DOI QR코드

DOI QR Code

The variation of elapsed time on fatigue and quality of single rescuer cardiopulmonary resuscitation

시간 경과에 따른 1인 심폐소생술의 질과 피로도의 변화

  • Jang, Mun-Sun (Department of Emergency Medical Technology, Sunlin College) ;
  • Tak, Yang-Ju (Department of Paramedic Science, Korea National University of Transportation)
  • 장문순 (선린대학교 응급구조과) ;
  • 탁양주 (한국교통대학교 응급구조학과)
  • Received : 2013.02.28
  • Accepted : 2013.04.19
  • Published : 2013.04.30

Abstract

Purpose : The purpose of this study was to investigate the variation of elapsed time in the cardiopulmonary resuscitation (CPR) quality and the fatigue in continuous CPR by single rescuer. This study will provide basic data about the time for the alternation of the CPR providers. Methods : The volunteer students having healthcare provider certification were recruited from the department of emergency medical service. The students performed 30:2 CPR for 20 minutes, and the data were recorded and analyzed. Metrics were based on the 2010 American Heart Association (AHA) Guidelines, and the CPR continued without any feedback. Results : Among the indicators of CPR, the accuracy and the depth of chest compressions decreased after about 5.3 minutes, and the rate increased approximately after 6.8 minutes. Changes in clinical indicators appeared, and fatigue increased after about 3 minutes. According to the increase in fatigue level, the changes in the CPR indicators and clinical indicators showed up, and these results proved to be statistically significant. However, there were no associations among the time, fatigue, and gender. Conclusion : Even though the times of changes in the indicators appeared differently, the times of changes in fatigue and CPR quality were able to be confirmed.

References

  1. Rea TD, Helbock M, Perry S, Garcia M, Cloyd D, Becker L, et al. Increasing use of cardiopulmonary resuscitation during out-of-hospital ventricular fibrillation arrest: survival implications of guideline changes. Circulation 2006;114(25):2760-5. https://doi.org/10.1161/CIRCULATIONAHA.106.654715
  2. Handley AJ, Handley SA. Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator. Resuscitation 2003;57(1):57-62. https://doi.org/10.1016/S0300-9572(02)00400-8
  3. Kim YB, Choi SM, Kim YM, Lee WJ, Park KN, Lee MJ, et al. Effect of single-rescuer fatigue on the quality of cardiopulmonary resuscitation with 30:2 and 15:2 compression-to-ventilation ratios. J Korean Soc Emerg Med 2006;17(6):519-27.
  4. Choi YJ, Park DS, Lee WS, Ha WS, Jung JY, Yun YH. Comparison of quality in chest compressions at scene, in a moving ambulance by student nurses, the 119 member group, and an automatic CPR machine. J Korean Soc Emerg Med 2009;20(4):335-42.
  5. Hong SG, Son IA. A study on the factors influencing the accuracy of chest compression during cardiopulmonary resuscitation trying in a moving ambulance. J Korean Soc Emerg Med 2009;20(4):343-54.
  6. Korean Statistical Information Service. Causes of Death in Korean. Statistics Korea, Available at: http://kostat.go.kr, 2010.
  7. Oh DJ. Over view of sudden cardiac death in korea(out-of-hospital cardiac arrest). Journal of Cardiac Arrythmia 2010;11:13-6.
  8. Stiell IG, Wells GA, Field B, Spaite DW, Nesbitt LP, De Maio VJ, et al. Advanced cardiac life support in out-of-hospital cardiac arrest. N Engl J Med 2004; 351(7):647-56. https://doi.org/10.1056/NEJMoa040325
  9. Berg RA, Hemphill R, Abella BS, Aufderheide TP, Cave DM, Hazinski MF, et al. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122(Suppl 3):S685-705. https://doi.org/10.1161/CIRCULATIONAHA.110.970939
  10. Koh IS. Management and prognosis of postcardiac arrest syndrome. Neurocrit Care 2009;2(Suppl 1):S10-15.
  11. National Emergency Medical Center. Survival analysis of sudden cardiac arrest and development of indicators for monitoring. Available at: http://www.nemc.or.kr, 2009.
  12. National Emergency Management Agency. Present state of work. Available at: http://www.nema.go.kr, 2011.
  13. Na JH, Park SO, Baek KJ, Hong DY, Lee KR, Lee MH. Analysis of the time-dependent changes of chest compression quality and related rescuer factors in cardiopulmonary resuscitation by laypersons. J Korean Soc Emerg Med 2011;22(5):431-7.
  14. Lee JS, Chung SW, Kim IB, Park YS, Yeo JM, Ko JW. Quality and rescuer's fatigue with repeated chest compression: a simulation study for in-hospital 2 persons CPR. J Korean Soc Emerg Med 2010;21(3):299-306.
  15. Jun YK, Jo SO, Jeong TO, Jin YH, Lee JB, Yoon JC, et al. Evaluation of pre-hospital care provided by 119 rescuers in out-of-hospital cardiac arrests transported to tertiary emergency department covering a rural area. J Korean Soc Emerg Med 2011;22(5):391-9.
  16. Sugerman NT, Edelson DP, Leary M, Weidman EK, Herzberg DL, Vanden Hoek TL, et al. Rescuer fatigue during actual in-hospital cardiopulmonary resuscitation with audiovisual feedback: A prospective multicenter study. Resuscitation 2009; 80(9):981-4. https://doi.org/10.1016/j.resuscitation.2009.06.002
  17. Chung TN, Kim SW, You JS, Cho YS, Chung SP, Park I. A higher chest compression rate may be necessary for metronome-guided cardiopulmonary resuscitation. Am J Emerg Med 2012;30(1):226-30. https://doi.org/10.1016/j.ajem.2010.11.026
  18. Handley AJ, Handley JA. The relationship between rate of chest compression and compression: relaxation ratio. Resuscitation 1995;30(3):237-41. https://doi.org/10.1016/0300-9572(95)00892-6