• Title/Summary/Keyword: 소생

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어린이 물놀이 안전사고 및 응급처치

  • Lee, Hui-Taek
    • 건강소식
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    • v.32 no.6
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    • pp.42-43
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    • 2008
  • 주로 여름철에 발생하는 익사사고는 강에서 멱을 감는 소년층에서 가장 많다. 대부분은 안전수칙을 잘 지키지 않거나 수영미숙 등으로 사고가 많이 일어나며 또한 수심이 갑자기 깊어지는 경우에 일어나기도 한다. 그 외에도 수영장이나 바다에서도 익사가 발생하고 있다. 익사사고는 기도에 물이 들어가는 질식사가 주원인이나, 실제로 기도나 폐에 물의 양이 많지 않은 경우가 대부분이며 때로는 기도에 물이 전혀 없는 후두경련으로 인한 기도폐쇄 즉 건성익사도 있다. 사고 시 소생술 시작이 늦으면 늦을수록, 소생술자의 경험이 미숙할수록 치사율은 높으며 나이가 어릴수록 소생 후에도 더 위험하다.

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Nursing Students' Knowledge, Attitude and Competence to Infant Cardiopulmonary Resuscitation (간호대학생의 영아심폐소생술에 대한 지식, 태도, 수행능력)

  • Kang, ji-soon
    • Proceedings of the Korea Contents Association Conference
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    • 2016.05a
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    • pp.413-414
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    • 2016
  • 연구의 목적은 간호대학생의 영아심폐소생술에 대한 지식, 태도, 수행능력의 정도를 확인하고 그 관계를 분석하기 위함이다. 이 연구에 참여하기를 동의한 간호대학생 151명을 대상으로 자가보고식 설문지를 이용하여 자료를 수집하였다. 자료는 SPSS 21.0 Win을 이용하여 t-test, ANOVA, peason's correlation coefficients을 이용하여 분석 하였다. 영아심폐소생술의 대한 지식과 수행능력, 태도와 수행능력은 긍정적 상관관계가 있었다. 본 연구결과를 토대로 간호대학생들의 영아 심폐소생술 수행능력을 증진시키기 위해 지식과 태도를 강화할 수 있는 반복적 영아 심폐소생술 교육프로그램을 개발할 필요가 있다.

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Impact of Biomedical Ethics Awareness and Ethical Values in Nursing Student on Their Attitudes towards DNR (간호대학생의 생명의료윤리의식과 윤리적 가치관이 심폐소생술금지 태도에 미치는 영향)

  • Kim, Mi Yeon;Mun, Mi Yeong
    • Journal of Hospice and Palliative Care
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    • v.21 no.4
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    • pp.115-123
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    • 2018
  • Purpose: The purpose of this study was to identify how nursing students' awareness of biomedical ethics and ethical values affect their attitudes towards a do-not-resuscitate (DNR) order. Methods: This cross-sectional correlation study was conducted with 275 nursing students enrolled at two universities in North Chungcheong Province and North Gyeongsang Province of South Korea. Data were collected in April 2017 using a self-reported questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS/WIN 23.0 program. Results: The students' attitudes towards DNR were positively correlated with attitudes that seek ethical values but negatively correlated with their biomedical ethics awareness. The explained variance for attitudes towards DNR was 20%, which was significant (F=13.01, P<0.001). Conclusion: These findings suggest that nursing students' biomedical ethics awareness and ethical values were associated with their attitudes towards DNR. Curriculum organization and various educational programs should be developed and applied to help nursing students develop ethical values and awareness of biomedical ethics.

Effects of a Simulation-based Training on Nursing Students' Knowledge, Confidence, Clinical Competence and Clinical Competence to Advanced Cardiovascular Life Support (시뮬레이션 기반 교육이 간호대학생의 전문심폐소생술 지식, 수행에 대한 자신감, 비판적 사고성향, 임상실무능력에 미치는 효과)

  • Park, Dahye;Kim, Hyun-Jung
    • Journal of Convergence for Information Technology
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    • v.9 no.1
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    • pp.61-67
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    • 2019
  • The aim of this paper was to test the effects of simulation-based learning on knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support of nursing student. This study used one group, pre-post test design. The participants of this research were 35 senior nursing students who underwent training in the medical-surgical nursing education. Data were collected by utilizing the questionnaire in two separate occasions: before and after the simulation-based training. As a result of this paper, the improvements of the knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support were statistically significant. In conclusion, the simulation-based education has a positive effect on nursing students in the area of knowledge, confidence, critical thinking disposition, and clinical competence to advanced cardiovascular life support.

Induction and resuscitation of viable but nonculturable Edwardsiella tarda (Edwardsiella tarda의 비배양성 생존상태(VBNC) 유도 및 소생 특성)

  • Kang, Nam I;Kim, Eunheui
    • Korean Journal of Microbiology
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    • v.52 no.3
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    • pp.313-318
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    • 2016
  • Bacteria in the viable but nonculturable (VBNC) state fail to produce colonies on routine bacteriological media, but are still alive in the state of very low metabolic activity. The aim of the present study was to induce the VBNC state of the Edwardsiella tarda using sea water microcosm under starvation conditions at $10^{\circ}C$ and to investigate resuscitation of the VBNC cells in temperatures changed from 10 to $25^{\circ}C$, with and without additives. E. tarda entered into the VBNC state within about 42-84 days of incubation in the microcosm. Throughout this period, the total cell counts as determined using acridine orange direct counting remained near the original inoculum level of ${\sim}10^8cells/ml$. The live cell counts measured with direct viable counting, on the other hands, declined to ${\sim}10^4cells/ml$. When the VBNC cells were incubated with addition of yeast extract, fish muscle extract or serum at $25^{\circ}C$, the ratios of resuscitated samples were 37%, 23%, and 37%, respectively. The characteristics of resuscitated E. tarda were consistent with those of the original E. tarda. When the resuscitated E. tarda were intraperitoneally injected into olive flounders, all fishes died within 5 days, indicating that the VBNC E. tarda might retain its pathogenic potential. Therefore, E. tarda under starvation conditions in the winter enter into the VBNC state and the VBNC E. tarda cells resuscitated at summer and autumn seawater temperature are considered to be pathogen continuously to olive flounder on the southern coast of Korea.

A Case of Resuscitation of an Electrocuted Child by a 119 Paramedic (감전으로 심정지된 소아환자 소생 1례)

  • Lee, Jae-Min;Kim, Dae-Won;Yun, Hyeong-Wan
    • Fire Science and Engineering
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    • v.34 no.4
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    • pp.135-140
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    • 2020
  • The purpose of this study was to prevent electric shock to children. children are at high risk of electrocution by accidents. In the present case, a 2-year-old child was electrocuted after inserting metal chopsticks into a home outlet. In this case, professional advanced cardiac life support (ACLS) was properly performed by a 119 paramedic, resulting in the return of spontaneous circulation (ROSC) in the child. There are very few successful cases of resuscitation of patients involved in electric shock accidents in Korea, and we report a case of ROSC and discharge and proper resuscitation by a 119 paramedic.

Effects of Changes in Resuscitation Temperature and Curing Method on the Compressive Strength of the Large Volume Mortar of Fly Ash after Application of the Resuscitation Material (소생재 도포 후 소생온도 및 양생방법 변화가 Fly Ash 다량치환 모르타르의 압축강도에 미치는 영향)

  • Choi, Yoon-Ho;Han, Jun-Hui;Lee, Young-Jun;Hyun, Seung-Yong;Han, Min-Cheol;Han, Cheon-Goo
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2019.11a
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    • pp.139-140
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    • 2019
  • In this study, we conducted a comparative analysis of the effects of resuscitation after the re-application of mortar with much FA replacement on the degree of resuscitation. Results When NaOH was applied to the top of the mortar where 90% of FA was replaced, and maintained for 24 hours, the degree of resuscitation at $40^{\circ}C$ was completely improved. However, when medium curing was carried out, it showed a higher degree of compression than water or lapping curing at 10 MPa in 28 days. The degree of resuscitation on the 28th day was revived from around 10% of the normal level to about 20~30%, and it was analyzed that it was difficult to achieve the OPC reduction by any method.

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Effects of a Simulation-based Training for Advanced Cardiovascular Life Support on the Knowledge and Competence for Nursing Students (시뮬레이션기반 전문심장소생술교육이 간호학생의 지식, 수행능력에 미치는 효과)

  • Shin, Seung-Hwa;Kwon, Mal-Suk;Kwon, Sang-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5819-5826
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of the simulation-based training for advanced cardiovascular life support on the knowledge and competence of nursing students. Method: The subjects were 22 nursing students, who ungraduated D university. Data were analyzed with SPSS/Win 18.0 program. Results: There was a significant improvement in knowledge and competence after receiving than before training. Conclusion: Simulation-based training for advanced cardiovascular life support is effective strategy for increasing the knowledge and competence of nursing students and will can provide basic data in development of standardized emergency nursing education programs. Further research is needed in the comparative analysis about various learning of advanced cardiac life support education and a longitudinal study of maintenance the knowledge and competence.

The Effect of Simulation Education based on Blended Learning on Nursing Students' Knowledge, Performance, Learning Satisfaction to ACLS (블렌디드 러닝 기반 시뮬레이션 교육이 간호대학생의 전문심폐소생술 지식, 수행 능력, 학습 만족도에 미치는 효과)

  • Lee, Kyoung-Hee
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.225-232
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    • 2022
  • This study purpose was to identify the effect of simulation education based on Blended Learning on Nursing students' Knowledge, performance, Learning satisfaction to ACLS. Methods was nonequivalent control group pretest-posttest design. The participants were 88 students 4 grade from the Department of Nursing at C University. The study period was from September 1 to December 31, 2021, and Data were analyzed with X2 test, independent t-test using SPSS 22.0 program. The research results show that the experimental group showed significantly higher performance(t=-9.843, p=.001) and learning satisfaction(t=-3.484, p<.001) for ACLS compared with the control group. In conclusion, it was suggested that ACLS simulation education based on Blended Learning is an effective teaching method to improve nursing students' performance and learning satisfaction.

Report for Development of Korean Portable Cardiopulmonary Bypass Machine (한국형 이동식 심폐소생기 개발 보고 I. 실험견을 이용한 개흉식과 폐쇄식 심폐소생술 비교)

  • Kim, Hyoung-Mook;Lee, In-Sung;Baek, Man-Jong;Sun, Kyung;Kim, Kwang-Taik;Kim, Yeon-Soo;Kim, Maeng-Ho;Lee, Hye-Won;Lee, Kyu-Back;Kim, Hark-Jei
    • Journal of Chest Surgery
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    • v.31 no.9
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    • pp.827-836
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    • 1998
  • Background: Effective cardiopulmonary resuscitation (CPR) should provide acceptable hemodynamics for the vital organs during cardiac arrest and early restoration of spontaneous circulation that guarantees long-term, neurologically intact survival. CPR using heart-lung bypass has been suggested as an option for that use. This study was designed to determine the effectiveness of standard CPR techniques, closed-vs. open-chest CPR, which could be used in the future study verifying the role of heart-lung bypass CPR. Material and Method: By using adult mongrel dogs, closed-chest CPR (CCCPR, n=4) and open-chest CPR (OCCPR, n=5) were compared with respects to hemodynamics, restoration of spontaneous circulation(ROSC), and survival. Ventricular fibrillation-cardiac arrest (VF-CA) was induced by electrical shock in all animals. After 4 minutes of cardiac arrest, basic life support (BLS) was applied for 15 minutes and followed by advanced life support (ALS). ALS was maintained until achi ving ROSC but not longer than 30 minutes regardless of the recovery. Resuscitation procedures in either group were standardized by adopting the protocol of American Heart Association. Result: Prearrest baseline hemodynamic data was not different between two groups. During resuscitation, substantially higher systolic pressure was maintained in OCCPR group than in CCCPR group (45$\pm$15 vs. 33$\pm$11 mmHg during BLS, 83$\pm$36 vs. 44$\pm$15 mmHg during ALS; p=NS). Mean pulmonary arterial pressure went up to the level of mean systemic arterial pressures in CCCPR group and to half of that in OCCPR group, and had kept higher in CCCPR group throughout CPR (32$\pm$10 vs. 22$\pm$4 mmHg during BLS and 32$\pm$15 vs. 24$\pm$10 mmHg during ALS; p=NS). ROSC was obtained in 4 of 5 dogs receiving open-chest CPR and 2 of 4 closed-chest CPR. Prolonged survival was noted in all dogs in OCCPR group (6 to 1440 hours) but not in CCPR group (p<.05). Conclusion: These findings indicate that open-chest CPR can be more effective t maintain hemodynamics during cardiac arrest and to obtain restoration of spontaneous circulation and survival. Further experiment will be designed to compare heart-lung bypass CPR with open-chest CPR.

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