• The Korean Journal of Emergency Medical Services
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• v.24 no.1
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• pp.77-84
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• 2020

Purpose: This study was conducted to determine effective chest compression methods that could be used when performing cardiopulmonary resuscitation in rocking boats. Methods: Tests were conducted for four minutes using manual and mechanical chest compressions on two mannequins, placed in boats, and moving at a speed of 35km/hours on calm sea surfaces with wave heights of 0.5m and wind speeds of 2-3m/s (testing for two minutes, followed by rest, then a second round of testing for two minutes). To compare the quality of the chest compressions, data were analyzed using mannequins (Resusci Anne Q-CPR, Laerdal, Norway) and then statistically processed. Results: When chest compressions were administered in the moving rescue boat, an accuracy analysis showed that the pressure speed of the hand and mechanical techniques were normal, h owever, the pressure depth accuracies were 49.04% for manual techniques and 0% for mechanical techniques. The relaxation accuracies during compressions were 2.07% for manual techniques and 95.4% for mechanical techniques. Conclusion: When administering chest compressions in rocking rescue boats, mechanical rather than manual techniques should be preferentially considered.

• The Journal of the Korea Contents Association
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• v.13 no.4
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• pp.320-330
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• 2013

The purpose of this study is to increase efficiency of CPR through comparing the chest-compression quality between rescuer's simplified verbal order method and the continued verbal order method by utilizing voice meter during CPR. Subjects were 89 people(45 people for the experimental group, 44 people for the control group) who completed the 15-week CPR curriculum as undergraduates for the department of Emergency Medical Technology in C Province and were carried out by being randomly extracted. The group division was set for the experimental group as the group with the simplified verbal order and for the control group as the group with the continued verbal order. The period of measurement was progressed primarily(November 10, November 28, 2011) and secondarily(September 3-September 4, 2012). An analysis was used SPSS WIN 12.0 program. As a result of research, as for the implementation of appropriate chest compression(time, %), the quality was higher(p<.05) in the experimental group(102.86 times, 67.79%) than the control group(85.31 times, 55.84%). As a result of research, the chest compression(time, %) in the experimental group(102.86 times, 67.79%) had the higher effect of chest compression quality(p<.05) than the control group(85.31 times, 55.84%). On the other hand, the operation of weak chest compression(time) was higher in control group(61.13 times) than experimental group(35.54 times). The proper chest compression was shown(p<.05) in men of the experimental group as for gender and in over 60kg of the experimental group as for weight.

• Journal of Convergence for Information Technology
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• v.9 no.11
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• pp.227-233
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• 2019

The purpose of this study is to evaluate the quality of chest compression by conducting comparison research between mechanical chest compressor(LUCAS) and manuale cardiopulmonary resuscitation(CPR) in a out-of-hospital environment and suggest effective advanced cardiac life support using mechanical chest compressors. For this, a out-of-hospital cardiac arrest was simulated with a team of 3 ambulance workers, and manuale CPR and CPR using LUCAS were performed on site and during transport in an ambulance. The research results are as follows: the comparison of manuale CPR between on site and in an ambulance revealed that on-site manuale CPR showed significant differences in the average compression depth, compression rate, and relaxation rate. Second, the comparison between manuale CPR and LUCAS in an ambulance showed significant differences in the average compression depth, compression rate, the number of compression per minute.

• The Korean Journal of Emergency Medical Services
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• v.18 no.3
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• pp.7-18
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• 2014

Purpose: We aimed to investigate trunk angle and muscle activation of the extremity and back to evaluate the effect of chest compression on work-related musculoskeletal disorders in 119 emergency medical technicians (EMTs). Methods: Eighteen 119 EMTs performed 2-minute chest compression without interruption on a cardiopulmonary resuscitation manikin, during which we measured changes in the trunk and shoulder joint angles, muscle activation (triceps brachii, biceps brachii, erector spinae, gluteus maximus, pectoralis major, rectus abdominis, and rectus femoris) and chest compression accuracy. Results: The decrease in trunk angle by trunk muscle activation was the highest in event 2, the major direction of chest compression. Both shoulder joint angles had no significant difference. Muscle activation of the triceps brachii (p < .01), biceps brachii (p < .05), rectus abdominis (p < .05) and rectus femoris (p < .01) significantly increased during the compression phase compared with the decompression phase, with the rectus femoris showing an increase of 19%. Muscle activation of the erector spinae significantly increased in the decompression phase compared with the compression phase (p < .01). Conclusion: 119 EMTs mainly use the triceps brachii, biceps brachii and pectoralis major muscles during chest compression.

• Journal of the Korea Convergence Society
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• v.10 no.5
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• pp.85-94
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• 2019

This study was aimed to identify a study on the effect of chest compressions combined with abdominal drawing-in technique on prevention of back pain and chest compression quality. We tested motion analysis, electromyography, and chest compression quality of 15 paramedics. Data were normalized to SPSS 21.0 (Kolmogorov-Smirnov and Shapiro-Wilk test). The paired t-test was used for the pre- and post-test chest compressions, the one-way ANOVA was used for the analysis of the measurement point-in-time differences, and LSD was used for the post-test. The results of the study showed significant difference in muscle activity and chest compression success rate when the chest pressure was applied with abdomen drawing-in. Therefore, it is necessary to study cardiopulmonary resuscitation education which can increase the chest compression success rate while preventing the back pain of the paramedics in the future.

• The Korean Journal of Emergency Medical Services
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• v.18 no.1
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• pp.7-15
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• 2014

Purpose: The purpose of the study is to evaluate the distance and location of the rescuer to patient for the effective chest compressions qualities. Methods: The subjects were 42 students who earned the basic lifesaving technique and had informed consents to participate in the study from May 1 to 20 in 2013. The position of the rescuers included model-0(reference point), model-1(10 cm distance), model-2(20 cm distance), and model-kn(kneeling up). Results: The mean depth of compression was $50.6{\pm}6.6mm$ in Model-0, $48.7{\pm}8.2mm$ in Model-1, $44.2{\pm}10.4mm$ in Model-2, and $51.8{\pm}6.0mm$ in Model-kn. There were statistically significant differences between each Model(p<.001). Conclusion: The closer distance between rescuer and patient could provide more effective chest compressions. Kneeling on the bed stance provided the deeper chest compression consistently than the stool stance.

• Journal of Biomedical Engineering Research
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• v.35 no.6
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• pp.219-226
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• 2014

This study is to develop a basic life support (BLS) app using the android based smartphone and to evaluate the function of the app. Suggested app contains chest compression feedback function, the map of automated external defibrillator (AED), direct emergency call and the basic knowledge of BLS. Using the accelerometer of the smartphone, we implemented a real-time algorithm that estimates the chest compression depth and rate for high quality cardiopulmonary resuscitation (CPR). The accuracy of algorithm was evaluated by manikin experiment. We made contents which were easy to learn the BLS for the layperson and implemented a function that provides the AED location information based on the user's current location. From the manikin experiment, the chest compression depth and rate were no significant differences between the manikin data and the app's feedback data (p > 0.05). Developed BLS app was uploaded on Google Play Store and it was free to download. We expected that this app is useful to learn the BLS for the layperson.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.4
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• pp.1498-1503
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• 2010

PC Skillreporting feedback during cardiopulmonary resuscitaion would improve the performance of chest compression and ventilation during cardiac arrest. BLS skills were measured using Laerdal Skillreporter manikin(Laerdal, Norway) connected to a Laerdal PC Skillreporting system. Ventilation volume, chest compression accuracy, velocity of compression, depth of compression, hand position and chest recoil were measured between the two groups. Ventilation volume was significantly higher in the experimental group than that of control group(p<0.002). Chest compression depth was significantly higher in experimental group than that of control group(p=0.000). The quality of CPR can be improved by the use of PC Skillreporting system.

• Journal of the Korea Convergence Society
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• v.12 no.7
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• pp.105-111
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• 2021

The purpose of this study is to determine how the pre-test performed before training affects the results of CPR performance. In the case of the pre-test group(PTG), a pre-evaluation was performed for 1 minute before training, and the group that did not perform the pre-test(NPTG) performed only regular education. In both groups, skill test was performed for 1 minute after training. As a result of comparing the pre and post-test of PTG, there were statistically significant changes in chest compression depth, rate, and compression recoil. There was a statistically significant difference only in the chest compression rate in the chest compression performance results of the two groups after training. There was a statistically significant difference in the results of confidence after training in both groups. It is judged that the pre-test conducted before training has a good influence not only on the results of chest compression, but also on confidence improvement. Therefore, it is judged that it is necessary to develop additional programs such as pre-education test in order to increase the concentration of CPR education for the general population.

• Journal of Chest Surgery
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• v.35 no.11
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• pp.839-841
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• 2002

Generally, patients who have airway compression with severe kyphoscoliosis can be improved through surgery for the thoracolumbar deformity. However, abnormal thoracic configuration due to severe kyphoscoliosis can cause respiratory distress secondary to severe compression of central airway in uncorrectable case. We tried to elevate the chest wall and obtained relatively good result in case of airway compression with abnormal thoracic configuration which was difficult to correct.