주들것에서 수행된 가슴압박 심폐소생술 연구: C-step과 Over the Belly의 비교 연구
A Chest Compression CPR Study Performed on a Main Stretcher : Comparative study between C-step and Over the Belly
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초록
구급대원에게 심폐소생술은 매우 중요하나 이동하는 주들것에서 수행하는 가슴압박은 정확도가떨어진다. 이 연구의 목적은 이동 중 주들것에서 수행하는 심폐소생술 효과를 높이기 위하여C-step을 이용하여 주들것의 측면에서 가슴압박을 수행하는 것과 환자의 복부 위에 위치하여 가슴압박을 수행하는 것에 대하여 차이를 알아보고자 수행되었다. 연구는 C-step 군 20명과 복부 위군 20명을 대상으로 이동 중 주들것에서 2분간 연속된 가슴압박을 수행하였다. 연구결과 C-step을적용한 군에서 적정한 깊이(t=4.132, p=.000)와 속도(t=7.177, p=.000)를 나타내었으며 정확도가 더높은 것으로 나타났다(t=6.774, p=.000). 또한 C-step을 적용한 군에서 위치불량(t=-5.197, p=.008)과너무 얕은 오류가 적은 것으로 나타났다. 결론적으로 C-step을 장착한 주들것에서의 가슴압박은심폐소생술의 질을 높이고 병원 전 환자의 생존율을 높이는데 도움을 줄 것으로 판단된다.
Abstract
CPR is very important to paramedics, but the chest compression performed while on the move main stretcher is less accurate. The purpose of this study is to find out the difference between performing chest compression on the side of the main stretcher using C-step and on the patient's over the belly in order to increase the effect of CPR on the main object while on the move. As a result of the study, the appropriate depth (t=4.132, p=.000) and speed (t=7.177, p=.000) were shown in the group to which the C-step was applied, and the accuracy was higher (t=6.774, p=.000). In addition, it was found that there were few location defects (t=-5.197, p=.000) and too shallow errors (t=-2.948, p=.008) in the group to which the C-step was applied. In conclusion, mounting a C-step on the main stretcher seems to help improve the quality of chest compression, and it is thought that this will increase the efficiency of chest compression.
참고문헌 (17)
- "2023 National Fire Agency Statistical Yearbook"[URL]
- "2020 Korean Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care"[URL]
- L. Wik, "Quality of Cardiopulmonary Resuscitation during Out-of-hospital Cardiac Arrest", Journal of the American Medical Association, 293(3), pp.299~304 (2005)
- G. K. Han, "Comparison of CPR Outcomes between Autopulse TM and Manual Compression in Adult Out-of-hospital Cardiac Arrest", Journal of the Korean Society of Emergency Medicine, 20, pp.256~263 (2009)
- S. G. Roh, "Analysis of Cardiopulmonary Resuscitation during Main Stretcher Transport-A Manikin Study-", The Korean Journal of Emergency Medical Services, 24(2), pp.39~50 (2020)
- Z. Lei, "The Efficacy of Straddling External Chest Compression on a Moving Stretcher", Resuscitation, 81(11), pp.1562~1565 (2010)
- A. R. Chi, "The Influence of Vertical Location of Cardiac Arrest and Application of Mechanical Cardiopulmonary Resuscitation Device on out of Hospital Cardiac Arrest in a Community : A Retrospective Observational Study", Journal of the Korean Society of Emergency Medicine, 24(6), pp.530~529 (2016)
- Y. S. Cho, "Comparison of Manual Versus Mechanical Chest Compression During Simulative out of Hospital Cardiac Arrest", Journal of the Korean Society of Emergency Medicine, 23(4), pp.486~492 (2012)
- S. B. Im, "A Study on the Effective Manual Chest Compression Method using a Main Stretcher Transformed into a Chair in Elevator", Journal of the Korean society for Wellness, 7(4), pp.335~340 (2022)[DOI]
- H. E. Wang, "Ambulance Stretcher Adverse Events", Quality &Safety in Health Care, 18(3), pp.213~216 (2009)
- G. S. Shim, "The Effect of Applying Subsidiary Atep Developed for CPR on the Main Stretcher during Movement", Journal of the Korea Academia-Industrial cooperation Society, 13(12), pp.5950~5957 (2012)
- A. C. Koller, "Perishock Pause Intervals and Rearrest after Out-of-hospital Cardiac Arrest", The Journal of Emergency Medicine, 50(2), pp.263~269 (2016)
- M. L. Richard, "The Combined Use of Mechanical CPR and a carry sheet to maintain quality resuscitation in out-of-hospital cardiac arrest patients during extrication and transport", Resuscitation, 93, pp.102~106 (2015)
- J. A. Kim, "A Randomized, Controlled Comparison of Cardiopulmonary Resuscitation Performed on the Floor and on a Moving Ambulance Stretcher", Prehospital Emergency Care, 10(1), pp.68~70 (2006)
- H. J. Lee, "The Effect of a Mechanical Chest Compressions for Out-of-hospital Advanced Cardiac Life Support", Journal of Convergence for Information Technology, 9(11), pp.227~233 (2019)
- M. Shinchi, "Comparison of Chest Compression Quality in Walking Versus Straddling Cardiopulmonary Resuscitation during Stretcher Transportation : A Prospective Randomised Crossover Study Using Manikins", PLoS One, 14(5), pp.1~12 (2019)[DOI]
- Tezel, Onur, "Cardiopulmonary Resuscitation is More Effective for In-hospital Cardiac Arrest When Performed on a Stretcher : A Manikin Study", Saudi Medical Journal, 42(1), pp.75~81 (2021)