의 질과 피로도 비교

  • 김건남 (조선대학교 대학원 보건학과) ;
  • 최성수 (조선대학교 대학원 보건학과) ;
  • 최성우 (조선대학교 의학전문대학원 예방의학교실)
  • Received : 2012.12.03
  • Accepted : 2013.03.07
  • Published : 2013.03.31
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Abstract

According to the comparing the quality and fatigue of Hands-only CPR with counting by middle-aged women who is most likely to witness the cardiac arrest. This paper wants to provide the basic data to establish a CPR education program for the role of the first responders. After conducted three hours of basic life support training, it divided into two 45-persons groups by assignment of probability. 2-minutes research conducted with dummy by dividing into Group-A that counting the number loudly during the Hands-Only CPR, And Group-B that does not counting the number during the Hands-Only CPR. Between the two groups, the quality of Hands-Only CPR does not showed its difference clearly and the downtime of Hands-Only CPR was reduced, Depending on the over time, the frequency that reduces the depth of Hands-Only CPR was also significantly lower. And after the Hands-Only CPR, the fatigability who felt themselves was also significantly lower.

일반인 중 심정지를 목격할 가능성이 가장 높은 중년층 여성들을 대상으로 숫자를 세는 방법에 따른 가슴압박소생술의 질과 피로도를 비교하여 최초반응자로서의 역할을 위한 심폐소생술 교육 프로그램을 마련하는데 기초자료를 제공하고자 한다. 3시간의 기본인명구조술 교육을 실시한 후, 확률할당을 통해 45명씩 두 그룹으로 배정하였다. 가슴압박소생술 도중 큰소리로 숫자를 세는 그룹 A, 숫자를 세지 않는 그룹 B로 나누어 인체모형에 2분간의 연구를 진행 하였다. 두 그룹간 가슴압박의 질은 유의한 차이를 보이지 않으면서 가슴압박의 중단시간이 단축되었고, 시간의 경과에 따라 흉부압박의 깊이가 줄어드는 빈도 또한 의미 있게 낮았다. 또한 가슴압박소생술 후 본인이 느끼는 피로도 또한 의미 있게 낮았다.

Keywords

References

  1. R. J. Van Hoeyweghen, et al., "Cerebral resuscitation study group: quality and efficiency of bystander CPR", Resuscitation Vol.26, No.1, pp.47-52, August, 1993. DOI: http://dx.doi.org/10.1016/0300-9572(93)90162-J
  2. D. P. Edelson, et al., "Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest", Resuscitation, Vol.71, No.2, pp.137-145, November, 2006. DOI: http://dx.doi.org/10.1067/mem.2002.129507
  3. A. B. Sanders, et al., "survival and neurologic outcome after cardiopulmonary resuscitation with four different chest compression-ventilation ratios", Ann Emerg Med, Vol.40, No.6, pp.553-562, December, 2002. DOI: http://dx.doi.org/10.1067/mem.2002.129507
  4. R. A. Berg, et al., "Simulated mouth-to-mouth ventilation and chest compressions (bystander cardio pulmonary resuscitation) improves outcome in a swine model of prehospital pediatric asphyxial cardiac arrest", Crit Care Med, Vol.27, No.9, pp.1893-1899, September, 1999. DOI: http://dx.doi.org/10.1097/00003246-199909000-00030
  5. R. A. Berg, et al., "Bystander chest compressions and assisted ventilation independently improve outcome from piglet asphyxial pulseless cardiac arrest", Circulation, Vol.101, No.14, pp.1743-1748, April, 2000. DOI: http://dx.doi.org/10.1161/01.CIR.101.14.1743
  6. Korean Association of Cardiopulmonary Resuscitation, 2011 Korean cardiopulmonary resuscitation guidelines, 2011.
  7. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, Vol.13;112, No.(24 suppl l24), IV1-203, December, 2005.
  8. R. A. Berg, et. al., "Part 5: adult basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care", Circulation, Vol.2;122, No.(18 Suppl 3), pp. S685-705, November, 2010
  9. A. Ashton, et al., "Effect of rescuer fatigue on performance of continuous external chest compressions over 3 min" Resuscitation, Vol.55, No.2, pp.151-155, November, 2002. DOI: http://dx.doi.org/10.1016/S0300-9572(02)00168-5
  10. National Emergency Management Agency, An Analysis of 2007 Rescue Activity, 2008.
  11. F. J. Ochoa, et al., "The effect of rescuer fatigue on the quality of chest compressions", Resuscitation, Vol.37, No.3, pp.149-152, June, 1998. DOI: http://dx.doi.org/10.1016/S0300-9572(98)00057-4
  12. G. A. Payne, K. A. Salness, "A survey of participants in a mass CPR training course", Ann Emerg Med, Vol.16, No.10, pp.1112-1116, October, 1987. DOI: http://dx.doi.org/10.1016/S0196-0644(87)80466-3
  13. Korean Association of Cardiopulmonary Resuscitation, Cardiopulmonary Resuscitation Training and Publicity Report, 2007.
  14. The Ministry of Public Health and Family, and Korea Good Samaritan Network, Development of Educational Module for Family Emergency Treatment and Activation Directions, 2009.
  15. E. Platz, et al., "Attitudes towards CPR training and performance in family members of patient with heart disease", Resuscitation, Vol.47, No.3, pp.273-280, November, 2000. DOI: http://dx.doi.org/10.1016/S0300-9572(00)00245-8
  16. C. F. Weston, S. D. Jones, R. J. Wilson, "Outcome of out-of-hospital cardio respiratory arrest in south Glamorgan", Resuscitation, Vol.34, No.3, pp.227-233, June, 1997. DOI: http://dx.doi.org/10.1016/S0300-9572(96)01063-5
  17. R. O. Cummins, et. al., "Improving survival from sudden cardiac arrest: the "chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association", Circulation, Vol.83, No.5, pp.1832-1847, May, 1991. DOI: http://dx.doi.org/10.1161/01.CIR.83.5.1832
  18. D. Hightower, et. al., "Decay in quality of closed-chest compressions over time", Ann Emerg Med, Vol.26, No.3, September, 1995. DOI: http://dx.doi.org/10.1016/S0196-0644(95)70076-5
  19. N. T. Sugerman, et. al., "Rescuer fatigue during actual in-hospital cardiopulmonary resuscitation with audiovisual feedback: a prospective multicenter study", Resuscitation, Vol.80, No.9, pp.981-984, September, 2009. DOI: http://dx.doi.org/10.1016/j.resuscitation.2009.06.002
  20. J. M. Yeo, et al., "Original Articles : A Simulation Study for Quality of Chest Compression Provided by Health Personnel", The Korean Journal of critical Care Medicine, Vol.26, No.2, pp.64-68, 2011. https://doi.org/10.4266/kjccm.2011.26.2.64
  21. The Ministry of Public Health and Family, Public Health White Documents ( 2008 Emergency Rescue Management Report), 2010.
  22. A. Hallstrom, et. al., "Cardiopulmonary resuscitation by chest compression alon or with mouth-to-mouth ventilation", N Engl J Med, Vol.342. No.21, pp.1546-1553, May, 2000. DOI: http://dx.doi.org/10.1056/NEJM200005253422101