DOI QR코드

DOI QR Code

A Study on the Motion Analysis of CPR on EMT Who Wearing PPE

4구급대원의 PPE(Personal Protective Equipment)착용 시 CPR 동작분석에 관한 연구

  • Shin, Dong-min (Department of Paramedic Science, Korea National University of Transportation) ;
  • Chung, Jae-han (Korea Fire Institute) ;
  • Kim, Seung-yong (Department of Management Information System, Korea National University of Transportation) ;
  • Hong, Eun-jung (Department of Industry-Academic Cooperation Foundation, Korea National University of Transportation) ;
  • Kim, Kyoung-yong (Department of Emergency Medical Rehabilitation, Kang-Won National University) ;
  • Han, Yong-taek (Korea Fire Institute)
  • 신동민 (한국교통대학교 응급구조학과) ;
  • 정재한 (한국소방산업기술원) ;
  • 김승용 (한국교통대학교 경영정보학과) ;
  • 홍은정 (한국교통대학교 산학협력단) ;
  • 김경용 (강원대학교 응급의료재활학과) ;
  • 한용택 (한국소방산업기술원)
  • Received : 2015.06.11
  • Accepted : 2015.09.30
  • Published : 2015.10.31

Abstract

The purpose of this study is to find out its effect on changes in the joint angle and the success rate of cardiopulmonary resuscitation by conducting cardiopulmonary resuscitation (CPR) when wearing and not wearing PPE (personal protective equipment) targeting 20 paramedics with more than 5 years of experience. The subjects carried out CPR in 30:2 for 4 minutes and collected images were digitized by Kwon3D XP Software Package(Version 4.0) and then data were obtained. Data, which were collected by analyzing the motion when starting in one cycle, when pressing to the maximum, in the final position (relaxed), were analyzed by using SPSS 18.0. In conclusion, during CPR, the angle of the both shoulder joints was not significant (p>.05) and the angle of the right elbow joint was reduced in all positions and was statistically significant (p<.05) and the angle of the left was significantly reduced in the maximum pressure posture and the final position (p>.05). In the case of the trunk, the angle increased statistically significantly at all stages (p<.01, p<.001). Also, during CPR, the average compression rate was significantly reduced after wearing PPE (p<.05) and average hand escape time by cycle increased statistically significantly (p<.05) but chest compression execution rate at the correct depth did not show any significant difference between the two groups (p>05).

Keywords

References

  1. A. Coca, W. J. Williams, R. J. Roberge and J. B. Powell, "Effects of Firefighter Protective Ensembles on Mobility and Performance", Appl. Ergon., Vol. 41, No. 4, pp. 636-641, 2010. https://doi.org/10.1016/j.apergo.2010.01.001
  2. G. G. An, "A Study on the Approaches to Protect Fire Officers from Occupational Diseases-Focusing on Gyungsangnam-Do", Master's Thesis, Kyung-nam University, 2010.
  3. J. M. Chung, D. H. Seol, J. B. Park, K. S. Seo, J. H. Lee and H. D. Kim, "Analysis of Transportation of Victims of the Subway Fire in Dae-gu," Jour. Kor. Soc. Emer. Medi., Vol. 14, No. 5, pp. 514-521, 2003.
  4. H. J. Park, S. Y. Kim, K. Morris, M. Moukperian, Y. J. Moon and J. Stull, "Effect of Fire-fighters' Personal Protective Equipment on Gait", Appl. Ergon., Vol. 48, pp. 42-48, 2015. https://doi.org/10.1016/j.apergo.2014.11.001
  5. L. M. Boorady, J. Barker, Y. A. Lee, S. H. Lin, E. Cho and S. P. Ashdown, "Exploration of Firefighter Turnout Gear Part 1: Identifying Male Firefighter user Needs" Jour. Text. Appar. Technol. Manag, Vol. 8, pp. 1-13, 2013.
  6. S. S. Chiou, N. Turner, J. Zwiener, D. L. Weaver and W. E. Haskell, "Effect of Boot Weight and Sole Flexibility on Gait and Physiological Responses of Firefighters in Stepping Over Obstacles", Jour. Hum. Factors Ergo. Soc., Vol. 54, pp. 373-386, 2012. https://doi.org/10.1177/0018720811433464
  7. A. Punakallio, "Balance Abilities of Workers in Physically Demanding Jobs: with Special Reference to Firefighters of Different Ages", Jour. Spor. Sci. Med., Vol. 13, No. 1, pp. 1-47, 2005.
  8. T. M. Sobeih, K. G. Davis, P. A. Succop, W. A. Jetter and A. Bhattacharya, "Postural Balance Changes in on-duty Firefighters: Effect of Gear and Long Work Shifts", Jour. Occup. Environ. Med., Vol. 48, pp. 68-75, 2006. https://doi.org/10.1097/01.jom.0000181756.38010.d2
  9. D. L. Smith, "Firefighter Fatalities and Injuries: the Role of Heat Stress and PPE", Firefighter Life Safety Research Center, 2008.
  10. A. Coca, R. Roberge, A. Shepherd, J. B. Powell, J. O. Stull, and W. J. Williams, "Ergonomic Comparison of a Chem./Bio Prototype Firefighter Ensemble and a Standard Ensembles on Mobility and Performance" Appl. Ergon, Vol. 104, No. 2, pp. 636-641, 2007.
  11. K. Park, K. S. Rosengren, G. P. Horn, D. L. Smith and E. T. Hsiao-Wecksler, "Assessing Gait Changes in Firefighters due to Fatigue and Protective Clothing", Safe. Scie., Vol. 49, No. 5, pp. 719-726, 2011. https://doi.org/10.1016/j.ssci.2011.01.012
  12. R. Ben-Abraham, I. Gur, Y. Vater and A. A. Weinbroum, "Intraosseous Emergency Access by Physicians Wearing Full Protective Gear", Acad. Emerg. Med., Vol. 10, No. 2, pp. 1407-1470, 2003. https://doi.org/10.1111/j.1553-2712.2003.tb00019.x
  13. K. Park, P. Hur, K. S. Rosengren, G. P. Horn and E. T. Hsiao-Wecksler, "Effect of Load Carriage on Gait due to Firefighting Air Bottle Configuration", Ergonomics, Vol. 53, No. 7, pp.882-891, 2010. https://doi.org/10.1080/00140139.2010.489962
  14. A. Punakallio, S. Lusa and R. Luukkonen, "Protective Equipment Affects Balance Abilities Differently in Younger and Older Firefighters", Avia. Spa. & Envir. Medi., Vol. 74, pp.1151-1156, 2003.