• Journal of The Korean Society of Clinical Toxicology
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• v.16 no.2
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• pp.176-180
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• 2018

Drug abuse and its related problems are increasing continuously in Korea. One of the most frequently abused drugs is methamphetamine, but there are few medical report in Korea. This is the first report of the identification of methamphetamine in the blood of a patient who had a return of spontaneous circulation after cardiac arrest and survived discharge. A 33-year-old male arrived at the emergency department presenting with chest pain and dyspnea. He had ingested methamphetamine and alcohol approximately 7 hours before arrival. One hour after arrival, he had seizure followed by cardiac arrest. Spontaneous circulation was recovered after 4 minutes of CPR. An analysis of the National Forensic Service identified plasma methamphetamine with an estimated average concentration of plasma methamphetamine at the time of arrival of 0.6 mg/L, a lethal dose. He had rhabdomyolysis and acute kidney injury but survived after continuous renal replacement therapy. Since then, he has suffered chronic kidney disease, and he is being followed up at the out-patient department. In Korea, although drug abuse is still uncommon, it is on the increase. Therefore, emergency physicians should be aware of the clinical characteristics of methamphetamine poisoning.

• Fire Science and Engineering
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• v.34 no.1
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• pp.127-134
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• 2020

When a pregnant woman experiences cardiac arrest, resuscitation is of the utmost importance. Cardiac arrest in pregnant women differs from cardiac arrest in the general population since both mother and fetus need to be taken into consideration. In the event of cardiac arrest, determining whether to deliver the baby is significant. Cardiopulmonary resuscitation is not always successful, and the survival rate depends on the speed and precision of the procedure. In this study, we focus on the case of a 30-year-old pregnant woman who experienced cardiac arrest and whose family was quick to perceive her condition and call the hospital. A witness performed initial cardiopulmonary resuscitation, while rescue workers performed the advanced procedure. In this case, the patient and baby received proper treatment and left the hospital after six days. It is extremely rare for a pregnant patient to achieve return of spontaneous circulation (ROSC) or receive advanced cardiac life support before reaching the hospital. However, the woman in question in this study achieved ROSC and received both cardiopulmonary resuscitation before reaching the hospital and advanced cardiac life support at the hospital. The specifics of the case are reported in the context of a literature review.

• Journal of Chest Surgery
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• v.41 no.2
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• pp.273-276
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• 2008

Since the introduction of extracorporeal cardiopulmonary support of cardiac arrest in 1983, emergent cardiopulmonary support has been used to treat cardiac arrest. Acute massive pulmonary embolism is associated with a high mortality rate and it poses a challenge for both the anesthesiologist and the surgeons especially during operations. This report describes the use of the emergent bypass system in the effective management of an intraoperative massive pulmonary embolism and cardiac arrest in a 56-year-old woman. The patient was discharged on warfarin and there was no recurrence of the pulmonary embolism at the follow-up visit.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2018.10a
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• pp.438-440
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• 2018

Cardiac arrest is a series of conditions that occur when the heart is stopped, regardless of the cause. Cardiac arrest due to heart disease is included in the cause of death in korea every year and is unpredictable. One of the only ways to save a patient's life when a cardiac arrest is cardiopulmonary resuscitation is to maintain circulation through this procedure. The visual information is transmitted to the brain through the optic nerve. Among them, the mittor can see its movement and its shape, and it can be used for correction and analysis. Therefore compared the quality of chest compressions with visual information using mirrors. There was a significant difference in the mean depth of chest compressions($48.93{\pm}6.76$, $53.86{\pm}4.56$, <0.001), and there was also a difference in compression to relaxation ratio($0.87{\pm}0.13$, $0.96{\pm}0.10$, <0.002). There was also a significant difference in attitude awareness($4.93{\pm}0.85$, $8.14{\pm}1.38$, <0.001).

• The Journal of the Convergence on Culture Technology
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• v.4 no.1
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• pp.119-128
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• 2018

In this paper, The purpose of this qualitative research was to explore the experience of a nursing simulation practice focused on patients with cardiac arrest with 50 4th-year nursing students who participated the simulation practical education. The data collection period was from 12/4/2017 to 12/6. Subjects were asked to write a self-reflection journals with a narrative style in order to explore the cardiac arrest simulation practice experience. Data were analyzed using Thematic Analysis by Braun & Clarke. The results were "Expectation for types of simulation education", "A great deal of regret", "Pre-experience in cardiac arrest situation", "Cognition in the importance of team interaction", "Active reaction", "Extended role from a nursing student to a nurse." The results indiate that understanding the experience of a nursing simulation education for nursing students will be able to be used as baseline data which is needed to manage the method of the simulation education effectively.

• Clinical and Experimental Emergency Medicine
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• v.5 no.4
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• pp.211-218
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• 2018

Objective This study aimed to determine whether simultaneous decreases in the serum levels of cell adhesion molecules (intracellular cell adhesion molecule-1 [ICAM-1], vascular cell adhesion molecule-1 [VCAM-1], and E-selectin) and S100 proteins within the first 24 hours after the return of spontaneous circulation were associated with good neurological outcomes in cardiac arrest survivors. Methods This retrospective observational study was based on prospectively collected data from a single emergency intensive care unit (ICU). Twenty-nine out-of-hospital cardiac arrest survivors who were admitted to the ICU for post-resuscitation care were enrolled. Blood samples were collected at 0 and 24 hours after ICU admission. According to the 6-month cerebral performance category (CPC) scale, the patients were divided into good (CPC 1 and 2, n=12) and poor (CPC 3 to 5, n=17) outcome groups. Results No difference was observed between the two groups in terms of the serum levels of ICAM-1, VCAM-1, E-selectin, and S100 at 0 and 24 hours. A simultaneous decrease in the serum levels of VCAM-1 and S100 as well as E-selectin and S100 was associated with good neurological outcomes. When other variables were adjusted, a simultaneous decrease in the serum levels of VCAM-1 and S100 was independently associated with good neurological outcomes (odds ratio, 9.285; 95% confidence interval, 1.073 to 80.318; P=0.043). Conclusion A simultaneous decrease in the serum levels of soluble VCAM-1 and S100 within the first 24 hours after the return of spontaneous circulation was associated with a good neurological outcome in out-of-hospital cardiac arrest survivors.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.05a
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• pp.388-390
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• 2022

Cardiac arrest is a series of conditions that occur when the heart is stopped, regardless of the cause. Cardiac arrest due to heart disease is included in the cause of death in korea every year and is unpredictable. One of the only ways to save a patient's life when a cardiac arrest is cardiopulmonary resuscitation is to maintain circulation through this procedure. Therefore compared the quality of chest compressions with visual information using mirrors. There was a significant difference in the mean depth of chest compressions(48.93±6.76, 53.86±4.56, <0.001), and there was also a difference in compression to relaxation ratio(0.87±0.13, 0.96±0.10, <0.002). There was also a significant difference in attitude awareness(4.93±0.85, 8.14±1.38, <0.001).

• The Korean Journal of Emergency Medical Services
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• v.28 no.1
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• pp.113-126
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• 2024

Purpose: Education for children in South Korea is similar to that for adults, necessitating additional enhancements. Therefore, this study aimed to examine the effectiveness of fairy-tale books in cardiopulmonary resuscitation (CPR) education among kindergarten children. Methods: The study involved 64 kindergarten children enrolled in an affiliated kindergarten program were included. The participants were divided into an experimental group of 32 who received CPR education using picture books, and a control group of 32 who received education through traditional methods. Participant characteristics such as sex, age, height, weight, cardiac arrest awareness, and ability to request assistance were measured, and the collected data were statistically analyzed. Results: Following education, the experimental group showed significantly higher scores than the control group across all measures, including cardiac arrest recognition (2.25 vs. 0.34, p<.001) and consciousness assessment (1.81 vs. 0.09, p<.001). Additionally, in requesting assistance, the experimental group exhibited statistical superiority in phone usage (1.75 vs. 0.28, p<.001), situational explanation post-call (2.25 vs. 0.34, p<.001), and self-location explanation (0.84 vs. 0.00, p=.001). Conclusion: The use of fairy-tale books in CPR education enhanced cardiac arrest recognition and the ability to request assistance (EMS Activation) more effectively than the traditional educational methods among kindergarten children.

• Fire Science and Engineering
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• v.27 no.4
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• pp.61-67
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• 2013

This study was to investigate the cardiopulmonary resuscitation (CPR) outcomes and the clinical characteristics of outof- hospital cardiac arrest (OHCA) by analyzing date in one region. A total 8 patients, survived over 72 hours after ROSC. The cardiac arrest were caused by unknown (5 cases), cardiac disease (3 cases). The most common place of cardiac arrest was in the home (6 cases), witnessed cardiac arrest (8 cases), cardiopulmonary resuscitation by bystander was performed (4 cases), agonal respiration (3 cases). The initial electrocardiogram (ECG) showed ventricular fibrillation (VF) in 7 cases, pulseless electrical activity (PEA) other rhythms in 1 cases. Average time from call to scene arrival 6.1 minutes, call to hospital arrival 23.0 minutes, duration of total CPR was 8.7 minutes. The certificate of them were level 1 emergency medical technician (EMT) 6 cases, level 2 EMT 3 cases, total 3 members 7 cases. To improve the rate of survival for out-ofhospital cardiac arrest victims, development of continuous CPR educational program for lay rescue.

• The Korean Journal of Pain
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• v.10 no.1
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• pp.138-141
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• 1997

Rib fracture due to intense pain, may restrict patients from inadequate coughing. These conditions may produce varying degrees of complications such as atelectasis, pneumonia and arterial hypoxemia. Thoracic epidural analgesia has been used to treat pain associated multiple rib fractures because of its marked improvement in vital capacity and dynamic lung compliance. However, there are complications related to thoracic epidural analgesia which may include damage to spinal cord, perforation of dura, respiratory depression, decrease heart rate and arterial blood pressure. We experienced such a case of cardiac arrest during thoracic epidural analgesia while treating a patient for multiple rib fractures.