본문 바로가기
KERD
논문KCI 등재

일반적인 영아 심폐소생술 방법과 Over-head 심폐소생술 방법의 효율성 비교: 마네킨을 이용한 1인 구조자 시뮬레이션 연구

Comparing the Effectiveness Between Typical Infant CPR method and Over-head CPR method : A Study of the Single-Person Rescuer Simulation Using a Manikin

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류컴퓨터학

초록

본 연구는 1인 구조자 영아 심폐소생술 방법에 따른 효율성을 알아보기 위한 연구이다. 일반인 51명을 대상으로 일반적인 두 손가락을 이용한 방법과 새로운 방법인 머리 위 양손 감싼 두 엄지 가슴압박방법으로 심폐소생술을 비교하였다. 두 심폐소생술 방법을 비교하기 위하여 SPSS 22.0을 이용하였다. 연구결과 머리 위 양손 감싼 두 엄지 가슴압박법이 평균 가슴압박의 깊이(39.38±1.07 mm)가 유의하게깊게 나타났고(p<0.001), 인공호흡의 용이성(p<0.001), 방법의 편리성( p<0.001), 손가락 통증 정도(p<0.001)도 유의한 차이를 보였다. 그리고 심폐소생술 방법의 선호도는 80.4%(41명)가 머리 위 양손감싼 두 엄지 가슴압박 방법을 이용한 심폐소생술을 선호하였다. 이 연구는 마네킨을 이용한 가상연구이기 때문에 향후 질 높은 심폐소생술 방법을 현장에 적용하기 위해 추가적인 연구가 필요할 것이다.

Abstract

This study is to find out the effectiveness by Infant CPR method of a single rescuer. It was conducted for 51 general public. And typical infant CPR method by a single rescuer and a new method, CPR with two thumb chest compressions wrapped in both hands over the head were compared. SPSS 22.0 was used as an analysis method and to compare the both CPR methods, Paired t-test was used. As a result of the study, the average chest compression depth(39.38±1.07 mm) by CPR with two thumb chest compressions wrapped in both hands over the head was significantly high(p<0.001). Ease of mouth-to-mouth resuscitation(p<0.001), convenience of CPR method( p<0.001), and finger pain level(p<0.001) had a significant difference. As for the preference of the CPR method, 80.4%(41 people) preferred CPR with two thumb chest compressions wrapped in both hands over the head. In this study, CPR with two thumb chest compressions wrapped in both hands over the head showed more effective results than typical CPR method. However, as a virtual study using mannequins, further research is needed to apply high-quality CPR methods to field.

참고문헌 (19)

  1. "2018 Annual Report on the Causes of Death Statistics"[URL]
  2. Ikwan Chang, "Association of dispatcher-assisted bystander cardiopulmonary resuscitation with survival outcomes after pediatric out-of-hospital cardiac arrest by community property value", Resuscitation, 132, pp.120~126 (2018), Elsevier BV[DOI]
  3. Ji Sook Lee, "Part 5. Pediatric basic life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation", Clinical and Experimental Emergency Medicine, 3(S), pp.S39~S47 (2016), The Korean Society of Emergency Medicine[DOI]
  4. Dianne L. Atkins, "Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality", Circulation, 132(18 suppl 2), pp.S519~S525 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
  5. 김용준, "1인 구조자 영아 심폐소생술 가슴압박 방법에 따른 효율성 및 편리성 비교", 한국응급구조학회지, 23(2), pp.109~123 (2019), 사단법인 한국응급구조학회[DOI]
  6. 윤성우, "새로운 영아 가슴압박 방법의 비교: 마네킨을 이용한 랜덤화 시뮬레이션 연구", 한국컴퓨터정보학회논문지, 24(4), pp.153~159 (2019), 한국컴퓨터정보학회[DOI]
  7. Jacek Smereka, "A randomized comparison of three chest compression techniques and associated hemodynamic effect during infant CPR: A randomized manikin study", The American Journal of Emergency Medicine, 35(10), pp.1420~1425 (2017), Elsevier BV[DOI]
  8. Michele L. Dorfsman, "Two-thumb vs Two-finger Chest Compression in an Infant Model of Prolonged Cardiopulmonary Resuscitation", Academic Emergency Medicine, 7(10), pp.1077~1082 (2000), Wiley[DOI]
  9. Choong Hyun Jo, "Over-the-head two-thumb encircling technique as an alternative to the two-finger technique in the in-hospital infant cardiac arrest setting: a randomised crossover simulation study", Emergency Medicine Journal, 32(9), pp.703~707 (2015), BMJ[DOI]
  10. 윤성우, "심폐소생술 중 가슴압박 시행 시 보조패드 사용의 효과", 한국컴퓨터정보학회논문지, 22(2), pp.105~110 (2017), 한국컴퓨터정보학회[DOI]
  11. Seong-Woo Yun, "The effect of inclined step stool on the quality of chest compression during in-hospital cardiopulmonary resuscitation", The American Journal of Emergency Medicine, 32(8), pp.851~855 (2014), Elsevier BV[DOI]
  12. Deborah J. Harrington, "The long-term outcome in surviving infants with Apgar zero at 10 minutes: a systematic review of the literature and hospital-based cohort", American Journal of Obstetrics and Gynecology, 196(5), pp.463.e1~463.e5 (2007), Elsevier BV[DOI]
  13. Stefan Maisch, "A Comparison Between Over-The-Head and Standard Cardiopulmonary Resuscitation Performed by Two Rescuers: A Simulation Study", The Journal of Emergency Medicine, 39(3), pp.369~376 (2010), Elsevier BV[DOI]
  14. Benjamin S. Abella, "Chest Compression Rates During Cardiopulmonary Resuscitation Are Suboptimal", Circulation, 111(4), pp.428~434 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
  15. "2017Korean Association of CardioPulmonary Resuscitation White paper" (2017)[URL]
  16. 정국영, "영아 심폐소생술시 지지대를 사용한 두 손가락 가슴 압박의 효과", 한국화재소방학회 논문지, 29(1), pp.67~72 (2015), 한국화재소방학회[DOI]
  17. Jeffrey L Pellegrino, "Two-thumb-encircling advantageous for lay responder infant CPR: a randomised manikin study", Archives of Disease in Childhood, 104(6), pp.530~534 (2019), BMJ[DOI]
  18. Jwpark, "A Novel Infant Chest Compression Assist Device Using a Palm Rather Than Fingers : A Randomized Crossover Trial", Prehospital Emergency Care, 23(1), pp.74~82 (2018)
  19. Chan Woong Kim, "Effect of metronome guidance on infant cardiopulmonary resuscitation", European Journal of Pediatrics, 178(6), pp.795~801 (2019), Springer Science and Business Media LLC[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (24건)