Browse > Article
http://dx.doi.org/10.7731/KIFSE.2014.28.4.104

A Study on the Cardiopulmonary Resuscitation Methods in Ambulance  

Shin, So-Yeon (Graduate School of Industry & Science, Kangwon National Univ.)
Kim, Jee-Hee (Dept. of Emergency Medical Services, Kangwon National Univ.)
Kim, Gyoung-Yong (Gyeonggi-Do Fire Service Academy)
Kang, Shin-Woo (Gyeonggi-Do Fire Service Academy)
Bang, Sung-Hwan (National Emergency Management Agency 119 EMS Division)
Yun, Jong-Geun (Dept. of Emergency Medical Services, Sunmoon Univ.)
Roh, Sang-Gyun (Dept. of Emergency Medical Services, Sunmoon Univ.)
Publication Information
Fire Science and Engineering / v.28, no.4, 2014 , pp. 104-111 More about this Journal
Abstract
The purpose of this study is to investigate the CPR within ambulance. The Subjects were 890 emergency medical technicians in fire department in Gyeonggido. After continuing education program, the emergency medical technicians completed the questionnaires from January to February, 2012. Questionnaire consisted of demographic characteristics, method of chest compression (one handed or two handed), chest compression - ventilation ratio, and hands only CPR. Data were analyzed by frequency analysis and Chi-square test, t-test. One-way analysis of variance (ANOVA) was followed by Scheffe post-hoc test to analyze changes in all parameters between all groups. One handed chest compression accounted for 14.0% and two handed chest compression accounted for 86.0%. Hands only CPR accounted for 71.7% and standard CPR (30:2) accounted for 28.3%. In order to perform the high quality CPR, as least three persons must be dispatched in the ambulance. The flexible management of manpower may improve the survival from the cardiac arrest. A systemic approach for educating and training EMT's in CPR is needed.
Keywords
Cardiopulmonary resuscitation; Emergency medical technician; Ambulance;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 J. S. Hong, R. O. Ahn, S. H. Kim, W. Y. Kim, S. O. Kim and E. S. Hong, "Retention of CPR Skills by Nursing Students Received Training in AHA BLS Course for Healthcare Providers", Emergency Medical Journal, Vol. 20, No. 6, pp. 609-614 (2009).
2 K. K. Smith, D. Gilcreast and K. Pierce, "Evaluation of Staff's Retention of ACLS and BLS Skills", Resuscitation, Vol. 78, No. 1, pp. 59-65 (2008).   DOI   ScienceOn
3 B. S. Abella, J. P. Alvarado, H. Myklebust, D. P. Edelson, A. Barry, N. O'Hearn, T. L. Vanden Hoek and L. B. Becker, "Quality of Cardiopulmonary Resuscitation During In-hospital Cardiac Arrest", JAMA, Vol. 293, No. 3, pp. 305-310 (2005).   DOI   ScienceOn
4 W. Tang, M. H. Weil, S. Sun, D. Kette, R. J. Gazmuri, F. O'Connell and J. Bisera, "Cardiopulmonary Resuscitation by Precordial Compression but without Mechanical Ventilation", Am. J. Respir. Crit. Care Med., Vol. 150, No. 6, pp. 1703-1713 (1994).
5 C. K. Stone and S. H. Thomas, "Can Correct Closed-chest Compressions be Performed During Prehospital Transport?", Prehosp Disaster Med., Vol. 10, No. 2, pp. 121-123 (1995).   DOI
6 C. Havel, W. Schreiber, E. Riedmuller, M. Haugk, N. Richling, H. Trimmel, R. Malzer, F. Sterz and H. Herkner, "Quality of Closed Chest Compression in Ambulance Vehicles Flying Helicopters and at the Scene", Resuscitation, Vol. 73, No. 2, pp. 264-270 (2007).   DOI   ScienceOn
7 R. A. Berg, K. B. Kern, R. W. Hilwig, M. D. Berg, A. B. Sanders, C. W. Otto and G. A. Ewy, "Assisted Ventilation Does Not Improve Out Come in a Porcine Model of Single-rescuer Bystander Cardiopulmonary Resuscitation", Circulation, Vol. 95, No. 6, pp. 1635-1641 (1997).   DOI   ScienceOn
8 J. Berdowski, F. Beekhuis, A. H. Zwinderman, J. G. Tijssen and R. W. Koster, "Importance of the First Link: Description and Recognition of an Out-of-hospital Cardiac Arrest in an Emergency Call", Circulation, Vol. 119, No. 15, pp. 2096-2102 (2009).   DOI   ScienceOn
9 S. G. Roh, S. H. Bang, K. Y. Kim and J. H. Kim, "A Case Report of ROSC for Out-of Hospital Cardiopulmonary Resuscitation: Based on One Area Heart Saver", J. Kor. Inst. Fire Sci. Eng., Vol. 24, No. 4, pp. 61-67 (2013).   과학기술학회마을   DOI   ScienceOn
10 Korea guidelines for CPR, KACPR (2011).
11 AHA guidelines for CPR, AHA (2010).
12 J. A. Kim, D. Vogel, G. Guimond, D. Hostler, H. E. Wang and J. J. Menegazzi, "A Randomized, Controlled Comparison of Cardiopulmonary Resuscitation Performed on the Floor and on a Moving Ambulance Stretcher", Prehosp Emerg Care, Vol. 10, No. 1, pp. 68-70 (2006).   DOI   ScienceOn
13 International Liaison Committee on Resuscitation, "2005 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations: Adult Basic Life Support", Resuscitation, Vol. 67, No 23, pp. 187-201 (2005).   DOI   ScienceOn
14 S. Y. Feng, Y. Q. Song, Y. L. Zhang and Y. Li, "Evaluation of a Novel Device that Maintains the Balance of a Cardiopulmonary Resuscitation Performer in a Moving Ambulance to Improve Chest Compression Quality", Singapore Med. J., Vol. 54, No. 11, pp. 645-648 (2013).
15 N. P. Foo, J. H. Chang, S. B. Su, H. J. Lin, K. T. Chen, C. F. Cheng, T. Y. Lin, P. C. Chen and H. R. Guo, "A Stabilization Device to Improve the Quality of Cardiopulmonary Resuscitation During Ambulance Transportation: A Randomized Crossover Trial", Resuscitation, Vol. 84, No 11, pp. 1579-1584 (2013).   DOI   ScienceOn
16 S. G. Hong and I. A. Son, "A Study on the Factors Influencing the Accuracy of Chest Compression during Cardiopulmonary Resuscitation Trying in a Moving Ambulance", Emergency Medical Journal, Vol. 20, No. 4, pp. 343-354 (2009).
17 N. A. Paradis, G. B. Martin, E. P. Rivers, M. G. Goetting, T. J. Appleton, M. Feingold and R. M. Nowak, "Coronary Perfusion Pressure and the Return of Spontaneous Circulation in Human CPR", JAMA, Vol. 263, No. 8, pp. 1106-1113 (1990).   DOI   ScienceOn
18 J. P. Nolan, "High-quality Cardiopulmonary Resuscitation", Curr. Opin. Care, Vol. 20, No. 3, pp. 227-233 (2014).   DOI
19 R. W. Koster, "Limiting 'Hands-off' Periods During Resuscitation", Resuscitation, Vol. 58, No. 3, pp. 275-276 (2003).   DOI   ScienceOn
20 B. S. Abella, N. Sandbo, P. Vassilatos, J. P. Alvarado, N. O'Hearn, H. N. Wigder, P. Hoffman, K. Tynus, T. L. Vanden Hoek and L. B. Becker, "Chest Compression Rates During Cardiopulmonary Resuscitation are Suboptimal: A Prospective Study During In-hospital Cardiac Arrest", Circulation, Vol. 111, No. 4, pp. 428-434 (2005).   DOI   ScienceOn
21 R. A. Berg, R. Hemphill, B. S. Abella, T. P. Aufderheide, D. M. Cave, M. F. Hazinski, E. B. Lerner, T. D. Rea, M. R. Sayre and R. A. Swor, "2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care", Circulation, Vol. 122, No. 15, pp. 685-705 (2010).   DOI   ScienceOn
22 H. G. Lee, "Evaluation of Emergency Care to the Cardiac Arrest Patients Transferred to the Hospital by 119. Unpublished Master's Thesis", Kongju National University 2011, Gongju, Korea.
23 C. Havel, W. Schreiber, H. Trimmel, R. Malzer, M. Haugk, N. Richling, E. Riedmuller, F. Sterz and H. Herkner, "Quality of Closed Chest Compression on a Manikin in Ambulance Vehicles and Flying Helicopters with a Real Time Automated Feedback", Resuscitation, Vol. 81, No. 1, pp. 59-64 (2010).   DOI