• 한국응급구조학회지
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• 제26권2호
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• pp.97-111
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• 2022

연구 목적: 병원 밖 심정지(OHCA)에서 자동제세동기(AED)의 사용은 환자의 생존율을 향상시킨다. 싱가포르는 절도를 막고자 공공 AED를 '브레이크 글래스' 기전의 잠금 박스로 보호하고 있는데 지역사회 대응자들은 AED를 회수하기 위해 유리를 깨면서 부상을 당하곤 했다. 최초로 시도한 본 연구는 성공적인 AED 회수에 영향을 미치는 요인들을 밝히고 만연한 부상을 문서화하고자 하였다. 연구 방법: 설문지를 작성, 배포하였다. 참가자는 지난 12개월 동안 OHCA에 대처한 자들이다. 비교 검정은 피셔-프리만-할턴 정확 검정 또는 피어슨 카이제곱 검정을 사용하여 5% 유의 수준에서 시행되었고, 로짓링크함수를 사용하여 다중로지스틱회귀분석을 시행하였다. 연구 결과: 88명의 참가자가 적격했다. 성공적인 AED의 회수는 직업, 연령, 성별 및 시간 영향을 받지 않았다. myResponder 앱의 활성화로 OHCA에 대응했던 참가자들은 성공적으로 AED를 회수할 가능성이 높았다. (AOR 11.111, 95% CI: 2.141-58.824) 결 론: 모바일 myResponder 앱을 활용할 경우 AED회수 성공률이 훨씬 높았다. AED의 성공적 회수는 시간 뿐만 아니라 이용자의 성별, 연령, 직업과 무관했다. 싱가포르에서 지역사회 대응자들은 부상 위험에도 불구하고 심정지에 대응할 적극적 자세가 되어 있다.

• 한국응급구조학회지
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• 제8권1호
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• pp.127-139
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• 2004

This study aims to examine the relative importance of various tasks of EMT and to examine knowledge level and problems associated with AED. It is based on the survey of paramedics and 119 rescures. The results for this study were as follows ; Among the tasks of EMT, 'foreignbody removal from mouth' were rated as the most important, followed by '$O_2$ supply', 'CPR', 'Intubation for CPR', '$O_2$ supply' were rates as the most necessary, followed by 'foreignbody removal from mouth', 'external bleeding control'. In terms of the knowledge level about AED, survey respondents are most knowledgeable about 'role of other rescures during the preparation for AED' and 'treatment after 3 AEDS. The most important reason that the uses of AED is delayed is 'unclear boundary of treatment directed by medical control'. The results of the study suggest that we need guideline for EMT's tasks, efficient communication system between 119 and emergency health are center for prompt AED, and training and education program for AED.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2019년도 추계학술발표대회
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• pp.559-562
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• 2019

본 시스템은 4 차 산업 혁명이 발발한 이점을 살려 가상현실(Augmented Reality)을 활용, 극대화된 시각적인 요소들을 추가하여 사용자들의 흥미를 유발한다. 또한 더욱 정확한 평가 기준을 세우기 위해 사용자의 흉부 압박 빠르기와 깊이를 측정할 수 있는 각종 센서를 활용하였다. 관리자는 신뢰성 있는 데이터를 바탕으로 사용자들을 평가한다. 기존의 평가는 평가자의 눈대중, 직감으로만 평가가 이루어지기에 신빙성 및 신뢰를 하기 어렵다. 따라서 사용자들은 현실감 있고 정량화된 데이터를 바탕으로 정확한 평가 및 피드백을 받을 수 있는 교육, 평가가 절실히 필요하다. 따라서 본 논문에서는 가상현실을 활용한 심폐소생술(CPR) 및 자동 제세동기(AED) 교육 평가 시스템을 제안한다.

• 한국응급구조학회지
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• 제20권1호
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• pp.83-94
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• 2016

Purpose: This study aimed to assess defibrillator pad positioning by the general public and healthcare providers during basic life support (BLS) renewal education (RE). Methods: A total 130 subjects performed defibrillation using an automated external defibrillator (AED) equipped with electrode pads developed by the researchers and male resuscitation manikins, in order to assess electrode pad placement (EPP) before BLS RE. Subjects included 54 Healthcare providers (HP) and 76 members of the general public (GP). Results: The apex EPP was positioned in the risk area (RA), more than 5 cm distant from the area recommended, by 63.2% of the GP (n = 48). The apex EPP was positioned in the RA by 44.4% of the HP (n = 23). The distance from the apex (GP $5.27{\pm}2.21cm$, HP $4.18{\pm}1.71cm$) was statistically significant, using Student's t-test. Conclusion: For both GP and HP, apex EPP was significantly in error. Thus, to prevent defibrillation failures, EPP education and practice for GP and HP in all BLS education programs should be improved, and incorrect Korean cardiopulmonary resuscitation guidelines and related literature should be revised and corrected.

• 한국응급구조학회지
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• 제21권3호
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• pp.17-33
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• 2017

Purpose: The purpose of the study was to investigate knowledge and attitudes of students majoring in health-related fields toward automated external defibrillator (AED) and to identify the influencing factors of knowledge and attitudes in AED use among the students. Methods: Data were collected from 346 students and analyzed using descriptive statistics, t-tests, one-way ANOVA, post hoc $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and hierarchical multiple regression analysis, with SPSS Win 20.0 program. Results: Overall knowledge of AED in health-related major students, except paramedics and physical therapy was relatively low while attitudes were at moderate level. There were statistically significant differences in knowledge according to age, grade, major, cardiopulmonary resuscitation (CPR) awareness, exposure to AED and CPR education; and differences in attitude according to major, health status, health awareness, CPR awareness, exposure to AED, and CPR education. Significant factors explained 63% of knowledge on AED (F= 43.96, p<.001) and 37% of attitudes on AED (F= 15.84, p<.001). Conclusion: The study findings suggest that systemic education programs on AED should be implemented during undergraduate curriculum to improve survival rate of sudden cardiac arrest.

• 보건의료산업학회지
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• 제7권3호
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• pp.29-44
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• 2013

The purpose of this study is to give the users, who wants to know the information about CPR and AED on the Internet, more accurate information which is analyzed and considered with the factors to improve the contents of them. The source of the instrument for this study is from the contents of twenty four websites which is able to join in and searched by the Web Search Engine with four keywords: 'Cardiopulmonary Resuscitation', 'CPR', 'Automated External Defibrillator', and 'AED'. According to the results of the study, frequency questions of more than 50% among 53 questions on whether to suggest were investigated as 22 questions from content analysis results of the websites, and it showed that the highest frequency, which were examined to that chest compressions and respiratory rate; 79.2%. The correctness of the contents of the all websites of the study is as low as 36.00 point full marks at 100 points.

• 한국응급구조학회지
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• 제17권2호
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• pp.29-41
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• 2013

Purpose : The purpose of this study was to investigate the effectiveness of cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) education for school teachers by questionnaire survey including the knowledge, self-efficacy and skills of CPR and AED after basic life support (BLS) education. Methods : The subjects were school teachers who participated in BLS education from 24 Nov. to 1 Dec. 2012. They completed the self-reported questionnaire based on BLS skill checklist. Results : There was a statistically significant increase in the knowledge(p <.001), self-efficacy (p <.001) and skills(p <.001) of CPR and AED after BLS education. The correlation existed conspicuously between knowledge versus self-efficacy(r =.409, r =.387), knowledge versus skill(r =.442, r =.084), and self-efficacy versus skills (r =-.148, r =.047) of CPR and AED before and after BLS education. Conclusion : After BLS education, most of the participants found the program was easy and useful to perform. Participants had the willingness to do CPR and AED and wanted to teach BLS to others. It is necessary to provide BLS education for school teachers by systematic approach.

• 한국응급구조학회지
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• 제9권1호
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• pp.25-32
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• 2005

Purpose: There has been an increase in the number of prehospital cardiac arrests due to increases in both cardiovascular diseases and the average age of the population, We performed this study to identify the proper resuscitation technique and AED to be used to increase the survival rate in prehospital cardiac arrest. Methods: We studied 57 victims with prehospilal cardiac arrest by EMT's Reports form January to December, 2004. Results: Fifty-seven of 92 victims were trasported with ECG in prehospital cardiac arrest. Ventricular fibrillation(VF)/ ventricular tachycardia was 56.2%, asystole was 33,3%, and pulseless electrical activity(PEA.) was 10.5% in initial rhythm analysis, There weren't attempt CPR in 14.0%. Twenty of the 32(62.5%) were shocked by AED for the adequacy method. There were no statistical differences the transportation time. Conclusion: With the increase in cardiovascular disease and old age, the number out-of-hospital cardiac arrests has risen accordingly. However, there were lack of CPR by bystander, defibrillation, advanced cardiac life support(ACLS) in prehospital stage. To improve the adequancy of basic life support and to increase the performance of ACLS, especially AED, we must create challenges to develop new protocols in prehospital care.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2012년도 제45차 동계학술발표논문집 20권1호
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• pp.87-90
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• 2012

본 연구는 일상생활에서 빈번히 발생되는 정지의 위급상황에 대처하기 위해 심폐소생술의 방법을 스마트폰으로 습득할 수 있게 제작하였으며, 심폐소생 자동기기가 비치되어 있는 경우, AED(자동심장제세동기, Automated External Defibrillator)를 사용하여 심폐소생할 수 있는 방법을 단계별로 제공하고 동영상으로 따라해 볼 수 있도록 제작하였다. 신체의 위급한 상황에 대한 발견 및 응급대처 후 인접한 병원에 접근하기 위한 위치정보를 바로 찾아 볼 수 있도록 메뉴를 설정하였으며, 부가적으로 화재시 일반차량들이 소방차의 길을 터주는 안내 동영상도 탑재하여 공익홍보 효과를 더하였다. 따라서 본 논문은 공익적인 특성의 국민 대상 안내, 지침을 App으로 홍보에 효과적으로 적용 가능하며, 앞으로 일반적인 상업용 기업의 메뉴얼로 확장 가능하다.

• 한국응급구조학회지
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• 제21권2호
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• pp.63-69
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• 2017

Purpose: The purpose of the study was to compare the ability of college students to use automated external defibrillators (AED) and to provide a basic data for helping laypersons easily apply the AED. Methods: The subjects were randomly assigned to instruction groups. One group was instructed by pictures (group P), one by videos (group M), and one by telephone dispatchers (group D), Without employing cardiopulmonary resuscitation, a single rescuer was asked to apply defibrillation to a mannequin for practice in accordance with the instructions assigned to each group. Results: Regarding the proper pad attachment of the AED, group P followed the instruction $0.31{\pm}0.47times$, group M, $0.81{\pm}0.40times$, and group D $0.69{\pm}0.47times$. Regarding the instruction of taking the hand off a patient for analyzing cardiac rhythm and the instruction of taking the hand off a patient before defibrillation, group P did not follow the instruction; group M followed the instructions $0.50{\pm}0.51times$; and group D followed all instructions at all times. Conclusion: If a dispatcher gives real-time instructions for using an AED to laypersons wtih no experience at the time of AED use, the quality of laypersons' AED use will greatly improve.