• 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.24 no.2
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• pp.157-161
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• 2019

In this paper, the researcher investigated whether strengthening the back muscles affects the quality of chest compressions during cardiopulmonary resuscitation by university students. A total of 50 students majoring in healthcare were included from September 2018 to November. The participants performed chest compressions during cardiopulmonary resuscitation (CPR) for 2 min after back muscle strength was measured. Then, after adequate rest, the participants repeated the back muscle strength measurements and chest compressions after taping the erector spinae muscle. The paired t-test was performed to analyze changes in chest compression quality after taping. As results, taping enhanced back muscle strength and positively affected the depth of chest compressions and the compression to recoil ratio. Taping also increased confidence and lowered fatigability during chest compressions, so the participants preferred being taped while performing chest compressions. Based on these results, taping could help emergency room medical personnel specialized in CPR to enhance the quality of CPR and relieve back pain and fatigability by strengthening the back muscles.

• The Korean Journal of Emergency Medical Services
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• v.18 no.1
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• pp.107-116
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• 2014

Purpose : The purpose of this study is to demonstrate the effectiveness of using a digital sensor device during CPR by analyzing the results from that chest compressions with a digital sensor device are applied to cardiac arrest patients. Methods : This study analyzed the results from the experiment that 42 people were selected randomly among Korean 119 rescuers, and they divided into the experimental group using a digital sensor device and the control group only using their hands, then they had been observed to conduct chest-compressions to mannequins for 10 minutes. Results : The results were found that compression depth in both the control and experimental group was gradually decreased over time, but the experimental group not only kept the depth but also maintained the speed of chest-compressions close to 100 times a minute. In addition, due to the use of the digital sensor device, the insufficient recoil ratio of chest-compressions was significantly reduced. Conclusion : The results show that conducting chest-compressions with a digital sensor device keeps the compression-death, maintains the speed of chest-compression properly and makes the insufficient relaxation ratio of chest-compressions reduce significantly.

• 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.

• Tuberculosis and Respiratory Diseases
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• v.72 no.5
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• pp.401-408
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• 2012

Cardiopulmonary resuscitation (CPR) is a series of life-saving actions that improve the chances of survival, following cardiac arrest. Successful resuscitation, following cardiac arrest, requires an integrated set of coordinated actions represented by the links in the Chain of Survival. The links include the following: immediate recognition of cardiac arrest and activation of the emergency response system, early CPR with an emphasis on chest compressions, rapid defibrillation, effective advanced life support, and integrated post-cardiac arrest care. The newest development in the CPR guideline is a change in the basic life support sequence of steps from "A-B-C" (Airway, Breathing, Chest compressions) to "C-A-B" (Chest compressions, Airway, Breathing) for adults. Also, "Hands-Only (compression only) CPR" is emphasized for the untrained lay rescuer. On the basis of the strength of the available evidence, there was unanimous support for continuous emphasis on high-quality CPR with compressions of adequate rate and depth, which allows for complete chest recoil, minimizing interruptions in chest compressions and avoiding excessive ventilation. High-quality CPR is the cornerstone of a system of care that can optimize outcomes beyond return of spontaneous circulation (ROSC). There is an increased emphasis on physiologic monitoring to optimize CPR quality, and to detect ROSC. A comprehensive, structured, integrated, multidisciplinary system of care should be implemented in a consistent manner for the treatment of post-cardiac arrest care patients. The return to a prior quality and functional state of health is the ultimate goal of a resuscitation system of care.

• The Korean Journal of Emergency Medical Services
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• v.23 no.1
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• pp.113-123
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• 2019

Purpose: The aim of this study was to provide basic data to improve the survival rate of pre-hospital cardiac arrest patients. This study suggests a more effective method of performing effective chest compressions for a cardiac arrest patient in a moving ambulance. Methods: To compare the differences between gender and license (qualification), SPSS 18.0 (Windows) was used. Independent and paired t-tests were used for differences between before and after wearing a rescuer's belt. Results: The success rate of chest compressions according to gender was higher in males ($68{\pm}21.91%$) than in females ($25.04{\pm}16.88%$). There was no difference according to license ($44.70{\pm}26.63$ for paramedic, $45.05{\pm}19.25$ for nurse). However, the depth (mm) and the success rate (%) were improved during the evaluation of chest compressions when wearing the rescuer's belt (depth: $46.95{\pm}6.49$ vs. $49.55{\pm}6.05$, success rate: $44.80{\pm}24.66$ vs. $57.39{\pm}26.823$). Conclusion: Wearing a rescuer's belt in an ambulance during patient transport can result in deeper and more accurate chest compressions; therefore, it is expected to be effective in recovering the circulation of patient with cardiac arrest.

• 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.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2019.05a
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• pp.525-527
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• 2019

Cardiac arrest is a series of conditions occur when the heart is stopped, regardless of the cause. one of the only ways to save a patient's life in the event of cardiac arrest is cardiopulmonary resuscitation, which is very important beacause it can maintain circulation through this technique, and high-quality CPR affects the survival rate and neurological prognosis of the patient. For infant cardiopulmonary resuscitation, use two finger to compress the chest. Hower, this method can be diffcult to reach the chest commpressions recommended by the American Heart Association because of the anatomically increased fatigue of the fingers and diffculty of vertical pressure. The study aims to verify the effects of new chest compressions in the implementation of chest compressions during infant cardiopulmonary resuscitation. The study also showed singnificant differences in chest depth and average rate of pressure(p<0.001). 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.

• The Journal of the Convergence on Culture Technology
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• v.9 no.5
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• pp.167-173
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• 2023

The purpose of this study was to analyze the accuracy of artificial respiration and chest compressions using CPR mannequins for university students. First, in the number of chest compressions, subjects A, F, H, I, and J showed similar numbers from 60 to 63, respectively, which were much lower than the standard. Subjects B, D, E, and G showed 90 to 91 times, maintaining the normal range. However, C was rather high with 119 times. Second, the depth of chest compression was 58.60mm, and most of them were deeply compressed. Subject C was close to normal at 51mm, and subjects A to J were significantly higher at 55mm to 62mm. The reason seems to be the result of an unstable psychological state with no experience of chest compressions and a lack of self-confidence. Third, in terms of accuracy, subject E showed the lowest accuracy at 12%, and A~J showed 33%~80%. Experiment subject B showed 95% accuracy, which seems to be the result of D accurately recognizing the chest compression point through theoretical training during military service.

• Journal of the Korea Society of Computer and Information
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• v.22 no.2
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• pp.105-110
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• 2017

We propose a effectiveness of the assistant pad during cardiopulmonary resuscitation and provide basic data for high quality cardiopulmonary resuscitation. The subjects of the study were 28 students in the emergency department who completed the BLS Health Care-Provider under the experimental study by the randomized crossover design. Data were analyzed by using SPSS 20.0 Version. The results of this study showed that chest compressions using assistant pads decreased pain and fatigue than normal chest compressions, and the depth of chest compressions was deeper than normal depth. The results of this study shows that the use of assistant pads between the one hand and the other hand during cardiopulmonary resuscitation may increase accuracy and depth were improved. Therefore intensive indicator also improved. However, with regard to the use of assistant pads, further studies will be needed to identify the potential for clinical use.