• Journal of agricultural medicine and community health
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• v.33 no.3
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• pp.346-355
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• 2008

- Abstract - Objectives: The purpose of this study is to describe and analyze the characteristics of which laypersons want the cardiopulmonary resuscitation(CPR) education. Methods: Based on a health survey(ｎ=913) of 5 remote places in Korea, tests of the differences between the group that wants the CPR education(ｎ=416) and the group that doesn't(ｎ=497), and a logistic regression analysis of two groups was performed on socio-economic status and health-medical conditions. Results: Even the participation rate of the CPR education in Korea is only 5.8%, which is extremely lower than other developed countries, there are statistically significant differences between the group that wants the CPR and the group that doesn't on gender(ｐ=0.001), age(ｐ=0.000), education level(ｐ=0.000), economic status(ｐ=0.007), and CPR education taken(ｐ=0.000), and health status(ｐ=0.042). Furthermore, age(OR=1.599, ｐ=0.002), age(OR=0.964, ｐ=0.000), economic status(OR=0.804, ｐ=0.028), and CPR education taken(OR=2.072, ｐ=0.026) are statistically significant factors on the willingness to receive the CPR education. Conclusions: This study indicates that there is considerable variation in socio-economic status and health-medical conditions associated with the willingness to receive the CPR education. In remote places. certain subgroups of laypersons such as high-risk patients and family members need targeted outreach programs in CPR education.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.18 no.2
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• pp.201-209
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• 2011

Purpose: The purpose of this study was to evaluate the learning experience, knowledge, and performance of cardiopulmonary resuscitation (CPR) in newly graduated nurses, and to identify differences related to learning experience. Methods: The participants were 114 new nurses in the hospital. They were asked to complete a questionnaire, which included CPR learning experience. They were evaluated by a written test and a skill test using a manikin and check list. Results: All participants attended CPR lectures and underwent practice while in university. Only 12.28% of participants were taught by a certified Basic Life Support (BLS) instructor. The mean scores of the written and skill tests were $79.82{\pm}12.69$ and $64.41{\pm}11.71$, respectively. The nurses lacked CPR knowledge related to checking breathing, the frequency of 30 chest compressions, compression rate, and automated external defibrillator use. They also lacked skill in performing CPR related to checking breathing and pulse and giving 2 breaths. CPR performance differed according to learning time (p=.047) and BLS educator (p=.029). Conclusion: The findings of this study reveal that CPR performance by newly graduated nurses is poor and suggest that CPR education by trained instructors, practice-based education, and reeducation programs must be provided to newly graduated nurses in the hospital.

• The Korean Journal of Emergency Medical Services
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• v.21 no.2
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• pp.51-61
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• 2017

Purpose: This study measured return of spontaneous circulation (ROSC) in relation to dispatch distance in patients with out-of-hospital cardiac arrest. Methods: Of 2,347 out-of-hospital cardiac arrest patients transported by emergency medical technicians in J Province between January 1 and December 31, 2015, those under age 18, those with reserved resuscitation, and those with traumatic cardiac arrest, leaving 855 patients in the study sample. ROSC was compared between those with dispatch distance ${\leq}4km$ (short dispatch distance, 465 patients) and those with dispatch distance >4 km (long dispatch distance, 390 patients). Results: The mean was 2.17 km in the short dispatch group and 9.87 km in the long dispatch group (p=.000). Mean distance from was 6.49 km and 13.39 km in the two groups, respectively (p=.000). ROSC differed significantly between the short and long dispatch distance groups (7.1% for short dispatch distance, 3.6% for long dispatch distance, p=.025). The length of time from to cardiopulmonary resuscitation also differed significantly between the short and long dispatch distance groups (8.77 minutes and 14.63 minutes, respectively, p=.000). Conclusion: ROSC was lower in areas of long dispatch distance compared to those of short dispatch distance. We expect this was most likely due to differences in response time by age and dispatch distance to the scene of cardiac arrest. However, no significant differences were found between the groups in the factors affecting ROSC.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.62 no.6
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• pp.833-839
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• 2013

Cardiopulmonary resuscitation (CPR) is performed by thoracic compression and artificial ventilation for the patient under emergent situation to maintain at least the minimum level of respiration and blood circulation for life survival. Good quality CPR requires monitoring respiration, however, traditional respiratory air flow transducers cannot be used because the transducer elements are facing the whole area perpendicular to the flow axis. The present study developed a new air flow transducer conveniently applicable to CPR. Specially designed "sensing rod" samples the air velocity at 3 different locations of the flow cross-section, then transforms into average dynamic pressure by the Bernoulli's law. The symmetric structure of the sensing holes of the sensing rod enables bi-directional measurement simply by taking the difference in pressure by a commercial differential pressure transducer. Both inspiratory and expiratory flows were obtained with symmetric measurement characteristics. Quadratic curve fitting provided excellent calibration formula with a correlation coefficient>0.999 (P<0.0001) and the mean relative error<1%. The present results can be usefully applied to accurately monitor the air flow rate during CPR.

• Korean Journal of Health Education and Promotion
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• v.25 no.4
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• pp.43-54
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• 2008

Objectives: To identify the willingness of laypersons to perform the cardiopulmonary resuscitation(CPR), we analyzed their characteristics of socio-economic status and health-medical conditions associated with their willingness. Methods: Based on a health survey of Incheon Metropolitan City adults(N=5,114), tests of the differences between a group with willingness to perform CPR(=1,531) and a group with non-willingness to perform CPR(=3,583), and a logistic regression analysis of two groups were executed on socio-economic status-gender, age, marital stats, education level, jobs, and monthly household income-and health-medical conditions-CPR-related self-confidence, CPR education, chronic diseases, accident experience, EMS(emergency medical service) experience, and health status. Results: The rate of the willingness group was 29.9%, which was relatively lower than other developed countries. There were statistically significant differences between the willingness group with the non-willingness group on gender, age, jobs, CPR-related self-confidence, CPR education, and so on. Furthermore, Gender, age, students or armed forces among jobs, CPR-related self-confidence, and CPR education were statistically significant influential factors on the willingness to perform CPR. Conclusion: This study indicated that there was considerable variation in socio-economic status and health-medical conditions associated with willingness to perform CPR in Incheon. The CPR education aimed at increasing CPR-related self-confidence and correcting inaccurate perceptions of CPR attitudes would promote its use in response to out-of-hospital cardiac arrest.

• The Korean Journal of Emergency Medical Services
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• v.19 no.2
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• pp.7-17
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• 2015

Purpose: This study aimed to compare the effects of rescue ventilation maneuvers on the quality of two-rescuer cardiopulmonary resuscitation (CPR). Methods: We implemented mouth to mouth (MMV), mouth to pocket mask (MPV) and bag-valve mask ventilation (BMV) maneuvers. Each team of two-nurses was randomized to perform three consecutive sessions of two-rescuer CPR by using three artificial ventilation maneuvers. Results: The subjects were 26 teams of nurses (female: 96.2%, male: 3.8%, age: 26.6 years). Failed ventilation was more frequent in BMV ($2.23{\pm}2.21$, p <.001) than MMV ($0.31{\pm}0.74$) and MPV ($0.38{\pm}0.64$). BMV had more compressions per minute ($93.7{\pm}5.7$) than MMV ($87.0{\pm}7.2$, p = .001) and shorter total compression pause time ($46.1{\pm}5.8sec$) and compression pause fraction ($23.3{\pm}2.2%$) than MMV ($54.8{\pm}10.3sec$, p = .001, $25.5{\pm}3.5%$, p = .001, respectively) and MPV ($53.1{\pm}7.1sec$, p =. 006 and $25.8{\pm}2.6%$, p = .006, respectively). Conclusion: In our simulation study, BMV reduced the compression pause time and increased the number of compressions per minute, thus indicating CPR provided to patients was effective. However, considering the high rate of ventilation failure, we recommend periodic training.

• 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.

• Journal of Digital Convergence
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• v.17 no.7
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• pp.207-214
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• 2019

This study was designed to find effective CPR education methods by comparing and analyzing the quality of Field-Focus Type (FFT) CPR using SimPad and the quality of Video Self-lnstruction(VSI) CPR for the learners. The data collection were conducted from November 28, 2018 to December 5, 2018, on 64 first graders who completed CPR lectures at universities located in G metropolitan city, and analyzed using the SPSS ver. 23.0. The results of the study, Field Focus Type (FFT) CPR showed higher quality of Video Self-lnstruction (VSI) CPR in areas such as CPR total score, chest compressions score, chest compressions dept, chest compressions rate, chest compression velocity, total ventilation score, and Total number of ventilation than that of the subjects. Therefore, using Field Focus Type CPR (FFT) education law was found to improve the quality of cardiopulmonary resuscitation compared to the existing Video Self-lnstruction CPR (VSI) education method, and it is believed that it can be used as a basic data for cardiopulmonary resuscitation education in the future.

• Journal of the Korea Convergence Society
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• v.12 no.5
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• pp.71-77
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• 2021

The present study aimed to find out how the trunk muscles, which are mainly used in Cardio-Pulmonary Resuscitation, affect chest compression through plank exercise. Study subjects participated in a 12-week program, and subjects performed only chest compressions for 8 minutes. Regarding their change in a muscle mass by plank exercise, there was a statistically significant difference in the change from 4th to 8th week after the program(p<.01). The muscle activity change had a statistically significant difference from 3rd to 10th week(p<.01). The chest compression depth had a statistically significant difference from 4th to 8th week(p<.01). In addition, insufficient chest relaxation height after compression had a statistically significant difference from 4th to 10th week(p<.01). The chest compression maintenance time had a statistically significant difference from 2nd to 12th week(p<.01). The participants' muscle mass and muscle activity increased more after their participation in plank exercise program than before. All chest compression factors except for chest compression rate brought about positive results.

• Journal of Biomedical Engineering Research
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• v.30 no.5
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• pp.393-400
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• 2009

The present study developed a new technique with no physical object on the flow stream but enabling the air flow measurement and easily incorporated with the devices for cardiopulmonary resuscitation(CPR) procedure. A turbulence chamber was formed in the middle of the respiratory tube by locally enlarging the cross-sectional area where the flow related turbulence was generated inducing energy loss which was in turn converted into pressure difference. The turbulence chamber was simply an empty enlarged air space, thus no physical object existed on the flow stream, but still the flow rate could be evaluated. Computer simulation demonstrated stable turbulence formation big enough to measure. Experiment was followed on the proto-type transducer, the results of which were within ${\pm}5%$ error compared to the simulation data. Both inspiratory and expiratory flows were obtained with symmetric measurement characteristics. Quadratic curve fitting provided excellent calibration formula with a correlation coefficient>0.999(P<0.0001) and the mean relative error<1%. The present results can be usefully applied to accurately monitor the air flow rate during CPR.