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심페소생술 시행 시에 휴대용 압박 센서 활용이 흉부압박의 질에 미치는 영향: 마네킹 기반 시뮬레이션 연구

The effect of portal compression sensor on the quality of chest compressions during cardiopulmonary resuscitation (CPR): A mannequin based simulation study

  • 양현모 (충북대학교 의과대학 응급의학과교실) ;
  • 백경민 (충북대학교 의과대학 응급의학과교실) ;
  • 김광석 (충북보건과학대학교 응급구조과) ;
  • 윤병길 (충북보건과학대학교 응급구조과) ;
  • 김진우 (대전보건대학교 응급구조과) ;
  • 김훈 (충북대학교 의과대학 응급의학과교실)
  • Yang, Hyun-Mo (Department of Emergency Medicine, College of Medicine, Chungbuk National University) ;
  • Baeck, Kyung-Min (Department of Emergency Medicine, College of Medicine, Chungbuk National University) ;
  • Kim, Kwang-Suk (Department of Emergency Medical Technology, Chungbuk Health & Science College) ;
  • Yoon, Byung-Gil (Department of Emergency Medical Technology, Chungbuk Health & Science College) ;
  • Kim, Jin-Woo (Department of Emergency Medical Technology, Daejeon Health Sciences College) ;
  • Kim, Hoon (Department of Emergency Medicine, College of Medicine, Chungbuk National University)
  • 투고 : 2012.11.26
  • 심사 : 2013.02.06
  • 발행 : 2013.02.28

초록

본 연구는 평균 이송시간에 따른 흉부압박을 심정지 환자에게 수기로만 이루어진 압박과 깊이 보조 장치를 사용한 압박을 적용하여 그 결과를 분석하고 그에 따른 영향을 규명하여 심정지 환자의 심폐소생술을 위한 기초자료를 파악하고자 시도되었으며 2011년 9월부터 2012년 5월까지 청주시 소재 소방서에 근무하고 있는 1급 및 2급 응급구조사 20명과 BLS provider를 이수한 응급구조과 학생 20명을 대상으로 수기로만 이루어진 흉부압박과 깊이 보조장치를 사용한 흉부압박의 결과 기록지를 비교 분석하였다. 수기로만 이루어진 흉부압박은 시간이 지남에 따라 압박깊이는 떨어지고 횟수는 증가했으며 깊이 보조 장치를 사용한 흉부압박은 압박깊이를 유지하고 횟수는 일정하게 유지하는 기능을 나타내었고 두 그룹 모두 깊이 보조 장치를 사용하였을 때 압박 정확도는 의미 있는 차이를 보여 심폐소생술 시행 시에 깊이 보조 장치를 사용하는 것이 심정지 환자에게 유용한 영역이라 사료된다.

This study is to collect a basic data of how Cardiopulmonary Resuscitation (CPR) procedure can influence to cardiac arrest patient with and without the Depth Device during the average transport time period. The data has achieved by comparing result sheet of CPR procedure by hands only versus with Depth Device by twenty 1st and 2nd class Emergency Medical Technician (EMT) from five different fire stations in city of Chong-Ju, and twenty Emergency Rescue major students who completed the BLS provide course. The experiment participators experienced loss of compression depth and rate increase over time. However, the CPR procedure with Depth Device shows that both EMT and students to allow maintaining both the compression depth and rate. The experiment leaves a positive result for CPR operators and considers being valuable domain for cardiac arrest patient.

키워드

참고문헌

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