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COVID-19 대응 심정지에서 가슴압박 교대 인원에 따른 구조자의 피로도 -마네킹 연구-

Measuring rescuer's fatigue by evaluating varying sized groups of rescuers performing chest compressions on a manikin study for suspected COVID-19 patients

  • 안희정 (나사렛대학교 응급구조학과) ;
  • 심규식 (나사렛대학교 응급구조학과) ;
  • 방성환 (대전보건대학교 특전의무부사관과) ;
  • 송효숙 (대전보건대학교 응급구조과) ;
  • 한승은 (나사렛대학교 응급구조학과)
  • Ahn, Hee-Jeong (Department of Emergency Medical Technology, Korea Nazarene University) ;
  • Shim, Gyu-Sik (Department of Emergency Medical Technology, Korea Nazarene University) ;
  • Bang, Sung-Hwan (Department of Special Warfare Medical Non-Commissioned Officer, Daejeon Health Institute of Technology) ;
  • Song, Hyo-Suk (Department of Emergency Medical Service, Daejeon Health Institute of Technology) ;
  • Han, Seung-Eun (Department of Emergency Medical Technology, Korea Nazarene University)
  • 투고 : 2021.11.04
  • 심사 : 2021.12.28
  • 발행 : 2021.12.31

초록

Purpose: The aim of the study is to measure the quality of cardiopulmonary resuscitation (CPR) and the fatigue of rescuers wearing PPE (Level D) during a CPR session and to ultimately provide suggestions of safety standards for rescuers. Methods: 36 subjects were enrolled in the study. The subjects were divided randomly into three groups of two-members, three-members, and four-members. Each group performed CPR for 30 minutes. Blood lactate concentration, heart rate, rating of perceived exertion, chest compression depth and rate were measured before experiment and after each cycle. Results: There was a difference in the blood lactate concentration during CPR cycle by member of shifts (p=.014). The blood lactate concentration increased during CPR (p=.000). Subjective fatigue was a significant difference of chest compression in cycles 3, 4, and 5 for the member of shifts during CPR (p=.049, p=.009, p=.015). Depth and rate of chest compression were not different for the member of shifts during CPR. Conclusion: It is necessary to establish standards for the member of shifts during CPR, to reduce the fatigue of rescuers.

키워드

과제정보

이 논문은 2021년도 대한 심폐소생협회의 지원을 받아 수행된 연구사업임(No. 2021-003).

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