• The Korean Journal of Emergency Medical Services
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• v.15 no.1
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• pp.37-46
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• 2011

Purpose : This study is equivalence experiment performed to test practice effects between experimental group from both left and right direction of mannequin and control group having practice from only right direction in cardiopulmonary resuscitation education. Methods : Subject of the research were total 71 elementary and middle school teachers in J province who had not experience to have cardiopulmonary resuscitation. They were divided into experimental group of 35 participants who practiced cardiopulmonary resuscitation from both right and left direction of mannequin on Dec. 27, 2009 and control group of 36 participants who performed cardiopulmonary resuscitation from only right direction of mannequin on Dec. 28, 2009. Collected data were analyzed by SPSS/PC+(version 14.0). Results : 1. There was no statistically significant difference by sex among general characteristics of the subjects. 2. According to the quality of chest compression performed from the right direction of mannequin, experimental group showed better results in proper depth (time), insufficient depth (time), too lowered compression position (time) and inexact position (time) than control group(p<.05). In the quality of chest compression from the left side of mannequin, experimental group performed better results in proper depth (time), insufficient depth (time), inexact compression position (time) and mean chest compression depth(mm) than control group(p<.05) and also in more left-centered compression position (time) than control group(p<.001). 3. The quality of chest compression by experimental group, the right side of mannequin was superior in proper depth (time) to the left side of mannequin (p<.001) and showed better results in insufficient depth (time) and chest compression/recoil rate (p<.05). According to the quality of chest compression by control group, the right side of mannequin showed superior results in proper depth (time), insufficient depth (time), too left-centered compression position (time) and mean chest compression depth (mm) (p<.05) to the left side of mannequin. Conclusion : The group having practice from both right and left sides of mannequin was superior in the quality of chest compression to the group having practice from only right side of mannequin. How to practice cardiopulmonary resuscitation from both right and left sides of mannequin can be recommended and practice from left side of mannequin is also useful.

• The Korean Journal of Emergency Medical Services
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• v.23 no.2
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• pp.99-107
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• 2019

Purpose: This study aimed to identify the position for the most accurate head-up cardiopulmonary resuscitation (CPR) by comparing saddle position CPR (SPCPR) and traditional CPR (TCPR). Methods: Sixty certified persons who completed a basic life support provider course between May 1 and June 21, 2019 were enrolled in the study. The participants were asked to perform 2 minutes of CPR, and the depth of chest compression, rate, position, full release, and hands off time were assessed. Accuracy was evaluated based on data collected from a smart phone application connected to the manikin via bluetooth and analyzed using frequency, percentage, t-test, analysis of variance and ${\chi}^2$. Results: The accuracy of chest compression was statistically significantly higher for SPCPR, 63.03%[${\pm}8.75$] for SPCPR and 55.50%[${\pm}10.17$] for TCPR [t=3.074, p=.003]. The depth of chest compression was statistically significantly greater for SPCPR, 4.51cm[${\pm}0.45$] for SPCPR and 4.16cm[${\pm}0.61$] for TCPR [t=2.503, p=.015]. The rate of chest compression was statistically significantly higher for TCPR, 105/min[${\pm}10.79$] for SPCPR and 111/min[${\pm}11.57$] for TCPR [t=-2.008, p=.049]. Accuracy of position of chest compression was statistically significantly higher for SPCPR, 96.10%[${\pm}13.73$] for SPCPR and 79.93%[${\pm}30.34$] for TCPR [t=2.659, p=.011]. Accuracy of full release was higher with SPCPR, with 86.30%[${\pm}30.53$] for SPCPR and 71.10%[${\pm}36.05$] for TCPR, but the difference was not statistically significant [t=1.762, p=.083]. Conclusion: Saddle position CPR was found to be more accurate than TCPR in the performance of manual head-up CPR.

• The Korean Journal of Emergency Medical Services
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• v.12 no.3
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• pp.27-41
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• 2008

Purpose : The purpose of this study was to supply basic data for the impact on the accuracy of basic CPR according to position and foot-board height of basic CPR provider. Methods : Study design was within - group design. Subjects were 25 EMT-P Students in K city. Interventions was basic CPR performed on a resuscitation manikin placed on a hospital bed, kneeling on the bed adjacent to the manikin. Data was analyzed using descriptive statistics and Friedman test. Results : In case of the basic CPR performed on a resuscitation manikin placed on a hospital bed, ventilation accuracy was the highest in less than 160 cm height, foot-board height : $34.2{\pm}1.48cm$, 91.4% and in 161-165 cm height, foot-board height : $26.0{\pm}2.14cm$, 88.4% and in 171-175 cm height, foot-board height : $23.0{\pm}1.41cm$, 91.3% and in the above 176 cm, kneeling on the bed, 95%. Chest compression accuracy was the highest in less than 160 cm height, foot-board height : $30.2{\pm}1.48cm$, 95.6% and in 161-165 cm height, kneeling on the bed, 97.6% and in 171-175 cm height, kneeling on the bed, 98.5% and in the above 176 cm, kneeling on the bed, 98.7% and foot-board height : $20.5{\pm}1.91cm$, 98.7%. Chest compression error was due to too weak : 2.0-35.4 times. There were ststistically significant differences in 191-195 cm group according to chest compression mean depths($x^2=10.824$, p = .013) and chest compression error (p = .040). Conclusion : In contrast to current guidelines, the position and foot-board height of basic CPR provider are very important to the accuracy of the basic CPR. Furthermore, we recommend that a using real time audiovisual feedaback system significantly improve the quality of chest compression and ventilation during resuscitation.

• Journal of the Korea Society of Computer and Information
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• v.24 no.11
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• pp.179-185
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• 2019

In this paper, We purpose the basic data for the success of effective CPR using mirror in order to increase the quality of chest compression during CPR. The subject of this study was an experimental study based on a randomized crossover design of 28 people who completed the BLS Health Care Provider, and collected data were analyzed by SPSS Ver. 23.0 for Win statistics program. As the research methods, depth, speed, compression to relaxation ratio, arm angle and easiness during the chest compression were measured. Taken together, the results of this study showed that using a mirror-based chest compression method for chest compressions in adult CPR could make chest compressions easier, in addition, the quality of breast compression was improved by improving the posture of the rescuers, such as the average depth of compression, compression to relaxation ratio, and arm angle. However, it is necessary to confirm the feasibility of clinical application through additional studies on various environmental factors and job groups for mirror-based chest compression method.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.4
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• pp.1699-1705
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• 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.

• Journal of the Korea Society of Computer and Information
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• v.24 no.4
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• pp.153-159
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• 2019

In this paper, we propose a the effects of new chest compressions in the implementation of chest compressions during infant cardiopulmonary resuscitation, and to provide basic data for high-quality CPR. On March 12, 2019, the research target used the SPSS 22.0 Version as an experimental study using randomized cross-design of 30 emergency medical services students who completed BLS Health Care-provider. The study also showed significant differences in chest depth and average rate of pressure($34.61{\pm}1.29$, $39.40{\pm}1.08$, <0.001, $105.46{\pm}4.23$, $107{\pm}3.84$, <0.001) depending on chest compressions. There was also a significant difference in the convenience and degree of pain of chest compressions(<0.001). In addition, new chest compressions appeared close to vertical and showed statistically significant differences(p<.001). Based on the results of this study, we can see that the accuracy of the new chest compressions during infant cardiopulmonary resuscitation is increased, and the depth of chest compressions is improved, improving the quality index of chest compressions. However, it will be necessary to further study the use of the new chest compressions to identify the potential for clinical use.

• Journal of the Korea Society of Computer and Information
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• v.29 no.3
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• pp.173-180
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• 2024

The purpose of this study was to determine the accuracy of chest compression according to the patient body weight and the rescuer's weight when performing chest compression on a cardiac arrest patient that occurred on a home bed. From January 07 to January 19, 2023, 36 paramedic students from N and S universities who completed the KBLS provider curriculum of the Korea Cardiopulmonary Resuscitation Association were measured at the subject's knee position, the depth of the mattress being pressed by the weight of the manikin, and the depth of the mattress being pressed by the weight of the manikin were measured during continuous chest compression for 2 minutes. As a result of the study, if a child's cardiac arrest is found at home, the patient is moved to the floor to proceed with chest compression, and the first witness to find an adult cardiac arrest is recommended to proceed on the bed rather than force the patient under the bed to proceed with chest compression.

• 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 the Korea Society of Computer and Information
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• v.25 no.2
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• pp.157-162
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• 2020

In this paper, we propose an analyze the effects of CPR education for kindergarten students, to determine their role as first responders, and to use them as basic data for the development and activation of CPR education programs for future kindergarten students. Five CPR training sessions were repeated for 10 weeks for children aged 6 and 7 years in kindergarten in J city, and objective data was collected using feedback equipment. The data were analyzed by t-test and paired t-test using SPSS 23.0 for win statistics program. The results showed that chest compression depth, chest compression velocity, and chest compression hand position increased significantly after repeated training. In conclusion, the cardiopulmonary resuscitation training for kindergarten students was effective, and the kindergarten students could play the role of first responders.

• The Journal of the Korea Contents Association
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• v.11 no.5
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• pp.280-290
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• 2011

The purpose of this study was to increase accuracy in performing cardiopulmonary resuscitation through comparing accuracy between chest compression and artificial respiration depending on position, gender, and weight of a victim given conducting cardiopulmonary resuscitation. This study randomly sampled 72 college students in G Province (36 in the experimental group and 36 in the control group) to conduct a research from November 5 to 19, 2009. The collected data were analyzed by using an SPSS WIN 12.0 Version program. Since the results showed that most regions got more effective artificial respiration and chest compression on the right side than on the left side, it is necessary to apply cardiopulmonary resuscitation on the right side in terms of how to implement and instruct cardiopulmonary resuscitation in the future. However, it seems that continuous researches are necessary to see if cardiopulmonary resuscitation is more effective on the right side in terms of the survival rate in an actual emergency.