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Convergent Influence Effect on the High - Quality CPR of 119 Paramedics by Wearing Personal Protective Equipment by Level

구급대원의 수준별 개인용 보호구 착용에 따른 심폐소생술 품질에 미치는 융합적인 영향

  • Shin, Dong-Min (Department of Paramedic Science, Korea National University of Transportation) ;
  • Cho, Byung-Jun (Department of Paramedic Science, Kangwon National University) ;
  • Yang, Hyun-Mo (Department of Paramedic Science, Korea National University of Transportation) ;
  • Jeon, Seong-Man (Department of Paramedic Science, Korea National University of Transportation) ;
  • Han, Yong-Taek (Department of Safety and Environmental Prevention, Daegu Haany University)
  • 신동민 (한국교통대학교 응급구조학과) ;
  • 조병준 (강원대학교 응급구조학과) ;
  • 양현모 (한국교통대학교 응급구조학과) ;
  • 전성만 (한국교통대학교 응급구조학과) ;
  • 한용택 (대구한의대학교 소방방재환경전공)
  • Received : 2020.01.29
  • Accepted : 2020.04.20
  • Published : 2020.04.28

Abstract

The purpose of this study is to investigate the effect of wearing clothes, Level B, and Level C PPE on normal CPR using mannequins. The paramedics who participated in this experiment were 20 paramedics with more than 5 years of experience in firefighting area C. It was found that chest compressions in the process that hand off time was 11.9 seconds in the uniform wearing group, 11.4 seconds in the level C PPE wearing group, and 13.1 seconds in the SCBA wearing group. In other words, wearing personal protective equipment prevents the movement of paramedics and uses compensatory movements, which may increase the difficulty of efficient first aid. If this situation persists, it may cause fatigue and damage to the body of paramedics. Rescue and paramedics should wear level personal protective equipment in case of emergencies and conduct rescue and CPR training.

본 연구에서는 마네킹을 이용해서 평상시 응급처치시 입는 옷, 레벨 B, 레벨 C PPE를 착용이 고품질의 심폐소생술에 미치는 영향을 알아보고자 한다. 본 실험에 참여한 응급구조사는 C 지역 소방 소속의 5년 이상의 경력을 가진 119 구급대원 20명을 대상으로 하였다. 심폐소생술 중 가슴압박이 중지되는 손이탈 시간 및 비율의 경우 유니폼 착용그룹에서 11.9 초, 레벨 C PPE 착용 그룹에서 11.4 초, SCBA 착용 그룹에서 13.1 초인 것으로 밝혀졌다. 개인보호장비 착용은 구급대원의 움직임을 방해하고 있고 보상동작을 사용하게 되어 효율적인 응급처치의 어려움이 나타날 가능성이 많아지며, 이러한 상황이 지속될 경우 구급대원의 신체에도 피로감과 손상을 줄 수 있다. 구조 및 구급대원들은 응급상황을 대비해서 레벨별 개인보호장비를 착용하고 구조 및 심폐소생술 훈련에 임하여야 한다.

Keywords

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