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Appropriateness of Selecting the Chest Compression Site by Lay-Persons: Compared to the center of the lower half of the breastbone and above the two fingers on solar plexus

  • Choi, Sung-Soo (Dept. of Emergency Medical Service, Howon University) ;
  • Han, Seung-Tae (Dept. of Emergency Medical Service, Howon University) ;
  • Yun, Seong-Woo (Dept. of Emergency Medical Service, Namseoul University)
  • Received : 2020.11.04
  • Accepted : 2020.11.25
  • Published : 2020.12.31

Abstract

This study is to find out the effectiveness by adult CPR method of a single rescuer. For patients with acute cardiac arrest, CPR is the only first aid, and chest compression is the most important of these techniques. The subjects of this study were freshman, 120 subjects who did not learn CPR, and for data analysis, the SPSS 22.0 Version was used. The accuracy of chest compression site selection was significantly higher in the upper part of the two fingers in the pit of the stomach(p<.001), and the ease was also high(p<.001). In the case of the general public, they select the chest compression area easily and quickly, it turns out that it is easier to designate the landmark toward the pit of the stomach. In the future, through various job groups, research to select the chest compression site is needed, and additional studies should be conducted to confirm the maintenance and accuracy during chest compression.

본 연구는 1인 구조자 성인 심폐소생술 방법에 따른 효율성을 알아보기 위한 연구이다. 급성 심정지 환자에서 심폐소생술은 유일한 응급처치이며, 이중에서도 가슴압박이 가장 중요하다. 이 연구는 일반인을 대상으로 가슴압박의 선정 부위에 대하여 정확성과 용이성을 비교해보고자 시행하였다. 연구대상자는 심폐소생술을 배우지 않은 대학생 1학년 120명을 대상으로 시행하였고, 자료 분석은 SPSS 22.0 Version을 사용하였다. 가슴압박 부위 선정의 정확도는 명치 두 손가락 위쪽이 유의하게 높았으며(p<.001), 용이성 또한 높게 나타났다(p<.001). 연구 결과 가슴압박 부위를 쉽고 빠르게 선정하는데 있어 표지점을 명치 쪽을 지정하는 것이 더 용이한 것으로 나타났다. 향후 다양한 직군을 통하여 가슴압박 부위를 선정하기 위한 연구가 필요하며, 가슴압박을 진행하는 동안 유지 및 정확도를 확인 할 수 있는 추가적인 연구가 진행되어야 할 것이다.

Keywords

References

  1. Y. J. Oh, C. H. Jo, J. H. Ahn, J. Y. Ryu, G. C. Cho, "Center of the chest versus inter-nipple line in the selsction of a chest compression site by novice rescuers", J Korean Soc Emerg Med, Vol. 24, Vo. 6, pp. 650-655, Dec. 2013. https://www.koreamed.org/SearchBasic.php?RID=2333561
  2. G. D. Perkins, J. Soar, "In hospital cardiac arrest: missing links in the chain of survival", Resuscitation, Vol. 66, No. 3, pp. 253-255, Sep. 2005. DOI: https://doi.org/10.1016/j.resuscitation.2005.05.010
  3. M. F Hazinski, J. P. Nolan, R. Aickin, F. Bhanji, J. E. Billi, C. W. Callaway, et al. "Part 1: Executive summary: 2015 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations", Circulation, Vol. 132, Vo. 16, pp. 2-39, Oct, 2015. DOI: 10.1161/CIR.0000000000000270
  4. A. H. Travers, G. D. Rerkins, R. A. Berg, M. Castren, J. considine, R. Escalante, et al. "Part 3: Adult basic life support and Automates External Defibrillation," Circulation, Vol. 132, No. 16, pp. 51-83, Oct, 2015. DOI: https://doi.org/10.1016/j.resuscitation.2015.07.041
  5. A. H. Travers, T. D. Rea, B. J. Bobrow, D. P. Edelson, R. A. Berg, M. R. Sayre, et al. "Part 4: CPR overview: 2010 American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care", Circulation, Vol. 122, No. 18, pp. 676-684, Nov, 2010. DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.970913
  6. L. Wik, J. Kramer-Johansen, H. Myklebust, H. Sorebo, L. svensson, B. Fellows, et al. "Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest", JAMA, Vol. 293, No. 3, pp. 299-304, Jan, 2005. DOI: 10.1001/jama.293.3.299
  7. Jyhyuk, Gwkim, Gccho, Yjtak, Spchung, Sohwang, "Part 8. cardiopulmonary Resuscitation Education: 2015 Korean Guidelines for Cardiopulmonary Resuscitation," ClinExp Emerg Med, Vol. 3, pp39-47, Jul 2016. DOI: 10.15441/ceem.16.131
  8. M. L. Dorfsman, J. J. Menegazzi, R. J. Wadas, T. E. Auble, "Two-thumb vs Two-finger chest compression in an infant model of prolonged cardiopulmonary resuscitation," Academic Emergency Medicin, Vol. 7, No. 10, pp. 1077-1082, Oct 2000. DOI: 10.1111/j.1553-2712.2000.tb01255.x
  9. J. Yeung, T. Butler, J. W. Digby, J. Hughes, d. Higgie, M. Minshall, et al, "Basic life support providers' assessment of centre of the chest and inter-nipple line for hand position and their underlying anatomical structures", Resuscitation, Vol. 82, No. 2, pp.190-194, Feb, 2011. DOI: https://doi.org/10.1016/j.resuscitation.2010.10.008
  10. Circulation, "Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. Part 3: Adult basic life support. The American Heart Association in collaboration with the international liaison committee on resuscitation" Vol. 102. No. 8, pp. 22-59, Aug, 2000. DOI: 10.1161/CIRCULATIONAHA.107.186228
  11. ECC committee, subcommittees and task forces of the American Heart Association. "2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cariovascular care. Part 4: adult basic life support", Circulation, Vol. 112, No. 24, pp. 19-34, Dec, 2005. DOI: https://doi.org/10.1161/CIRCULATIONAHA.105.166553
  12. American Heart Association(AHA), "Guidelines for Cardiopul monary Resuscitation and Emergency Cardiovascular Care, Part 5: Adult basic life support," circulation, Vol. 122, No. 17, pp. 685-705, October 2010. DOI: 10.1161/CIR.0000000000000259
  13. T. Celenza, HC. Gennat, D. O' Brien, IG. Jacobs, DM. Lynch, GA. Jelinek, (2002). "Community competence in cardiopulmo nary resuscitation," Resuscitation, Vol. 55, No. 2, pp. 157-165, November 2002. DOI: 10.1016/s0300-9572(02)00201-0.
  14. K. M. Kim, "Knowledge and educational experience about basic life support in high school students," Graduate school of Yonsei University, 2007. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5003585/
  15. S. Kusunoki, K. Tanigawa, T. Kondo, M. Kawamoto, O. Yuge, "Safety of the inter-nipple line hand position landmark for chest compression", Resuscitation, Vol. 80, No. 10, pp. 1175-1180, Oct, 2009. DOI: https://doi.org/10.1016/j.resuscitation.2009.06.030
  16. R. W. Koster, M. A. Baubin, L. L. Bossaert, "European resuscitation council guidelines for resuscitation 2010 section2. Adult basic life support and use of automated external defibrillators", Resuscitation, Vol. 81, No. 10, pp. 1277-1292, Oct, 2010. DOI: 10.1016/j.resuscitation.2010.08.009.
  17. K. O. Gwak, J. H. Park, N. H. Kim, "A study on the re-conceptualization and categorization of Taekwondo vital points", Taekwondo journal of Kukkiwon, Vol. 6, No. 3, pp. 13-30, Dec, 2015. DOI: I410-ECN-0102-2016-690-000196037 https://doi.org/10.24881/tjk.2015.6.3.13
  18. G. Donata, C. Duane, "Influence of the chest compression measurement method on assessment of restraint performance in side-impact crash scenarios", J Biomech, Vol. 25, No. 75. pp. 53-57, Jun, 2018. DOI: 10.1016/j.jbiomech.2018.04.044
  19. G. Sofia, L. Mikel, G. Julio, R. Jesus, G. Digna, R. James, "Enhancement of capnogram waveform in the presence of chest compression artefact during cardiopulmonary resuscitation", J Biomech, Vol. 133, No. 1. pp. 53-58, Dec, 2018. DOI: 10.1016/j.resuscitation.2018.09.024
  20. S. H. Robert, C. douglas, "Skeletal chest injuries secondary to cardiopulmonary resuscitation", Resuscitation, Vol. 63, No. 3. pp. 327-328, Dec, 2004. DOI: https://doi.org/10.1016/j.resuscitation.2004.05.019
  21. S. D. Seong, H. J. Kim, H. J. Lee, S. Y. Lee, "Analysis of placement of the chest compression site with measuring the sternal length of young Korean adult", J Korean Soc Emerg Med, Vol. 25, No. 5, pp. 536-541, Oct, 2014. http://jksem.org/journal/view.php?number=79

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