COVID-19 대응 심정지에서 가슴압박 교대 인원에 따른 구조자의 피로도 -마네킹 연구-
Measuring rescuer’s fatigue by evaluating varying sized groups of rescuers performing chest compressions on a manikin study for suspected COVID-19 patients
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The aim of the study is to measure the quality of cardiopulmonary resuscitation (CPR) and the fatigue of rescuers wearing PPE (Level D) during a CPR session and to ultimately provide suggestions of safety standards for rescuers. Methods: 36 subjects were enrolled in the study. The subjects were divided randomly into three groups of two-members, three-members, and four-members. Each group performed CPR for 30 minutes. Blood lactate concentration, heart rate, rating of perceived exertion, chest compression depth and rate were measured before experiment and after each cycle. Results: There was a difference in the blood lactate concentration during CPR cycle by member of shifts (p=.014). The blood lactate concentration increased during CPR (p=.000). Subjective fatigue was a significant difference of chest compression in cycles 3, 4, and 5 for the member of shifts during CPR (p=.049, p=.009, p=.015). Depth and rate of chest compression were not different for the member of shifts during CPR. Conclusion: It is necessary to establish standards for the member of shifts during CPR, to reduce the fatigue of rescuers.
Abstract
Purpose: The aim of the study is to measure the quality of cardiopulmonary resuscitation (CPR) and the fatigue of rescuers wearing PPE (Level D) during a CPR session and to ultimately provide suggestions of safety standards for rescuers. Methods: 36 subjects were enrolled in the study. The subjects were divided randomly into three groups of two-members, three-members, and four-members. Each group performed CPR for 30 minutes. Blood lactate concentration, heart rate, rating of perceived exertion, chest compression depth and rate were measured before experiment and after each cycle. Results: There was a difference in the blood lactate concentration during CPR cycle by member of shifts (p=.014). The blood lactate concentration increased during CPR (p=.000). Subjective fatigue was a significant difference of chest compression in cycles 3, 4, and 5 for the member of shifts during CPR (p=.049, p=.009, p=.015). Depth and rate of chest compression were not different for the member of shifts during CPR. Conclusion: It is necessary to establish standards for the member of shifts during CPR, to reduce the fatigue of rescuers.
참고문헌 (20)
- 이승규, "119구급대원의 개인보호장비 착용이 혈압·맥박·호흡에 미치는 영향", 대한안전경영과학회지, 23(3), pp.89~96 (2021), 대한안전경영과학회[DOI]
- 노유민, "구급대원용 개인보호복 개발을 위한 기초연구", 한국응급구조학회지, 22(1), pp.83~97 (2018), 사단법인 한국응급구조학회[DOI]
- 서아람, "병원 외 심정지 환자에서 119 구급대원의 전문기도유지술 시행에 영향을 미치는 요인", 한국응급구조학회지, 23(1), pp.157~163 (2019), 사단법인 한국응급구조학회[DOI]
- 이재민, "Out-of-Hospital Cardiac Arrest Response to a Pregnant Woman by the 119 Emergency Medical Service System: A Case Study", 한국화재소방학회 논문지, 34(1), pp.127~134 (2020), 한국화재소방학회[DOI]
- 김창성, "구급상황관리사에 의한 심폐소생술 안내 실태 연구", 한국응급구조학회지, 25(1), pp.223~234 (2021), 사단법인 한국응급구조학회[DOI]
- Dana P. Edelson, "Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19", Circulation, 141(25), pp.e933~e943 (2020), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 민문기, "가슴압박만 하는 심폐소생술과 30:2 표준 심폐소생술 방법에 의한 가슴압박 질의 비교", 한국응급구조학회지, 19(3), pp.139~148 (2015), 사단법인 한국응급구조학회[DOI]
- 신원미, "병원 밖 심장정지 환자의 생존 요인 분석", 대한보건연구, 46(2), pp.93~105 (2020), 사단법인 대한보건협회[DOI]
- 김성은, "일개 3차 의료기관에 내원한 병원전 심정지 환자의 심폐소생술 결과", 대한응급의학회지, 16(5), pp.495~504 (2005), 대한응급의학회
- 이효주, "The changes of symptom, EKG and hemodynamic in healty firefighters after delivering multiple cycles of cardiopulmonary resuscitation", 한국산학기술학회논문지, 18(6), pp.381~388 (2017), 한국산학기술학회[DOI]
- Francisco Martín Rodríguez, "Metabolic fatigue in resuscitators using personal protection equipment against biological hazard", Investigación y Educación en Enfermería, 37(2), pp.e04~ (2019), Universidad de Antioquia[DOI]
- 왕중산, "가슴압박소생술이 구조자의 허리 근육의 근긴장도, 경직, 피로에 미치는 영향", 한국응급구조학회지, 24(3), pp.79~87 (2020), 사단법인 한국응급구조학회[DOI]
- 송경준, "2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 3. Adult Basic Life Support", Clinical and Experimental Emergency Medicine, 8, pp.15~25 (2021), 대한응급의학회[DOI]
- 한건수, "심폐소생술 1인과 2인 구조자의 30:2 흉부압박-환기 비가 심박수와 혈중젖산농도에 미치는 영향", 한국사회체육학회지, (40), pp.595~602 (2010), 한국사회체육학회[DOI]
- 김창환, "무선통신 기반의 심박수측정기 Bodypro_PAPS(DS100)의 신뢰도와 타당도", 한국체육측정평가학회지, 13(2), pp.85~93 (2011), 한국체육측정평가학회[DOI]
- Chun-Hao Chang, "The feasibility of emergency medical technicians performing intermittent high-quality cardiopulmonary resuscitation", International Journal of Medical Sciences, 18(12), pp.2615~2623 (2021), Ivyspring International Publisher[DOI]
- Kim HJ, "Influence of rescuer strength and shift cycle on chest compression quality", master, pp.2013
- Ahn HJ, "The effects on rescuer fatigue of wearing personal protective equipment (Level D)while performing cardiopulmonary resuscitation", doctor, pp.2021
- 홍석환, "코로나19 의심 또는 확진 환자가 병원 밖 심정지 발생 시 구조자의 개인 보호장비(PPE) 착용에 의한 가슴압박 효과 비교: 무작위 교차 시뮬레이션 연구", 한국응급구조학회지, 25(1), pp.23~36 (2021), 사단법인 한국응급구조학회[DOI]
- Marek Malysz, "Resuscitation of the patient with suspected", confirmed COVID-19 when wearing personal protective equipment: A randomized multicenter crossover simulation trial, 2020, pp.27(5), 497~506[DOI]
