Comparison of success rates of chest compressions performed with and without a rescuer's belt during transfer

이송 중 구조자용 벨트(EMT-belt) 착용에 대한 가슴압박 성공률 비교

Kim, Gyoung-Yong

  • Received : 2019.03.19
  • Accepted : 2019.04.14
  • Published : 2019.04.30


Purpose: The aim of this study was to provide basic data to improve the survival rate of pre-hospital cardiac arrest patients. This study suggests a more effective method of performing effective chest compressions for a cardiac arrest patient in a moving ambulance. Methods: To compare the differences between gender and license (qualification), SPSS 18.0 (Windows) was used. Independent and paired t-tests were used for differences between before and after wearing a rescuer's belt. Results: The success rate of chest compressions according to gender was higher in males ($68{\pm}21.91%$) than in females ($25.04{\pm}16.88%$). There was no difference according to license ($44.70{\pm}26.63$ for paramedic, $45.05{\pm}19.25$ for nurse). However, the depth (mm) and the success rate (%) were improved during the evaluation of chest compressions when wearing the rescuer's belt (depth: $46.95{\pm}6.49$ vs. $49.55{\pm}6.05$, success rate: $44.80{\pm}24.66$ vs. $57.39{\pm}26.823$). Conclusion: Wearing a rescuer's belt in an ambulance during patient transport can result in deeper and more accurate chest compressions; therefore, it is expected to be effective in recovering the circulation of patient with cardiac arrest.


Paramedic;EMT belt;Chest compression;Ambulance;Cardiopulmonary resuscitation (CPR)


  1. Korea centers for disease control. 2006-2017 Acute cardiac arrest survey statistics. 2018
  2. Stiel IG, Brown SP, Nichol G, Cheskes S, Vaillancourt C, Callaway CW et al. What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients? Circulation 2014;130:1962-70.
  3. Ko JS, Kim YS, Lim SY, Kim ST, Kim KH, Whang SH et al. Comparison of manual chest compression and chest compression using autopulseTM device in pre-hospital simulation cardiac arrest. J of the Korea Society of Computer and Information 2018;23(10):151-6.
  4. Koster RW, Beenen LF. van der Boom EB, Spijkerboer AM, Tepaske R, van der Wal AC et al. Safety of mechanical chest compression devices AutoPulse and LUCAS in cardiac arrest: a randomized clinical trial for non-inferiority. European Heart J 2017;38(40):3006-13.
  5. Perkins GD, Lall R, Quinn T, Deakin CD, Cooke MW, Horton J, et al. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Lancet 2015;385(9972):947-55.
  6. Rubertsson S, Lindgren E, Smekal D, Östlund O, Silfverstolpe J, Lichtveld RA et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest: the LINC randomized trial. JAMA 2014;311(1):53-61.
  7. Jang GN. A study to improve ambulance service in quality. Department of fire protection system. Unpublished master's thesis, Dongshin University 2010, Gwangju, Korea.
  8. Hong SG, Son IA. A study on the factors influencing the accuracy of chest compression during cardiopulmonary resuscitation trying in a moving ambulance. Korean Society of Emergency Medicine 2009;20(4):343-54.
  9. Kramer-Johansen J, Myklebust H, Wik L, Fellows B, Svensson L, Sorebo H, et al. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study. Resuscitation 2006;71(3):283-92.
  10. Jang MS, Tak YJ. The variation of elapsed time on fatigue and quality of single rescuer cardiopulmonary resuscitation. Korean J Emerg Med Ser 2013;17(1):9-19.
  11. 2015 AHA guidelines for CPR and ECC. AHA. 2015.
  12. Lee JG, Kim JS, Roh SG. Comparison of chest compression and ventilation volume using LUCAS and manual in virtual reality-based ambulance simulation -A manikin study-. Korean J Emerg Med Ser 2018;22(3):67-76.
  13. Shin SY, Kim JH, Kim GY, Kang SW, Bang SH, Yun JG et al. A study on the cardiopulmonary resuscitation method in ambulance. Fire Sci & Eng 2014;28(4):104-11.
  14. Yu BC. The effect of siren stimuli on cardiopulmonary resuscitation accuracy and the ability of concentration of EMTs. Unpublished master's thesis, Kongju National University 2010, Gongju, Korea.
  15. Lee YS. Compare paramedic's artificial respiration and chest compression to nonparamedic's. Unpublished master's thesis, Kongju National University 2010, Gongju, Korea.
  16. Lee HA. Comparison of efficiency compressions between 30:2 cardiopulmonary resuscitation and hands-only resuscitation by manikin. Unpublished master's thesis, Eulji University 2013, Seongnam, Korea.
  17. 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 lay- persons. J Korean Soc Emerg Med 2011;22(5):431-7.
  18. Yoon BG, Baek ML. A comparative study on accuracy and fatigue in hands-only CPR and traditional CPR by voice instruction. Korean J Emerg Med Ser 2012;16(2):31-41.
  19. Kim SR. Impact of 119 rescue's interventions in the survival of patients with pre-hospital cardiac arrest. Unpublished master's thesis, Chungnam National University 2011, Daejeon, Korea.
  20. Kim JH, Kang SJ. Difference of CPR knowledge and confidence to perform related to CPR education experience characteristics among emergency room nurses. Health & Nursing 2018;30(1):55-68. UCI I410-ECN-0102-2018-500-004074606