The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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A comparative analysis of the efficacy of tiny child cardiopulmonary resuscitation (CPR) by chest compression methods

가슴압박 방법에 따른 소아 심폐소생술의 효율성 비교

  • Yong-Joon Kim (Department of Emergency Medicine, SMG-SNU Boramae Medical Center) ;
  • So-Yeon An (Department of Emergency Medicine, Konyang University Hospital) ;
  • Seung-Eun Han (Department of Paramedicine, Korea Nazarene University) ;
  • Kyoung-Youl Lee (Department of Paramedicine, Kongju National University)
  • 김용준 (서울특별시 보라매병원 응급의료센터 ) ;
  • 안소연 (건양대학교 권역응급의료센터 ) ;
  • 한승은 (나사렛대학교 응급구조학과) ;
  • 이경열 (국립공주대학교 응급구조학과)
  • Received : 2024.06.30
  • Accepted : 2024.08.13
  • Published : 2024.08.31
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Abstract

Purpose: This study aimed to compare the effectiveness of one-hand compression method (one-hand) and two-thumb compression methods (two-thumb) using a 3-year-old pediatric mannequin. Methods: Participants in the experiment were randomly assigned to 21 people with one hand and 21 people with two thumbs, who had completed a basic life support training course. The mannequin used a few junior QCPR manikis (Laerdal, Norway), based on an age of 3. The study followed the guidelines for two-rescuer pediatric CPR, performing chest compressions and ventilations in a 15:2 ratio for 5 cycles, 10 minutes. The chest compression number, depth, speed rate, and recoil rate were measured after 1, 3, and 5 cycles, respectively. Data were analyzed using SPSS 23.0. Results: Comparing the efficiency of chest compressions performed during 1, 3, and 5 cycles, the depth of chest compressions was 40.84±3.10 mm for the two thumbs and 51.48±4.79 mm for the one-hand, which was significantly different (p<.001). According to pediatric CPR guidelines, the frequency corresponding to the compression depth range of 40.00-50.00 mm was statistically higher at 57.1% (12 people) of two thumb than at 23.8% (5 people) of one hand (p<.001). Conclusion: While the current guidelines recommend one- or two-thumb encircling hand compressions for larger children, the use of one- or two-handed wrapped thumb compressions should be considered for smaller children, depending on the rescuer's judgment, when distinguishing between a child and an infant is difficult.

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References

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