• Korean Journal of Adult Nursing
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• v.25 no.1
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• pp.41-52
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• 2013

Purpose: The purpose of this study was to compare the attitude of physicians and nurses toward family presence during cardiopulmonary resuscitation (CPR). Methods: 100 physicians and 100 nurses from five hospitals with than 500 beds in B city were surveyed using a Family Presence During Resuscitation (FPDR) Inventory. The data were analyzed by t-test, ANOVA and Duncan's multiple range test using SPSS/WIN 19.0 version. Results: Nurses showed more positive attitudes toward family presence during CPR but reported more concerns about the problem of confidentiality, arguing with family members, and emotional distress of family members than physicians did. Conclusion: On the basis of results from this study, we recommend that educational program be developed within the hospitals to change the negative perception of health care providers for the family presence during CPR.

• The Korean Nurse
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• v.20 no.5 s.113
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• pp.55-59
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• 1981

• Journal of Chest Surgery
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• v.49 no.3
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• pp.151-156
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• 2016

Background: Survival of children experiencing cardiac arrest refractory to conventional cardiopulmonary resuscitation (CPR) is very poor. We sought to examine current era outcomes of extracorporeal CPR (ECPR) support for refractory arrest. Methods: Patients who were <18 years and underwent ECPR between November 2013 and January 2016 were including in this study. We retrospectively investigated patient medical records. Results: Twelve children, median age 6.6 months (range, 1 day to 11.7 years), required ECPR. patients' diseases spanned several categories: congenital heart disease (n=5), myocarditis (n=2), respiratory failure (n=2), septic shock (n=1), trauma (n=1), and post-cardiotomy arrest (n=1). Cannulation sites included the neck (n=8), chest (n=3), and neck to chest conversion (n=1). Median duration of extracorporeal membrane oxygenation was five days (range, 0 to 14 days). Extracorporeal membrane oxygenation was successfully discontinued in 10 (83.3%) patients. Nine patients (75%) survived more than seven days after support discontinuation and four patients (33.3%) survived and were discharged. Causes of death included ischemic brain injury (n=4), sepsis (n=3), and gastrointestinal bleeding (n=1). Conclusion: ECPR plays a valuable role in children experiencing refractory cardiac arrest. The weaning rate is acceptable; however, survival is related to other organ dysfunction and the severity of ischemic brain injury. ECPR prior to the emergence of end-organ injury and prevention of neurologic injury might enhance survival.

• Journal of the Korea Convergence Society
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• v.8 no.3
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• pp.91-100
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• 2017

This cross-sectional descriptive study about convergence study was conducted to identify nursing students' level of knowledge, attitude, and confidence and their relationship with infant cardiopulmonary resuscitation. To measure nursing students' level of knowledge, attitude, and confidence in infant CPR, a structured questionnaire survey was used. The number of participants was 151 nursing students from 3 universities in Korea. To analyse the data, t-test, ANOVA and Peason's correlation coefficients were applied on SPSS 21.0. This research results showed a positive correlation between Nursing Students' Knowledge, Attitude, and Confidence to Infant Cardiopulmonary Resuscitation. Therefore, it is suggested to develop a regular and repetitive education program for nursing students' infant CPR.

• Journal of the Korea Convergence Society
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• v.9 no.3
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• pp.307-317
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• 2018

The purpose of this study was to evaluate effects of mobile web-based cardiopulmonary resuscitation(CPR) convergence education for nurses. This study used a nonequivalent control group pretest-posttest design. A sample of 46 nurses was included. The experimental group was given mobile web-based online CPR education with self-directed offline CPR practice. The control group was given traditional CPR lecture education with CPR practice. The data were collected using a structured questionnaire and performance skill test and were analyzed using SPSS 21.0 program. The experimental group had higher scores on CPR knowledge and CPR self-efficacy than those of the control group. there were no significant differences between groups (p=.741; p=.162). CPR skill ability was significantly higher in the experimental group compared to the control group(p=.001). This findings indicate that mobile web-based CPR convergence education can be an effective to strengthen CPR capabilities for nurses. These contribute to expanding convergence of education program development.

• Journal of The Korean Society of Clinical Toxicology
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• v.12 no.2
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• pp.97-101
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• 2014

Aconitine, found in the Aconitum species, is highly extremely toxic, and has been known to cause fatal cardiac arrhythmias and cardiovascular collapse. Although several reports have described treatment of aconitine intoxication, management strategy for the patient in a hemodynamically compromised state who experienced cardiopulmonary collapse is unknown. We report here on a case of a successful cardiopulmonary resuscitation and therapeutic hypothermia in an aconitine-induced cardiovascular collapsed patient. A 73-year-old male who presented with nausea, vomiting, chest discomfort, and drowsy mental state after eating an herbal decoction made from aconite roots was admitted to the emergency department. He showed hemodynamic compromise with monomorphic ventricular tachycardia resistant to amiodarone and lidocaine. After 3 minutes on admission, he collapsed, and cardiopulmonary resuscitation was initiated. We treated him with repeated cardioversion/defibrillation of 51 times, 10,150 joules and cardiopulmonary resuscitation of 12 times, 69 minutes for 14 hours and therapeutic hypothermia for 36 hours. He recovered fully in 7 days.

• Journal of the Korea Society of Computer and Information
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• v.26 no.11
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• pp.165-172
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• 2021

The purpose of this study was to identify differences in the muscle tone and stiffness of neck muscles according to levels of cardiopulmonary resuscitation (CPR) skill. The subjects were 30 female students in their 20s who were divided into a skilled group (n=15) and an unskilled group (n=15). According to the results, the skilled group showed statistically significant decreases in the stiffness of the lower cervical muscle and the muscle tone of the upper trapezius on the above hand side of hand grips after CPR (p<.05). The unskilled group exhibited a statistically significant difference in both the muscle tone and stiffness of the upper trapezius muscle on both sides after CPR (p<.05). However, no statistically significant differences were found between the two groups. In addition, the non-skilled group showed statistically significant lower values than the skilled group in the mean compression rate, total number of compressions, accuracy of chest compression, and accuracy of chest relaxation (p<.05). This study confirmed that CPR has a myophysiological effect on the neck muscles of those who perform CPR. However, it found that no differences result from individual CPR skill levels that are an important element for the accuracy of CPR.

• Journal of muscle and joint health
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• v.31 no.1
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• pp.22-30
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• 2024

Purpose: In-hospital cardiac arrest is rare, but often results in high mortality rates. Early and effective cardiopulmonary resuscitation (CPR) is crucial for survival and nurses are often the first responders. This study aimed to investigate how inter-professional attitudes and educational burdens affect self-efficacy related to CPR performance following team-based CPR simulation training. Methods: This retrospective observational study analyzed data from a satisfaction survey conducted after team-based CPR training sessions between January and November 2022. Of the 454 nurses surveyed, 238 were included in the study after excluding those with ambiguous responses. Multiple regression analysis was performed to assess factors influencing CPR self-efficacy. The factors examined included inter-professional attitudes and educational burden. Results: Higher levels of inter-professional attitudes, particularly regarding teamwork roles and responsibilities, lower educational burden, and a positive perception of CPR competence were all associated with improved CPR-related self-efficacy. Participants who reported higher engagement in teamwork, lower task load, and greater confidence in their CPR abilities demonstrated higher self-efficacy in performing CPR. Conclusion: Enhancing the competencies of nurses who may act as initial responders in CPR situations within or outside hospital settings can help save lives and support public health.

• Journal of Chest Surgery
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• v.57 no.3
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• pp.281-288
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• 2024

Background: Venoarterial extracorporeal membrane oxygenation (ECMO) is a key treatment method used with patients in cardiac arrest who do not respond to medical treatment. A critical step in initiating therapy is the insertion of ECMO cannulas. Peripheral ECMO cannulation methods have been preferred for extracorporeal cardiopulmonary resuscitation (ECPR). Methods: Patients who underwent ECPR at Daegu Catholic University Medical Center between January 2017 and May 2023 were included in this study. We analyzed the impact of 2 different peripheral cannulation strategies (surgical cutdown vs. percutaneous cannulation) on various factors, including survival rate. Results: Among the 99 patients included in this study, 66 underwent surgical cutdown, and 33 underwent percutaneous insertion. The survival to discharge rates were 36.4% for the surgical cutdown group and 30.3% for the percutaneous group (p=0.708). The ECMO insertion times were 21.3 minutes for the surgical cutdown group and 10.3 minutes for the percutaneous group (p<0.001). The factors associated with overall mortality included a shorter low-flow time (hazard ratio [HR], 1.045; 95% confidence interval [CI], 1.019-1.071; p=0.001) and whether return of spontaneous circulation was achieved (HR, 0.317; 95% CI, 0.127-0.787; p=0.013). Low-flow time was defined as the time from the start of cardiopulmonary resuscitation to the completion of ECMO cannula insertion. Conclusion: No statistically significant difference in in-hospital mortality was observed between the surgical and percutaneous groups. However, regardless of the chosen cannulation strategy, reducing ECMO cannulation time was beneficial, as a shorter low-flow time was associated with significant benefits in terms of survival.

• The Korean Journal of Emergency Medical Services
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• v.17 no.1
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• pp.9-19
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• 2013

Purpose : The purpose of this study was to investigate the variation of elapsed time in the cardiopulmonary resuscitation (CPR) quality and the fatigue in continuous CPR by single rescuer. This study will provide basic data about the time for the alternation of the CPR providers. Methods : The volunteer students having healthcare provider certification were recruited from the department of emergency medical service. The students performed 30:2 CPR for 20 minutes, and the data were recorded and analyzed. Metrics were based on the 2010 American Heart Association (AHA) Guidelines, and the CPR continued without any feedback. Results : Among the indicators of CPR, the accuracy and the depth of chest compressions decreased after about 5.3 minutes, and the rate increased approximately after 6.8 minutes. Changes in clinical indicators appeared, and fatigue increased after about 3 minutes. According to the increase in fatigue level, the changes in the CPR indicators and clinical indicators showed up, and these results proved to be statistically significant. However, there were no associations among the time, fatigue, and gender. Conclusion : Even though the times of changes in the indicators appeared differently, the times of changes in fatigue and CPR quality were able to be confirmed.