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http://dx.doi.org/10.9708/jksci.2022.27.11.219

The Effect of Bag-Valve Mask Using Skill Education with Flowmeter  

An, Juyeong (Dept. of Emergency Medical Technology, Masan University)
Kim, Hwan-Hui (Dept. of Public Health Administration, Vision College of Jeonju)
Yun, Hyeong-Wan (Dept. of Emergency Medical Technology, Vision College of Jeonju)
Abstract
This study is to evaluate the intervention effect using a flowmeter in bag-valve mask skill education. The purpose of this study was to compare the accuracy of bag-valve mask skill between intervention group with flowmeter and control group without flowmeter, understand the improvement effect of skill education of bag-valve mask, and provide basic data to suggest the method of skill education. The total number of subjects of this study was 60, with 30 intervention group and 30 control group. In comparison of the optimal number of normal tidal volume range at pre-test and post-test, the normal range percentages of the intervention group before and after education were 32.8% and 86.7%, respectively, and there was a significant difference(p<0.01). The normal range percentages of the control group before and after education were 20.0% and 34.7%, respectively, and there was a significant difference(p<0.05). To evaluate the factors associated with good performance of bag-valve mask skill of the subjects including the normal range of tidal volume, the logistic regression analysis has been performed, and the significant influential factors were gender(10.305, 1.20-87.98), educational experience of field practice(31.674, 1.25-805.16), and intervention(92.750, 4.58-1879.69). Through this study, it was confirmed that the intervention using flowmeter for the skill education of bag-valve mask was effective, and it is necessary to consider reflecting it in the education of students majoring in emergency medical technology in the future.
Keywords
Bag-valve mask; Flowmeter; Skill education; Tidal volume; Skill accuracy;
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1 National Fire Agency(NFA). www.nfa.go.kr
2 M Holmberg, Stig C. Holmberg, J Herlitz, "Factors modifying the effect of bystander cardiopulmonary resuscitation on survival in out of hospital cardiac arrest patients in Sweden.", European heart Journal, Vol. 22, No. 6, pp. 511-519, March 2001. DOI:10.1053/euhj.2000.2421   DOI
3 Korean Association of Cardiopulmonary Resuscitation: 2015 Korean guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. 2015.
4 V Doerges, C Sauer, H Ocker, V Wenzel, P Schmucker, "Smaller tidal volumes during cardiopulmonary resuscitation: comparison of adult and pediatric self-inflatable bags with three different ventilatory devices", Resuscitation, Vol. 43, No. 1, pp. 31-37. December 1999. DOI: 10.1016/s0300-9572(99)00117-3   DOI
5 Tom P. Aufderheide, G. Sigurdsson, Ronald G. Pirrallo, Demetris Yannopoulos, Scott McKnite, Chris von Briesen, Christopher W. Sparks, Craig J. Conrad, Terry A. Provo and Keith G. Lurie., "Hyperventilation-induced hypotension during cardiopulmonary resuscitation.", Circulation, Vol. 109, No. 16, pp. 1960-1965, April 2004. DOI: 10.1161/01.CIR.0000126594.79136.61   DOI
6 National Highway Traffic Safety Administration(NHTSA), Emergency medical technician national standard curriculum, 2017.
7 Choi ES, Hong SG, Kwon HR, Koh BY, Lee KY, Jung HH, Lee ML, Yun SW, Park SE, Cho KJ, "Standardization of curriculum for paramedic students in South Korea", The Korean Journal of Emergency Medical Services, Vol. 21, No. 2, pp. 17-37, August 2017. DOI: http://doi.org/10.14408/KJEMS.2017.21.2.017   DOI
8 Kwon CY, Lee IS, "Assistant device development and effects for promotion of bag-valve-mask ventilation.", Korea Journal of Emergency Medical Services, Vol. 22, No. 1, pp. 49-59, April 2017. DOI: https://doi.org/10.14408/KJEMS.2018.22.1.049   DOI
9 Lee YJ, Uhm DC, "Effects of educational intervention on single-rescuer respiratory-assistant therapy using a bag valve mask", The Korea Journal of Emergency Medical Services, Vol. 23, No. 3, pp. 29-40, 2019. DOI: https://doi.org/10.14408/KJEMS.2019.23.3.029   DOI
10 Shin SY, Lee JG and Rho SG, "Comparative analysis of tidal volume and airway pressure with a bag-valve mask using RespiTrainer". Fire Science and Engineering, Vol. 28, No. 6, pp. 76-81. December 2014. DOI: http://doi.org/10.7731/KIFSE.2014.28.6.076   DOI
11 S. McCabe, S. Smeltzer, "Comparison of tidal volumes obtained by one-handed and two-handed ventilation techniques", American journal of critical care, Vol. 2, No. 6, pp. 467-473. November 1993. DOI: 10.4037/AJCC1993.2.6.467   DOI
12 Kang MJ, Tak YJ, "Comparison of tidal volume of two different bag squeezing techniques in endotracheal intubation settings.", The Korean Journal of Emergency Medical Services, Vol. 21, No. 1, pp. 99-109, April 2017. DOI: http://doi.org/10.14408/KJEMS.2017.21.1.099   DOI
13 Cohen J, Statistical Power analysis for behavioral science. New York, Academic Press, 1988.
14 M Holmberg, S Holmberg, J Herlitz, B Gardelov, "Survival after cardiac arrest outside hospital in Sweden." Swedish Cardiac Arrest Registry, Resuscitation, Vol. 36, No. 1, pp. 29-36, January 1998. DOI: 10.1016/s0300-9572(97)00089-0   DOI