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http://dx.doi.org/10.14408/KJEMS.2021.25.3.081

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

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)
Publication Information
The Korean Journal of Emergency Medical Services / v.25, no.3, 2021 , pp. 81-92 More about this Journal
Abstract
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.
Keywords
Cardiopulmonary resuscitation(CPR); Level D; Fatigue; Member of shifts; Blood lactate concentration;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Wang JS, Shin SY. Influences of hands-only cardiopulmonary resuscitation on lumbar muscle tone, stiffness, and fatigue in emergency medical technicians. Korean J Emerg Med Ser 2020;24(3):79-87. https://doi.org/10.14408/KJEMS.2020.24.3.079   DOI
2 Han GS, Kim JW, Cho BJ. The effect of heart rate, blood lactate concentration by changes of 30:2 compression-ventilation ratio in the rescuer. Journal of Sport and Leisure Studies 2010;40(2):595-602. https://doi.org/10.51979/KSSLS.2010.05.40.595   DOI
3 Kim SE, Eo EK, Cheon YJ, Jung KY, Park HS. Outcome in a tertiary emergency department for cardiopulmonary resuscitation for out-of-hospital cardiac arrest. J Korean Soc Emerg Med 2005;16:495-504.
4 Lee JM, Hong SM, An GK, Yun HW. Out-of-hospital cardiac arrest response to a pregnant woman by the 119 emergency medical service system: a case study. Fire Science and Engineering 2020;34(1):127-37. https://doi.org/10.7731/KIFSE.2020.34.1.127   DOI
5 Min MK, Ryu JH. Comparison of chest compression quality between compression-only CPR and 30 : 2 conventional CPR. Korean J Emerg Med Ser 2015;19(3):139-48. https://doi.org/10.14408/KJEMS.2015.19.3.139   DOI
6 Shin WM, Kim JM, Park CY, Shin EC, Tchoe BH. Analysis of factors influencing the survival of patients with Out-of-hospital. Korean Public Health Research 2020;46(2):93-105.   DOI
7 Lee HJ, Kim HJ, Jung EK. The changes of symptom, EKG and hemodynamic in healthy firefighters after delivering multiple cycles of cardiopulmonary resuscitation. Journal of the Korea Academia-Industrial cooperation Society 2017;18(6):381-8. https://doi.org/10.5762/KAIS.2017.18.6.381   DOI
8 Yi SK, Kong HS. Effects of 119 paramedics wearing personal protective equipment on blood pressure, pulse, and breathing. J Korea Saf Manag Sci 2021;23(3):89-96. https://doi.org/10.12812/ksms.2021.23.3.089   DOI
9 Seo AR, Kim DH. Factors associated with advanced airway management while performing cardiopulmonary resuscitation for out-of-hospital cardiac arrest patients by 119 EMT. Korean J Emerg Med Ser 2019;23(1):157-63. https://doi.org/10.14408/KJEMS.2019.23.1.157   DOI
10 Martin-Rodriguez F. Metabolic fatigue in resuscitators using personal protection equipment against biological hazard. Invest Educ Enferm 2019;37(2):e04. https://doi.org/10.17533/udea.iee.v37n2e04   DOI
11 Song KJ, Lee SY, Cho GC, Kim G, Kim JY, Oh J, Chung SP. 2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 3. Adult basic life support. Clin Exp Emerg Med 2021;8:15-25. https://doi.org/10.15441/ceem.21.024   DOI
12 Hong SH, Yang YS, Han SK. Effect of Level D personal protective equipment on chest compression for pre-hospital arrest patients with suspected or confirmed COVID-19: a randomized crossover simulation trial. Korean J Emerg Med Ser 2021;25(1):23-36. https://doi.org/10.14408/KJEMS.2021.25.1.023   DOI
13 No YM, Nam YJ, Lee HR, Kim TH, Kim CH, Shin SD. Fundamental research for the development of personal protective equipment for emergency medical technicians. Korean J Emerg Med Ser 2018;22(1):83-97. https://doi.org/10.14408/KJEMS.2018.22.1.083   DOI
14 Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB et al. Interim guidance for basic and advanced life support in adults, children, and neonates with suspected or confirmed COVID-19. Circulation 2020;141:e933-e943. https://doi.org/10.1161/CIRCULATIONAHA.120.047463   DOI
15 Kim CH, Song YE, Kim BW, Lee JJ, Lim JH, Lee HW. Reliability and validity of heart rate monitors Bodypro_PAPS(DS100) by using wireless communication. KSME 2011;8:85-93. https://doi.org/10.21797/ksme.2011.13.2.007   DOI
16 Kim CS, Pi HY, Lee SK, Lee HB. A study on the cardiopulmonary resuscitation by the emergency medical dispatcher. Korean J Emerg Med Ser 2021;25(1):223-34. https://doi.org/10.14408/KJEMS.2021.25.1.223   DOI
17 Chang CH, Hsu YJ, Li F, Chan YS, Lo CP, Peng GJ et al. The feasibility of emergency medical technicians performing intermittent high-quality cardiopulmonary resuscitation. Int J Med Sci 2021;18(12):2615-23. https://doi.org/10.7150/ijms.59757   DOI
18 Kim HJ. Influence of rescuer strength and shift cycle on chest compression quality. Unpublished master's thesis, Yonsei University 2013, Seoul, Korea.
19 Ahn HJ. The effects on rescuer fatigue of wearing personal protective equipment (Level D) while performing cardiopulmonary resuscitation. Unpublished doctoral dissertation, Wonkwang University 2021, Iksan, Korea.
20 Malysz M, Dabrowski M, Bottiger BW, Smereka J, Kulak K, Szarpak A et al. Resuscitation of the patient with suspected/confirmed COVID-19 when wearing personal protective equipment: A randomized multicenter crossover simulation trial. Cardiol J 2020;27 (5):497-506. https://doi.org/10.5603/CJ.a2020.0068   DOI