The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Changes in the quality of chest compressions applying a digital sensor device

디지털 센서 장비를 적용한 가슴 압박의 질 변화

  • Yang, Hyun-Mo (Department of Emergency Medicine, Chungnam University Graduate School)
  • 양현모 (충남대학교대학원 의학과 응급의학교실)
  • Received : 2013.10.20
  • Accepted : 2013.12.17
  • Published : 2014.04.30
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Abstract

Purpose : The purpose of this study is to demonstrate the effectiveness of using a digital sensor device during CPR by analyzing the results from that chest compressions with a digital sensor device are applied to cardiac arrest patients. Methods : This study analyzed the results from the experiment that 42 people were selected randomly among Korean 119 rescuers, and they divided into the experimental group using a digital sensor device and the control group only using their hands, then they had been observed to conduct chest-compressions to mannequins for 10 minutes. Results : The results were found that compression depth in both the control and experimental group was gradually decreased over time, but the experimental group not only kept the depth but also maintained the speed of chest-compressions close to 100 times a minute. In addition, due to the use of the digital sensor device, the insufficient recoil ratio of chest-compressions was significantly reduced. Conclusion : The results show that conducting chest-compressions with a digital sensor device keeps the compression-death, maintains the speed of chest-compression properly and makes the insufficient relaxation ratio of chest-compressions reduce significantly.

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References

  1. Berg RA, Hemphill R, Abella BS, Aufderheide TP, Cave DM, Hazinski MF, et al. Part 5: Adult basic life support : 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2010;122(18 suppl 3):685-705. https://doi.org/10.1161/CIRCULATIONAHA.110.970939
  2. Berg RA, Sanders AB, Kern KB, Hilwig RW, Heidenreich JW, Porter ME, et al. Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation 2001;104(20):2465-70. https://doi.org/10.1161/hc4501.098926
  3. Yu T, Weil MH, Tang W, Sun S, Klouche K, Povoas H, et al. Adverse outcomes of interrupted precordial compression during automated defibrillation. Circulation 2002;106(3):368-72. https://doi.org/10.1161/01.CIR.0000021429.22005.2E
  4. National Emergency Management Agency. 2013 Fire administration data and statistics. Availabl at: http://www.nema.go.kr/nema_cms_iba/show_nema/board/board9s/view.jsp?cNo=202850&c_relation=39&check_ the_code=5&check_the_num=142&check_up_num=165&pageNo=1, 2013.
  5. Yoo IS, Gwak DJ. Decay in quality of closed-chest compression over time on CPR. J Korean Soc Emerg Med 1998;9(1): 34-8.
  6. Kim YB, Choi SM, Kim YM, Lee WJ, Park KN, Lee MJ, et al. Effect of single-rescuer fatigue on the quality of cardiopulmonary resuscitation with 30:2 and 15:2 compression to ventilation ratios. J Korean Soc Emerg Med 2006;17(6):519-27.
  7. Na JH, Park SO, Baek KJ, Hong DY, Lee KR, Lee MH. Analysis of the time-dependent changes of chest compression quality and related rescuer factors in cardiopulmonary resuscitation by laypersons. J Korean Soc Emerg Med 2010; 22(5):431-7.
  8. Wik L, Kramer-Johansen J, Myklebust H, Sorebo H, Svensson L, Fellows B, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 2005;293(3):299-304. https://doi.org/10.1001/jama.293.3.299
  9. Chandra N, Rudikoff M, Weisfeldt ML. Simultaneous chest compression and ventilation at high airway pressure during cardiopulmonary resuscitation. Lancet 1980;1(8161):175-8.
  10. Halperin HR, Guerci AD, Chandra N, Herskowitz A, Tsitlik JE, Niskanen RA, et al. Vest inflation without simultaneous ventilation during cardiac arrest in dogs: improved survival from prolonged cardiopulmonary resuscitation. Circulation 1986;74(6):1407-15. https://doi.org/10.1161/01.CIR.74.6.1407
  11. Halperin HR, Tsitlik JE, Gelfand M, Weisfeldt ML, Gruben KG, Levin HR, et al. A preliminary study of cardiopulmonary resuscitation by circumferential compression of the chest with use of a pneumatic vest. N Engl J Med 1993;329(11): 762-8. https://doi.org/10.1056/NEJM199309093291104
  12. Timerman S, Cardoso LF, Ramires JA, Halperin H. Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest. Resuscitation 2004;61(3): 273-80. https://doi.org/10.1016/j.resuscitation.2004.01.025
  13. Yang HM, Baeck KM, Kim KS, Yoon BG, Kim JW, Kim H. The effect of portal compression sensor on the quality of chest compressions during cardiopulmonary resuscitation (CPR): A mannequin based simulation study. J Korea Acad Ind Coop Soc 2013;14(2):744-50.
  14. Park D, Cho GC, Ryu JY, You JY, Oh DJ. The effect of a real time audiovisual feedback system on the quality of chest compressions by trained personnel during resuscitation: A randomized controlled trial using a manikin model. J Korran Soc Emerg Med 2008;19(1):37-44.
  15. Abella BS, Edelson DP, Kim S, Retzer E, Myklebust H, Barry AM, et al. CPR quality improvement during in hospital cardiac arrest using a real-time audiovisual feedback system. Resuscitation 2007;73(1):54-61. https://doi.org/10.1016/j.resuscitation.2006.10.027