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http://dx.doi.org/10.7731/KIFSE.2015.29.1.067

The Effect of Two Fingers-Chest Compression Using the Supporting Instrument During Infant Cardiopulmonary Resuscitation  

Jung, Gook-Young (Dept. of Emergency Medical Technology, Dongkang College)
Roh, Sang-Gyun (Dept. of Emergency Medical Service, Sunmoon Univ.)
Shin, So-Yeon (Graduate School of Industry & Science, Kangwon National Univ.)
Yun, Jong-Geun (Dept. of Emergency Medical Service, Sunmoon Univ.)
Publication Information
Fire Science and Engineering / v.29, no.1, 2015 , pp. 67-72 More about this Journal
Abstract
This paper aims to compare the effectiveness of the chest compression when a person pushes on the infant's chest by using two fingers with the support during infant cardiopulmonary resuscitation, with the effectiveness of it without the support, and to find which one is better. For the study, 50 college woman students were tested during the simulation and the result of the test has been analyzed by chi-square test, Fisher's exact test. In case of the chest compression by using the support, the depth of the chest compression comes to $3.73{\pm}0.33cm$. On the other hand, in case of the chest compression without the support, $2.50{\pm}0.59cm$. It is founded that the method of pushing on the chest by using the support is more effective than that without the support (p < 0.001). It is concluded that the way that a person pushes on the infant's chest by using two fingers with the support during infant cardiopulmonary resuscitation has turned out to be more effective and useful. It is thought that in the future, the further study for it should be conducted.
Keywords
CPR; Infant CPR; Heart arrest;
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1 G. W. Maier, G. S. Jr. Tyson, C. O. Olsen, K. H. Kernstein, J. W. Davis, E. H. Conn, D. C. Jr. Sabiston and J. S. Rankin, "The Physiology of External Cardiac Massage: High-impulse Cardiopulmonary Resuscitation", Circulation, Vol. 70, No. 1, pp. 86-101 (1984).   DOI
2 K. B. Kern, R. Hilwig and G. A. Ewy, "Retrograde Coronary Blood Flow During Cardiopulmonary Resuscitation in Swine: Intracoronary Doppler Evaluation", Am. Heart J., Vol. 128, No. 3, pp. 490-499 (1994).   DOI
3 J. Forney and J. P. Ornato, "Blood Flow with Ventilation Alone in a Child With Cardiac Arrest", Ann. Emerg. Med., Vol. 9, No. 12, pp. 624-626 (1980).   DOI
4 AHA Guideline (2010).
5 A. Zaritsky, V. Nadkarni, P. Getson and K. Kuehl, "CPR in Childer", Ann. Emerg. Med., Vol. 16, No. 10, pp. 1107-1111 (1987).   DOI
6 D. N. Kyriacou, E. L. Arcinue, C. Peek and J. D. Kraus, "Effect of Immediate Resuscitation on Children with Submersion Injury", Pediatrics, Vol. 94, No. 2, pp. 137-142 (1994).
7 R. W. Hickey, D. M. Cohen, S. Strasbaugh and A. M. Dietrich, "Pediatric Patients Requiring CPR in the Prehospital Setting", Ann. Emerg. Med., Vol. 25, No. 4, pp. 495-501 (1995).   DOI
8 D. A. Finholt, R. G. Kettrick, H. R. Wagner and D. B. Swedlow, "The Heart is under the the Lower Third of the Sternum: Implications for External Cardiac Massage", Am. J. Dis. Child, Vol. 140, No. 7, pp. 646-649 (1986).   DOI
9 G. W. Phillips and D. A. Zideman, "Relation of Infant Heart to Sternum: Its Significance in Cardiopulmonary Resuscitation", Lancet, Vol. 3, No. 1, pp. 1024-1025 (1986).
10 J. P. Orlowski, "Optimum Position for External Cardiac Compression in Infants and Young Children", Ann. Emerg. Med., Vol. 15, No. 6, pp. 667-673 (1986).   DOI
11 R. A. Berg, K. B. Kern, R. W. Hilwig and G. A. Ewy, "assisted Ventilation Does Not Improve Outcome in a Porcine Model of Single-rescuer Bystander Cardiopulmonary Resuscitation", Circulation, Vol. 18, No. 6, pp. 635-1641 (1986).
12 I. D. Berkowitz, H. Gervais, C. L. Schleien, R. C. Koehler, J. M. Dean and R. J. Traystman, "Epinephrine Dosage Effects on Cerebral and Myocardial Blood Flow in an Infant Swine Model of Cardiopulmonary Resuscitation", Anesthesiology, Vol. 75, No. 6, pp. 1041-1050 (1991).   DOI
13 R. W. Hickey, D. M. Cohen, S. Strausbaugh, A. M. Dietrich, "Pediatric Patients Requiring CPR in the Prehospital Setting", Ann. Emerg. Med., Vol. 25, No. 4, pp. 495-501 (1995).   DOI
14 K. D. Young and J. S. Seidel, "Pediatric Cardiopulmonary Resuscitation: A Collective Review", Ann. Emerg. Med., Vol. 33, No. 2, pp. 195-205 (1999).   DOI   ScienceOn
15 V. Nadkarni, M. F. Hazinski, D. Zideman, J. Kattwinkel, L. Quan, R. Bingham, A. Zaritsky, J. Bland, E. Kramer and J. Tiballs, "Paediatric Life Support: An Advisory Statement by the Paediatric Life Support Working Group of the International Liaison Committee on Resuscitation", Resuscitation, Vol. 34, No. 2, pp. 115-127 (1997).   DOI
16 P. K. Houri, L. R. Frank, J. J. Menegazzi and R. Taylor, "A Randomized, Controlled Trial of Two-thumb vs Twofinger Chest Compression in a Swine Infant Model of Cardiac Arrest", Prehosp. Emerg. Care, Vol. 1, No. 2, pp. 65-67 (1997).   DOI