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A survey on installation and management of automated external defibrillators

자동심장충격기 설치현황 및 관리 실태 조사

  • Seo, Hye-Jin (Department of Emergency Medical Service, Kongju National University) ;
  • Yoon, Susie (Department of Nursing, Cheju Halla University) ;
  • Kim, Hyo-Sik (Department of Emergency Medical Technology, Cheju Halla University)
  • 서혜진 (공주대학교 대학원 응급구조학과) ;
  • 윤수지 (제주한라대학교 간호학과) ;
  • 김효식 (제주한라대학교 응급구조과)
  • Received : 2018.04.23
  • Accepted : 2018.07.06
  • Published : 2018.07.31

Abstract

This study was conducted to investigate the status of the installation, maintenance and management of automatic external defibrillators (AEDs) in all mandatory institutions and buildings of the providence to be equipped with AEDs. The study was conducted from November 20, 2017 to December 20, 2017, during which time 169 AED units were surveyed. The collected data was analyzed by frequency analysis and the percentage was determined using the SPSS/WIN 20.0 program. A total of 168 units (99.41%) of AEDs were installed inside. Additionally, 47 units (27.80%) were available 24 hours a day, and 44 units (26.00%) were available outside business hours of the institution. Moreover, 87 units (51.43%) of the responsible managers received rescue and first aid training. Evaluation of the management status of the AEDs revealed two (1.20%) that had problems with their battery state of charge battery charge and seven (4.10%) for which the AED pads were past the expiration date. A management system for the manager of AEDs should be established and a regular training program for their systematic maintenance should be developed and applied. It is also suggested that awareness of the necessity of continuous management be raised through reinforcement of laws and legal system reorganization.

본 조사 연구는 일개 도내의 자동심장충격기 의무설치 기관의 자동심장충격기 설치현황 및 관리 점검 실태를 파악하기 위한 조사연구이다. 2017년 11월 20일부터 2017년 12월 20일까지 진행되었으며 총 169대의 자동심장충격기를 대상으로 조사하였다. 수집된 자료의 분석은 SPSS/WIN 20.0 프로그램을 이용하여 빈도분석과 백분율로 파악하였다. AED는 168대(99.41%)가 기관 실내에 설치되어 있는 것으로 조사되었으며, 24시간 항시 자동심장충격기가 운영되고 있는 경우는 47대(27.80%), 기관 운영시간 외에 자동심장충격기를 사용할 수 있는 경우는 44대(26.00%)으로 파악되었다. 책임관리자가 구조 및 응급처치 교육을 받은 경우가 87명(51.43%)이었으며, 자동심장충격기의 관리현황은 배터리 충전상태의 문제가 있는 경우는 2대(1.20%), 환자 부착용 AED패드의 유효기간이 지난 경우로 7대(4.10%)로 조사되었다. 향후 자동심장충격기 관리책임자를 위한 관리체계를 마련하고, 체계적 유지관리에 대한 정기적인 교육 프로그램을 개발하여 적용해야 한다. 또한 자동심장충격기 설치 관리에 대한 법률 강화 및 제도적 정비를 통한 지속적인 관리실태의 필요성에 대한 인식을 제고할 필요가 있다.

Keywords

References

  1. Korean Center for Disease Control, Sudden cardiac arrest survey 2006-2016, 2017.
  2. Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, Cabanas JG, Cone DC, Diercks DB, Foster JJ, Meeks RA, Travers AH, Welsford M, Part 4: Systems of Care and Continous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Circulation, No.3, pp.S397-413, 2015. DOI: http://dx.doi.org/10.1161/CIR.0000000000000258
  3. Vincent N. Mosesso Jr., Alan H. Shapiro, Karen Stein, Kelly Burkett, Henry Wang, Effects of AED device features on performance by untrained laypersons, Resuscitation, Vol.80, No.11, pp.1285-1289, 2009. DOI: http://dx.doi.org/10.1016/j.resuscitation.2009.07.016
  4. M. G. Lee, S. J. Kim, D. H. Choi, D. H. Jun, B. D. Yoo, D. P. Lee, Outcome of Nontraumatic Prehospital Cardiac Arrest, Journal of The Korean Society of Emergency Medicine, Vol.13, No.4, pp.428-433, 2002.
  5. H. H. Lee, K. S. Seo, J. M. Chung, J. B. Park, H. W. Ryoo, J. K. Kim, J. S. Seo, S. B. Lee, W. I. Choi, K. W. Lee, Study of Out-of-hospital Cardiac Arrest Patients for whom 119 Rescuers used an Automated External Defibrillator in the Metropolitan Area, Journal of The Korean Society of Emergency Medicine, Vol.19, No.3, pp.245-152, 2008.
  6. J. K. Kim, M. S. P. Choe, K. S. Seo, D. H. Seoul, J. B. Park, J. M. Jung, Clinical Analysis of Resuscitation in Victims of Out-of-Hospital Cardiac Arrest, Journal of The Korean Society of Emergency Medicine, Vol. 13, No.1, pp.5-11, 2002.
  7. R. T. Fothergill, L. R. Watson, D. Chamberlain, G. K. Virdi, F. P. Moore, M. Whitbread, Increase in survival from out-of-hospital cardiac arrest: A five year study, Resuscitation, Vol.84, No.8, pp.1089-1092, 2013. DOI: https://doi.org/10.1016/j.resuscitation.2013.03.034
  8. M. Kuisma, T. Maatta, Out-of-hospital cardiac arrests in Helsinki: Utstein style reporting, Heart, Vol.76, No.1, pp.18-23, 1996. https://doi.org/10.1136/hrt.76.1.18
  9. M. P. Lasen, M. S. Eisenberg, R. O. Cummins, A. P. Hallstrom, Predicting survival from out-of-hospital cardiac arrest: A graphic model, Annals of Emergency Medicine, Vol.22, No.11, pp.1652-1658, 1993. DOI: https://doi.org/10.1016/S0196-0644(05)81302-2
  10. Jeju today, Push project on improving survival rate of cardiac arrest in Jeju, Available from : http://ijejutoday.com/news/articleView.html?idxno=161654. (accessed Mar., 05, 2013).
  11. Korean Ministry of Health & Welfare, Statistics of Emergency Medical System in Korea, 2016.
  12. S. G. Park, C. H. Park, M. J. Chae, Knoweldge and Current Status about AED in the Public Facilities - Focused on the Gwangju City-, The Journal of Emergency Medical Services, Vol.14, No.3, pp.13-28, 2010.
  13. H. J. Park, The investigation into the use and management of automated external defibrillator (AED) in multiple public facilities - focusing on randomly chosen area in Seoul, Unpublished master's thesis, Chung-ang University, 2016.
  14. J. H. Jung, A survey on installation, management, and usability of automated external defibrillators - Focused on apartments with over 500 households in Chungnam, The Journal of Emergency Medical Services, Vol.21, No.3, pp.73-84, 2017. DOI: https://doi.org/10.14408/KJEMS.2017.21.3.073
  15. Korean Ministry of Health & Welfare, Manual for installation and management of AED, 2017.
  16. Sisa Korea, A death in the workplace, Available from: http://www.sisakorea.kr/sub_read.html?uid=39992. (accessed Dec., 09. 2016)
  17. Docdocdoc, AED intalled in KTX was useless., Available from: http://www.docdocdoc.co.kr/news/articleView. html?idxno=232957. (accessed Sep., 28., 2016).
  18. J. H. Kim, J. D. Moon, A Pre-Hospital Cardiac Arrest Patient Surviving after Dispatcher-Assisted Defibrillation by an Untrained Witness, Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.4, pp.239-244, 2018. https://doi.org/10.5762/KAIS.2018.19.4.239