• Title/Summary/Keyword: 흉부 압박

Search Result 102, Processing Time 0.026 seconds

The effect of portal compression sensor on the quality of chest compressions during cardiopulmonary resuscitation (CPR): A mannequin based simulation study (심페소생술 시행 시에 휴대용 압박 센서 활용이 흉부압박의 질에 미치는 영향: 마네킹 기반 시뮬레이션 연구)

  • Yang, Hyun-Mo;Baeck, Kyung-Min;Kim, Kwang-Suk;Yoon, Byung-Gil;Kim, Jin-Woo;Kim, Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.2
    • /
    • pp.744-750
    • /
    • 2013
  • This study is to collect a basic data of how Cardiopulmonary Resuscitation (CPR) procedure can influence to cardiac arrest patient with and without the Depth Device during the average transport time period. The data has achieved by comparing result sheet of CPR procedure by hands only versus with Depth Device by twenty 1st and 2nd class Emergency Medical Technician (EMT) from five different fire stations in city of Chong-Ju, and twenty Emergency Rescue major students who completed the BLS provide course. The experiment participators experienced loss of compression depth and rate increase over time. However, the CPR procedure with Depth Device shows that both EMT and students to allow maintaining both the compression depth and rate. The experiment leaves a positive result for CPR operators and considers being valuable domain for cardiac arrest patient.

Complete Rupture of Cervical Trachea after Compressed Chest Injury in a Child (소아에서 흉부 압박상 후 발생한 경부기관의 완전 파열)

  • Byun, Joung-Hun;Cho, Sung-Ho;Cho, Sung-Rae
    • Journal of Chest Surgery
    • /
    • v.40 no.4 s.273
    • /
    • pp.309-312
    • /
    • 2007
  • Cervical tracheal rupture is one of the rare injuries after blunt chest trauma, and this can be explained by several mechanisms. Early diagnosis and treatment of tracheal rupture after trauma can reduce the mortality and morbidity. We report here on a surgical experienced case of complete rupture of the cervical tracheal that was due to increased intra-tracheal pressure after a compression injury to the chest of an 8 years old child. We also include a review of the literature.

Effects of Knee Height of CPR Rescuer on the Quality of Chest Compression (심폐소생술 구조자의 무릎 높이 정도가 흉부압박의 질에 미치는 효과)

  • Park, Dae-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.13 no.4
    • /
    • pp.1699-1705
    • /
    • 2012
  • This study was conducted to examine the differences of the quality of chest compression between 10 cm higher position of rescuer's knee from the bottom and its bottom position during implementation of CPR. It selected randomly subjects out of 66 students who attend the Dept. of Emergency Medical Technology in G college, G metropolitan city as the first grader and divided them into 31 experimental group and 32 control group from Nov. 8 to 9, 2011. Mattress was spread 10 cm higher from the bottom(material: B4 Copy Paper) and on the bottom(material: PVC, size: $185{\times}125{\times}0.65cm$) and only chest compression was conducted for 2 minutes. Experiment was conducted with 1 Resusci Anne mannequin and the results of experiment were recorded with Laerdal PC Skill Reporting System. Data collected were analyzed with $x^2$-test and Fisher's exact probability test using SPSS 14.0 for Window, Mann-Whitney U-test, and Wilcoxon signed rank test. As a result of the study, it was found that 10 cm higher position of rescuer knee from the bottom than the bottom position and group below 170 cm in their height and 65 kg in their weight were more effective in proper depth of chest compression and average chest compression depth.

Accuracy analysis of artificial respiration and chest compressions when performing CPR using a mannequin by college students (대학생의 마네킹을 이용한 심폐소생술 시행 시 인공호흡과 흉부압박의 정확도 분석)

  • Jeon Jai-In
    • The Journal of the Convergence on Culture Technology
    • /
    • v.9 no.5
    • /
    • pp.167-173
    • /
    • 2023
  • The purpose of this study was to analyze the accuracy of artificial respiration and chest compressions using CPR mannequins for university students. First, in the number of chest compressions, subjects A, F, H, I, and J showed similar numbers from 60 to 63, respectively, which were much lower than the standard. Subjects B, D, E, and G showed 90 to 91 times, maintaining the normal range. However, C was rather high with 119 times. Second, the depth of chest compression was 58.60mm, and most of them were deeply compressed. Subject C was close to normal at 51mm, and subjects A to J were significantly higher at 55mm to 62mm. The reason seems to be the result of an unstable psychological state with no experience of chest compressions and a lack of self-confidence. Third, in terms of accuracy, subject E showed the lowest accuracy at 12%, and A~J showed 33%~80%. Experiment subject B showed 95% accuracy, which seems to be the result of D accurately recognizing the chest compression point through theoretical training during military service.

Dose Reduction Effect by using Compression Band during Chest CT Examination in Female Patients (여성의 흉부 CT 검사 시 압박밴드 사용에 따른 선량 감소효과)

  • Kim, In Soo;Cho, Yong In
    • Journal of the Korean Society of Radiology
    • /
    • v.15 no.4
    • /
    • pp.445-453
    • /
    • 2021
  • CT scan is reported to have a high risk of cancer due to a relatively high dose among medical radiological examinations. In particular, exposure to radiation to the breast, which is sensitive to radiation, is inevitable during a chest CT scan for female patient. In this study, the dose reduction effect of wearing a compression band during chest CT scans in women was evaluated, and the lifetime attributable risk due to the effective dose exposed during the CT scan was estimated. As a result, when the compression band was used, the effective tube current decreased as the outer perimeter of the chest became smaller, and it was analyzed that the CT dose index and effective dose were also reduced. In addition, the lifetime attributable risk by chest CT scan was found to reduce the cancer risk by 3.2 per 100,000 for all cancers, 0.2 per 100,000 for solid cancer, and 0.8 per 100,000 for breast cancer, based on women in their 30s when using a compression band. It is judged that the risk of cancer can be reduced through the use of appropriate scan parameters and dose optimization measures such as compression bands for future CT examinations.

Aortic Arch Rupture due to Compression Injury of the Thorax - A case report - (흉부 압박손상에 의한 대동맥궁 파열 - 1예 보고 -)

  • Lee, Gun;Lim, Chang-Young;Lee, Hyeon-Jae
    • Journal of Chest Surgery
    • /
    • v.42 no.1
    • /
    • pp.100-103
    • /
    • 2009
  • Traumatic rupture of the thoracic aorta is the second most common cause of death from motor vehicle accidents after head injury. About 85% of these patients do not survive to reach the hospital. The most common mechanism for this is deceleration injury, as occurs in a high speed motor vehicle accident. The aortic isthmus is the site of disruption for about 95% of all blunt thoracic aortic injuries. Another mechanism is crush injury which causes compression of the aorta between the displaced sternal body or manubrium and the thoracic vertebral column. These forces tear the inner layer of the aortic wall at an unusual location. We report here on a case of aortic arch dissection where the injury clearly occurred due to a crush injury and not because of deceleration. The surgical repair was delayed for 10 days after administering intensive medical therapy. The ascending aorta and aortic arch were replaced with an artificial graft with the patient under circulatory arrest and cerebral protection.

Effect of Musical Rhythm on the CPR education of Adolescent (청소년 대상 심폐소생술 교육에서 음악적 리듬 적용의 교육효과)

  • Tak, Yang Ju
    • Journal of Digital Convergence
    • /
    • v.12 no.2
    • /
    • pp.417-421
    • /
    • 2014
  • We conducted this study to verify effect of applying musical rhythm during the cardiopulmonary resuscitation(CPR) education. From June to October, 2013, we recruited participants of CPR education among mem's high school students. We divided total 57 participants to 2 groups. For experimental group we use musical rhythm during cardiac compression practice to assist adequate cardiac compression rate and for control group do not apply musical rhythm. The group with musical rhythm show more adequate compression rate(16.4sec) than non-rhythmic group(14.4sec). 90% of rhythmic group keep adequate compression rate, but only 44% of non-rhythmic group keep adequate rate. In conclusion, applying musical rhythm to CPR education is more effective to keep correct cardiac compression rate.

The Compression of Left Main Bronchus Caused by Dilated Descending Aorta After Ligation of PDA (동맥관 개존증 결찰 후 확장된 하행대동맥에 의한 좌측 주기관지 협착)

  • 강정한;박영환;윤영남;김부연;김시호;홍유선;조범구
    • Journal of Chest Surgery
    • /
    • v.33 no.12
    • /
    • pp.974-977
    • /
    • 2000
  • 유아에서 흔치 않지만, 선천적 혹은 후천적 원인으로 혈관에 의해 기도가 눌릴 수 있다. 8개월 남자 환아가 승모판 성형술, 동맥관 개존증 결찰 후 좌측 폐의 무기폐가 발생하였다. 흉부 컴퓨터 단층 촬영상 동맥관 개존증 결찰 후 남은 비대해진 하행대동맥에 의해 좌측 폐의 무기폐가 발생하였다. 흉부 컴퓨터 단층 촬영상 동맥관 개존증 결찰 후 남은 비대해진 하행대동맥에 의해 좌측 주기관지가 눌리는 소견이 관찰되었다. 결찰 부위를 완전히 분리하고 하행대동맥을 봉합하여 크기를 줄여 기관지 압박을 해결할 수 있었다. 술 후 환자는 특별한 합병증 없이 퇴원하였으며 외래 추적 관찰 중이다.

  • PDF

Comparison of CPR Results And Muscle Fatigue According to Chest Compression Performer's Own Breathing Method

  • Jun-Ho Jung
    • Journal of the Korea Society of Computer and Information
    • /
    • v.28 no.12
    • /
    • pp.175-182
    • /
    • 2023
  • In this paper, we propose a study compared and analyzed the CPR results and muscle fatigue of the three groups. There is a group that counts loudly when compressing the mannequin's chest (Group A), a group that breathes autonomously without counting (Group B), and a group that breathes abdominally without counting (Group C). Twelve people were assigned to each group, and after performing chest compressions for 5 minutes, the results of CPR were analyzed using a program connected to the mannequin, and the muscle fatigue of the performers was analyzed using wireless electromyography. The most efficient method was found to be group B. If we only look at the speed and depth of compression within the normal range, Group C would be more efficient, but Group B showed significantly lower muscle fatigue, and Group A did not reach the normal range in depth of chest compression and muscle fatigue was the highest. Group B was also found to be the most accurate in hand positioning accuracy, and was also found to be the most efficient in maintaining concentration on chest compressions.

Spontaneous Hemothorax in a Patient with Posterior Mediastinal Neurilemmoma -A case report- (자발성 혈흉을 동반한 후종격동 신경섬유초종)

  • 김혁;양주민;정기천;김영학;강정호;정원상
    • Journal of Chest Surgery
    • /
    • v.37 no.12
    • /
    • pp.1019-1021
    • /
    • 2004
  • Neurogenic tumors are common in posterior mediastinal tumors. In most cases, tumors were accidentally showed on simple chest X-ray. In some cases, they were presented by symptoms which were induced by nerve compression or airway compression. But as in our case, neurogenic tumor with spontaneous hemothorax is very rare. A 45-year-old man admitted to emergency room of other hospital because of acute right chest pain and dyspnea. A chest X-ray showed a right pleural effusion. Hemothorax was diagnosed after closed thoracostomy. Following chest CT showed posterior mediastinal mass. The patient was transferred to our hospital. T spine MRI showed dumbbell shaped mass. Diagostic impression was neurogenic tumor. The pathologic result was neurilemmoma after surgical resection.