병원 전 심정지 환자의 자발순환 회복에 관한 병원전 처치- 하트세이버 수상자를 중심으로 -
Prehospital care after return of spontaneous circulation in out-of-hospital cardiac arrest patients: Based on Heart Saver laureate
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Purpose: We aimed to improve the survival rates of out-of-hospital cardiac arrest patients. Methods: We analyzed data regarding cardiopulmonary resuscitation (CPR) outcomes and clinical characteristics of out-of-hospital cardiac arrest patients. The data included prehospital emergency medical service reports of 207 patients, 135 patients of Heart Saver, who survived over 72 hours after return of spontaneous circulation (ROSC) in Gyeonggi-do from January, 2012 to December, 2013. Data were analyzed using SPSS 18.0 descriptive statistics. Results: Among patients who achieved ROSC, 87.6% were men and 73.6% were aged 41-70 years; 86.7% were cases of witnessed cardiac arrest, and cardiopulmonary resuscitation was performed by bystanders in 65.9% of cases. The initial electrocardiogram showed ventricular fibrillation or pulseless ventricular tachycardia in 96.3% of patients. The call time was 1.0 minutes, arrival time was 6.3 minutes, time spent at the scene was 8.0 minutes, hospital arrival time was 10.0 minutes, and total CPR duration was 9.6 minutes. The certificate of them was paramedics in 89.6%. Conclusion: To improve the survival rates of out-of-hospital cardiac arrest patients, standard prehospital care for these patients and educational programs regarding CPR for lay rescues should be developed.
Abstract
Purpose: We aimed to improve the survival rates of out-of-hospital cardiac arrest patients. Methods: We analyzed data regarding cardiopulmonary resuscitation (CPR) outcomes and clinical characteristics of out-of-hospital cardiac arrest patients. The data included prehospital emergency medical service reports of 207 patients, 135 patients of Heart Saver, who survived over 72 hours after return of spontaneous circulation (ROSC) in Gyeonggi-do from January, 2012 to December, 2013. Data were analyzed using SPSS 18.0 descriptive statistics. Results: Among patients who achieved ROSC, 87.6% were men and 73.6% were aged 41-70 years; 86.7% were cases of witnessed cardiac arrest, and cardiopulmonary resuscitation was performed by bystanders in 65.9% of cases. The initial electrocardiogram showed ventricular fibrillation or pulseless ventricular tachycardia in 96.3% of patients. The call time was 1.0 minutes, arrival time was 6.3 minutes, time spent at the scene was 8.0 minutes, hospital arrival time was 10.0 minutes, and total CPR duration was 9.6 minutes. The certificate of them was paramedics in 89.6%. Conclusion: To improve the survival rates of out-of-hospital cardiac arrest patients, standard prehospital care for these patients and educational programs regarding CPR for lay rescues should be developed.
참고문헌 (19)
- A study of analysis of adequacy of emergency medical service, "National Emergency Management Agency", 106~118 (2013)
- 이미진, "급성 심정지 발생과 소생술 예후", 대한응급의학회지, 23(2), pp.168~180 (2012), 대한응급의학회[DOI]
- Eisenberg MS, "Paramedic program and out of hospital cardiac arrest: Factors associated with successful resuscitation", Am J Public Health, 69, pp.30~38 (1979)
- Kim SR, "Impact of 119 rescue's interventions in the survival of patients with pre-hospital cardiac arrest", 박사, pp.2011
- "Fire Administration Data and Statistics" (2013)[URL]
- Bae YS, "Prehospital care of out-of-hospital cardiac arrest patients", 석사, pp.2005
- 조범규, "서울시 병원전 심정지 환자의 심폐소생술에 대한 전향적 다기관 평가", 대한응급의학회지, 20(4), pp.355~364 (2009), 대한응급의학회
- Hwang SH, "Cardiopulmonary resuscitation and advanced cardiovascular life support", pp.81~84 (2011), Koonja Press
- Lee HG, "Evaluation of emergency care to the cardiac arrest patients transferred to the hospital by 119", 석사, pp.2011
- Kim SE, "Outcome of cardiopulmonary resuscitation of out-of-hospital cardiac arrest patients in a emergency department of tertiary medical center", 석사, pp.2004
- 고봉연, "제세동 가능 심정지 환자의 병원전 응급처치 수행에 대한 분석", 한국응급구조학회지, 15(1), pp.79~88 (2011), 사단법인 한국응급구조학회
- 고봉연, "구급일지를 통한 병원전 심정지 환자의 임상적 특성과 병원전 응급처치", 한국산학기술학회논문지, 11(4), pp.1540~1546 (2010), 한국산학기술학회
- 이재성, "경기도 지역 119 구급대원들의 자동제세동기 사용에 대한 고찰", 대한응급의학회지, 19(1), pp.15~21 (2008), 대한응급의학회
- Jung SY, "The use and the effect of AEDs by EMTs in prehospital cardiac arrest", Ewha Med J, 32(1), pp.35~41 (2009)
- 김윤권, "병원전 외상성 심정지 환자에서 내원 초기 심전도 소견에 따른 임상 특징과 심폐소생술 결과", 대한응급의학회지, 16(4), pp.467~473 (2005), 대한응급의학회
- 김성은, "일개 3차 의료기관에 내원한 병원전 심정지 환자의 심폐소생술 결과", 대한응급의학회지, 16(5), pp.495~504 (2005), 대한응급의학회
- 방성환, "병원 전 심폐소생술에 의한 자발순환 회복 8례: 일 지역 하트세이버 수여자를 기준으로", 한국화재소방학회 논문지, 27(4), pp.61~67 (2013), 한국화재소방학회[DOI]
- 정태녕, "목격자의 행태가 병원전 심정지 환자의 병원 도착까지의 시간에 미치는 영향 분석", 대한응급의학회지, 16(1), pp.93~98 (2005), 대한응급의학회
- Hwang SH, "Outcome of resuscitation in victims of prehospital cardiac arrest", J Korean Soc Emerg Med, 3(1), pp.27~36 (1992)