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이동 중 주들것에서 심폐소생술 분석

Analysis of cardiopulmonary resuscitation during main stretcher transport- A manikin study -

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초록

Purpose: The purpose of this study was to provide basic data for improving the Purpose: This study aimed to compare the effect of chest compression and the resulting ventilation volume in walking cardiopulmonary resuscitation (CPR), straddling CPR, and mechanical CPR while moving manikins to main stretchers. Methods: We compared the chest compressions in terms of compression depth, number of incomplete releases, complete release depth, compression rate, duration between peak time of previous compression and peak time of current compression, and respiration. We analyzed the compression comparatively with the ventilation volume in three different types of CPR. Results: The chest compression depth was significantly improved during straddling CPR as compared to walking CPR, during which women were unable to achieve sufficient chest compression depth. A constant chest compression depth was maintained during mechanical CPR. Conclusion: High-quality chest compressions were difficult to achieve in moving spaces. Further, walking CPR may be helpful in men, but straddling or applying automatic chest compressions in women would result in more effective CPR. Our findings demonstrate the limitations and trends in administering CPR in men and women, which may be useful in devising better education and training methods in the future. .

Abstract

Purpose: The purpose of this study was to provide basic data for improving the Purpose: This study aimed to compare the effect of chest compression and the resulting ventilation volume in walking cardiopulmonary resuscitation (CPR), straddling CPR, and mechanical CPR while moving manikins to main stretchers. Methods: We compared the chest compressions in terms of compression depth, number of incomplete releases, complete release depth, compression rate, duration between peak time of previous compression and peak time of current compression, and respiration. We analyzed the compression comparatively with the ventilation volume in three different types of CPR. Results: The chest compression depth was significantly improved during straddling CPR as compared to walking CPR, during which women were unable to achieve sufficient chest compression depth. A constant chest compression depth was maintained during mechanical CPR. Conclusion: High-quality chest compressions were difficult to achieve in moving spaces. Further, walking CPR may be helpful in men, but straddling or applying automatic chest compressions in women would result in more effective CPR. Our findings demonstrate the limitations and trends in administering CPR in men and women, which may be useful in devising better education and training methods in the future. .

참고문헌 (18)

  1. Kramer-Johansen J, "Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback:a prospective interventional study", Resuscitation, 71(3), pp.283~292 (2006)[DOI]
  2. 신소연, "구급차 내에서의 심폐소생술 방법에 관한 연구", 한국화재소방학회 논문지, 28(4), pp.104~111 (2014), 한국화재소방학회[DOI]
  3. 이재국, "가상실현 기반 구급차에서 루카스와 수기에 의한 가슴압박과 인공호흡 비교 -마네킨 연구-", 한국응급구조학회지, 22(3), pp.67~76 (2018), 사단법인 한국응급구조학회[DOI]
  4. 박진형, "병원 전 단계에서 심정지 환자에게 심폐소생술 시 AutoPulseTM 장치를 이용한 흉부 압박과 수기 흉부 압박이 결과에 미치는 영향", 대한응급의학회지, 28(6), pp.628~634 (2017), 대한응급의학회
  5. 변준섭, "병원전 심정지 환자에게 심폐소생술 시 AutoPulse와 LUCAS를 이용한 심폐소생술의 예후 비교", 대한응급의학회지, 30(1), pp.16~21 (2019), 대한응급의학회
  6. Russi CS, "A comparison of chest compression quality delivered during on-scene and ground transport cardiopulmonary resuscitation", West J Emerg Med, 17(5), pp.634~639 (2016)[DOI]
  7. 심규식, "이동 중 주들것에서 심폐소생술을 위해 개발된 보조발판(C-step)의 적용 효과", 한국산학기술학회논문지, 13(12), pp.5950~5957 (2012), 한국산학기술학회[DOI]
  8. Lei Z, "The efficacy of straddling external chest compression on a moving stretcher", Resuscitation, 81(11), pp.1562~1565 (2010)[DOI]
  9. Kim JA, "A randomized, controlled comparison of cardiopulmonary resuscitation performed on the floor and on a moving ambulance stretcher", Prehosp Emerg Care, 10(1), pp.68~70 (2006)[DOI]
  10. Handley AJ, "Performing chest compressions in a confined space", Resuscitation, 61(1), pp.55~61 (2004)[DOI]
  11. Shinchi M, "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.e0216739~ (2019)[DOI]
  12. Talikowska M, "Cardiopulmonary resuscitation quality and patient survival outcome in cardiac arrest: a systematic review and meta-analysis", Resuscitation, 96, pp.66~77 (2015)[DOI]
  13. Stiell IG, "What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients?", Circulation, 130(22), pp.1962~1970 (2014)[DOI]
  14. Yasuda Y, "Muscles used for chest compression under static and transportation conditions", Prehosp Emerg Care, 17(2), pp.162~169 (2013)[DOI]
  15. "2015 AHA Guidelines for CPR and ECC", AHA, ~ (2015)
  16. Lee MJ, "Part 3. Advanced cardiac life support: 2015 Korean guideline for cardiopulmonary resuscitation", Clinical and Experimental Emergency Medicine, 3(S), pp.S17~S26 (2016)[DOI]
  17. 전혁진, "병원 전 심정지 상황에서 수기 심폐소생술과 X-CPRTM를 이용한 심폐소생술의 비교; 시뮬레이션 연구", 한국웰니스학회지, 10(2), pp.181~189 (2015), 한국웰니스학회
  18. 조영신, "시뮬레이션된 병원전 심정지에서 구급대원에 의한 가슴압박과 기계압박의 비교", 대한응급의학회지, 23(4), pp.486~492 (2012), 대한응급의학회

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