• Title/Summary/Keyword: Chest Compression Position

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Use of PC Skillreporting system for Improving Quality of Cardiac Pulmonary Resuscitation in Fire EMT (구급대원의 심폐소생술 질 향상을 위한 PC Skillreporting system 활용방안)

  • Rho, Sang-Gyun;Moon, Tae-Young
    • 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.

A Survey on the Performance Ability of Cardiopulmonary Resuscitation of Physical Therapists

  • Kim, Gyoung-Mo;Kim, In-Seop;Nam, Tack-Gil;Kang, Kwang-Soon
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.12
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    • pp.151-155
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    • 2019
  • The purpose of this study is to investigate the knowledge and performance ability of cardiopulmonary resuscitation (CPR) of physical therapist. A total of 105 physical therapists participated in this study. All participants were responded a self-administered method questionnaire to investigate the knowledge of CPR, and measured on their performance ability of CPR by Braden Pro application. We identified the performance ability of CPR and compared between educated and uneducated group. Among the 7 items on the knowledge of CPR questionnaire, educated group scored higher than uneducated group in Sequence of CPR, Ratio of compression and ventilation, Position of hands for chest compressions, Compression rate of chest and Ventilation volume. However, Depth of chest compressions and Airway maneuver were scored higher in uneducated group. The performance ability of CPR was not significantly different between two groups. However, Compression rate of chest was higher than guideline of CPR in both groups. There were inconsistent results between the knowledge and performance ability of CPR whether educated or not. This study suggests that it needs to provide repeated educations that improve knowledge and performance ability of CPR in physical therapists.

A Study on Educational CD-Title develop to Basic Life Support (기본인명구조술 교육용 CD-Title 개발 연구)

  • Lee, Jung-Eun;Koh, Bong-Yeun;Ahn, Kisoo
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.33-45
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    • 2004
  • The study is designed to develop an educational CD-Title for Basic Life Support. The study is conducted from July to December, 2002, Based on the course of program development suggested by Dick and Cray. the study followed the planning, development, education and evaluation of a program. The developed CD-Title consists of 8 parts. 1. Intro include Introduction, Adult CPR, Child CPR, Infant CPR, Adult Foreign-Body Airway Obstruction, Infant Foreign-Body Airway Obstruction, and Exercise in Menu at Right of screen. 2. Introduction consist of death process at cardiac arresst, chain of survival, introduction of CPR, respiratory & ciculatory anatomy and physiology. 3. Adult CPR consist of assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, 1 person & 2 persion adult CPR video. 4. Child & Infant CPR consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, activating EMS system, child & infant CPR video. 5. Adult Foreign-Body Airway Obstruction include assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, finger sweep, 5 abdominal thrusts, unresponsiveness adult Foreign-Body Airway Obstruction video. 6. Infant Foreign-Body Airway Obstruction consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, checking foreign-body object in oral cavity of victim, 5 back blow, 5 chest thsusts, activating EMS system, video. 7. 32 exercise consist of 8 Adult CPR, 12 Child & Infant CPR, 5 Adult Foreign-Body Airway Obstruction, 7 Infant Foreign-Body Airway Obstruction. Every part consist of animations to trigger students interests. This CD-Title will be useful education for first responders and lay rescuers.

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Effect of Chest Compression Position Depending on the Rescuer's Hip Joint Angle During Basic CPR (심폐소생술 수행자의 엉덩관절 각도가 심폐소생술 결과에 미치는 영향)

  • Lee, Jae-Min;Yun, Hyeong-Wan
    • Fire Science and Engineering
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    • v.34 no.2
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    • pp.103-109
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    • 2020
  • This study aims to investigate the improvement in basic CPR quality on the basis of the hip joint angle of the rescuer among students in the Department of Emergency Medical Technology who completed a basic CPR curriculum. In this study, we carried out a comparative analysis using SimPad SkillReporter and Resusci Anne® QCPR® to measure the quality of CPR (depth of chest compressions, full relaxation, compression speed, and more) on the basis of the rescuer's hip joint angle in accordance with the 2015 AHA Guidelines and conducted chest compressions and CPR 5 times in a 30:2 ratio. It was found that maintenance of the rescuer's hip joint angle at 90 degrees while compressing and relaxing the chest made a statistically significant difference in both the experimental and control groups. Moreover, this indicated that the closer the hip joint angle was to 90 degrees, the better was the quality of basic CPR. However, there was no significant difference in the hip joint angle, degree of CPR, depth of chest compressions, chest compression speed, chest compression and relaxation percentages (%), accuracy of chest compressions, hands-off time during CPR, and percentage of chest compression time (p > 0.05). Maintaining the hip joint angle at 90 degrees for basic CPR was not significantly different from not maintaining this angle. Nonetheless, good results have been obtained at moderate depth and 100% recoil. Therefore, good outcome and high-quality CPR are expected.

Analysis on the efficacy of CPR training for first responders (최초 반응자를 대상으로 한 심폐소생술 교육결과의 분석)

  • Baek, Mi Lye
    • The Korean Journal of Emergency Medical Services
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    • v.4 no.1
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    • pp.83-93
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    • 2000
  • This survey is mainly focus on identifying the efficacy of CPR training for 92 first responders who participated in the first aid and emergency rescue program dated on November 22 and November 24, 2000. First responders are trained and evaluated using AHA guideline for 4 hours. Data are analyzed by Percentage, Mean, T-test, F-test using SPSS program. The results for this study are as follows: 1. An average score for CPR evaluation is high as 1.71 of total score 2.0. 2. Between adult CPR and infant CPR, an average score for adult CPR is higher than infant CPR. The highest item of adult CPR and infant CPR is checking for unresponse(1.95 and 1.93), the lowest items are checking for circulation and chest compression position in the adult CPR and location of chest compression in the infant CPR 3. There are statistically significant differences in the evaluation score of CPR according to age, education level, occupation, job experience and emergency accident situation in the past.

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Comparison of adult CPR skill scores: Real-time visual feedback manikin(Resusci Anne SkillReporterTM) vs. Non-feedback manikin(Actar 911 SquadronTM) (성인 심폐소생술 술기 점수 비교: 레어달 애니 스킬리포터 대 액타 911 마네킹)

  • Kim, Jee-Hee;Moon, Tae-Young;Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.15 no.2
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    • pp.101-108
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    • 2011
  • Purpose: Cardiopulmonary resuscitation (CPR) prevents tissue necrosis of the brain and cardiac muscle in the cardiac arrest patient and requires exact skills in order to increase survival rate. Through comparison of the training effects of feedback manikin and non-feedback manikin, this study present the effective CPR device to CPR instructors. Method: This CPR course for 80 students by using Resusci Anne $SkillReporter^{TM}$ (RASR; Laerdal Medical, Stavanger, Norway) and Actar 911 $Squadron^{TM}$ (A911; Vital Signs, New Jersey, USA) held on December 22, 2009. Thirty seven students and two assistants were placed in one laboratory, there were five RASR manikins which provide the LED performance indicator, not the metronome. Forty two students and two assistants were placed in the other laboratory, there were 20 A911 manikins which don't provide any feedback indicator. Chest compression scores and ventilation compression scores obtaining from two groups were analysed statistically by using independent t-test. Results: Chest compression scores, average depth (mm) was 37.5 in RASR and 41.80 A911 (p=.004), too depth (#) was 2.8 in RASR and 19.4 A911 (p=.005), average number per min (#/min) was 64.4 in RASR and 68.2 A911 (p=.038), wrong hand position (#/min) was 10.9 in RASR and 30.8 A911 (p=.040). Four items that showed better scores in group RASR had statistically significant difference. Ventilation compression scores, percent correct (%) was 40.6 in RASR and 20.6 A911 (p<.001), number correct (#) was 4.7 in RASR and 2.1 A911 (p=.002), too fast (#) was 0.9 in RASR and 2.9 A911 (p=.003), average volume (ml) was 536.5 in RASR and 707.1 A911 (p=.011). Also, three items that showed better scores in group RASR had statistically significant difference. Conclusions: Regarding the positive effect of CPR training feedback, comparison between the real-time visual feedback manikin (RASR) and the non-feedback manikin (A911) showed that RASR had better results than A911 in chest compression except average number per min (it means that we need harder chest manikin) and ventilation. Verification of the training effect in the real world such as CPR outcomes is also necessary. A proper application of manikin in training circumstances and research on retention of CPR skills will be needed.

Effect of Mask Wearing and Type on Cardiopulmonary Resuscitation Accuracy, Fatigue and Physiological Changes

  • Sung-Hwan Bang;Hyo-Suk Song;Gyu-Sik Shim;Hee-Jeong Ahn
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.7
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    • pp.113-120
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    • 2023
  • The purpose of this study was the accuracy of cardiac compression, fatigue, and physiological changes of the rescuer for different mask type in cardiopulmonary resuscitation(CPR). Data collection was from 9 to 12 May 2022, the participants were a total of 24 paramedic students with a BLS provider at D University. The students participated in an experiment in which 12 students each wore a surgical mask (Dental mask) and a fine particle 94% blocking mask (KF94 mask) and performed CPR for 2 minutes over a total of 7 times. As a result of the study, in the analysis of the quality of the rescuer's chest compression according to the type of mask, there was a significant difference in the compression speed (F=24.91, p<.001) and bad compression hand position (F=14.54, p=.024) in the group wearing the KF94, Fatigue showed significant differences in both the Dental mask group (F=51.16, p<.001) and the KF94 mask group (F=63.49, p<.001). Among the physiological changes, heart rate showed a significant difference between the Dental mask group (F=34.79, p<.001) and the KF94 mask group (F=35.55, p<.001), and the respiratory rate showed a significant difference between the Dental mask group (F=25.02, p=.001) and the KF94 mask group(F=23.02, p=.002). Therefore, in order to improve the quality of efficient chest compression and reduce the fatigue and physiological changes of rescuers, it will be necessary for rescuers to wear suitable personal protective equipment.

Analysis of clothing pressure for commercially customized burn patient's medical compression garments for men in their 20s (시판 맞춤형 화상환자 압박복의 의복압 분석 -20대 남성 상의를 대상으로-)

  • Cho, Shin-Hyun
    • Journal of the Korea Fashion and Costume Design Association
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    • v.21 no.4
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    • pp.55-67
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    • 2019
  • This study analyzed the fabric and product size of the burn patient's custom compression garment and measured the pressure applied by the garment to assess whether proper pressure is being delivered for treatment. The test clothes were presented to the market by body size and commissioned with the same design. The subjects selected four people close to the average body size of men in their 20s determined by 7th Size Korea. The experiment was conducted by wearing a compression suit, performing activities and measuring changes in the pressure of the garment according to changes in posture. The fabric used for the compressive clothing was not ruptured even at 216 kPa, the elasticity recovery rate was measured between 80.5 and 94.5%. The product dimensions of the experimental clothing varied by up to 8cm from brand to brand, requiring the standardization of compression clothing. The experiment showed that four types of compression suit varied in pressure, and the pressure range, excluding the gastric arm (17.9mmHg), was between 2.5-14.1mmHg, which failed to meet the level of pressurization for treatment purposes. The clothing pressure in the chest area dropped when performing movements rather than standing still. This was interpreted to be a result of reduced the adhesion of the compression suit during operation. The peak pressure (31.68mmHg) and the lowest pressure (2.2mmHg) was noted in the scapula, indicating that no pressure was being transmitted on the vertebrae. The pressure of the garment on the right shoulder blade was elevated in a supine position. Because much time is spent laying down, it is necessary for the pattern design to accommodate for the increased clothing pressure on the shoulder blades. Standardization of the level of pressurization for burn patient's custom-made pressure suits for each stage of treatment is urgently required.

A Study on Quality Improvement of Cardiopulmonary Resuscitation Using Pad Attachment Glove (패드부착장갑을 이용한 심폐소생술 질 향상 연구)

  • Kim, Ye-Rim
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.289-295
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    • 2019
  • This study was conducted to present effective CPR by identifying the usefulness of Pad Attachment Glove. The study subjects and data collection were conducted from 1 April 2019 to 30 April on Paramedic students of G university located in G-wide city and analyzed using the SPSS/Win 23.0. The study found that the chest compressions after wearing pad attachment gloves were higher in the areas of Chest Compressions total score, Number of chest compressions, chest recoil rate, hand position accuracy, CPR velocity than before wearing them. It was understood that pad attachment gloves improved the quality of chest compressions more than Hands-Only CPR. This will be used as a basic material for cardiopulmonary resuscitation education in the future, and is believed to contribute to devising a practical program.

A Study on the Motion Analysis of CPR on EMT Who Wearing PPE (4구급대원의 PPE(Personal Protective Equipment)착용 시 CPR 동작분석에 관한 연구)

  • Shin, Dong-min;Chung, Jae-han;Kim, Seung-yong;Hong, Eun-jung;Kim, Kyoung-yong;Han, Yong-taek
    • Journal of the Korean Society of Safety
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    • v.30 no.5
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    • pp.74-79
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    • 2015
  • The purpose of this study is to find out its effect on changes in the joint angle and the success rate of cardiopulmonary resuscitation by conducting cardiopulmonary resuscitation (CPR) when wearing and not wearing PPE (personal protective equipment) targeting 20 paramedics with more than 5 years of experience. The subjects carried out CPR in 30:2 for 4 minutes and collected images were digitized by Kwon3D XP Software Package(Version 4.0) and then data were obtained. Data, which were collected by analyzing the motion when starting in one cycle, when pressing to the maximum, in the final position (relaxed), were analyzed by using SPSS 18.0. In conclusion, during CPR, the angle of the both shoulder joints was not significant (p>.05) and the angle of the right elbow joint was reduced in all positions and was statistically significant (p<.05) and the angle of the left was significantly reduced in the maximum pressure posture and the final position (p>.05). In the case of the trunk, the angle increased statistically significantly at all stages (p<.01, p<.001). Also, during CPR, the average compression rate was significantly reduced after wearing PPE (p<.05) and average hand escape time by cycle increased statistically significantly (p<.05) but chest compression execution rate at the correct depth did not show any significant difference between the two groups (p>05).