• Title/Summary/Keyword: CPR feedback device

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Study of military CPR quality and education by feedback device and debriefing

  • Moon, Soo-Jae;Kim, Seon-Rye;Cho, Byung-Jun
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.9
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    • pp.107-112
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    • 2016
  • In this paper, we propose the effects of military cardiopulmonary resuscitation(CPR) on the quality of debriefing and feedback device training. The key idea of combination debriefing and feedback device training is to maximize effects of CPR. The participants of the research were non-medic soldiers in ROK army, and had not undergone any professional CPR training before. Each group of soldier was randomized to perform of military CPR by using training method in each group. After 5 minutes of performing CPR, each D, F, DF group showed significant improvement in CPR performance. When comparing each group, the rate of success in CPR performance in DF group was significantly higher than that of F group with the average difference of 11.160(p<.01) points. In summation, the training programs that DF received seemed to be more efficient and effective than that of D and F. The fatigue level was evaluated by comparing the lactate concentration in blood after performing CPR. Through this experiment, we show that the training programs that DF received is more efficient and effective than that of D and F.

Effect of level D personal protective equipment on chest compression for pre-hospital arrest patients with suspected or confirmed COVID-19 : A randomized crossover simulation trial (코로나19 의심 또는 확진 환자가 병원 밖 심정지 발생 시 구조자의 개인 보호장비(PPE) 착용에 의한 가슴압박 효과 비교 : 무작위 교차 시뮬레이션 연구)

  • Hong, Seok-Hwan;Yang, Yeun Soo;Han, Sang-Kyun
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.1
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    • pp.23-36
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    • 2021
  • Purpose: The purpose of this study was to determine how the use of level D personal protective equipment (PPE) and cardiopulmonary resuscitation (CPR) feedback equipment affects chest compression (CC). Furthermore, this study provides basic data for developing Korean CPR guidelines that can be applied to patients with suspected or confirmed COVID-19. Methods: This randomized, single-blinded, crossover simulation trial included 26 student paramedics who performed 2-minute chest compressions using three different methods: Method A involved performing traditional CC for two minutes without donning level D PPE, Method B involved performing CC while donning level D PPE, and Method C involved performing CC with a CPR feedback device while donning level D PPE. Results: The use of a CPR feedback device during the 2-minute CC increased the exercise intensity of the subjects, but donning level D PPE didn't affect the quality of CC and the exercise intensity. The results of methods A and B showed changes in the quality of compression 80 seconds after the start of CC. No significant changes occurred in 2-minute CC when using the CPR feedback device. Conclusion: Using a CPR feedback device could prevent deterioration in the quality of CC while donning level D PPE.

Comparison of adult CPR skill scores: Real-time visual feedback manikin(Resusci Anne SkillReporterTM) vs. Non-feedback manikin(Actar 911 SquadronTM) (성인 심폐소생술 술기 점수 비교: 레어달 애니 스킬리포터 대 액타 911 마네킹)

  • Kim, Jee-Hee;Moon, Tae-Young;Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.15 no.2
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    • pp.101-108
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    • 2011
  • Purpose: Cardiopulmonary resuscitation (CPR) prevents tissue necrosis of the brain and cardiac muscle in the cardiac arrest patient and requires exact skills in order to increase survival rate. Through comparison of the training effects of feedback manikin and non-feedback manikin, this study present the effective CPR device to CPR instructors. Method: This CPR course for 80 students by using Resusci Anne $SkillReporter^{TM}$ (RASR; Laerdal Medical, Stavanger, Norway) and Actar 911 $Squadron^{TM}$ (A911; Vital Signs, New Jersey, USA) held on December 22, 2009. Thirty seven students and two assistants were placed in one laboratory, there were five RASR manikins which provide the LED performance indicator, not the metronome. Forty two students and two assistants were placed in the other laboratory, there were 20 A911 manikins which don't provide any feedback indicator. Chest compression scores and ventilation compression scores obtaining from two groups were analysed statistically by using independent t-test. Results: Chest compression scores, average depth (mm) was 37.5 in RASR and 41.80 A911 (p=.004), too depth (#) was 2.8 in RASR and 19.4 A911 (p=.005), average number per min (#/min) was 64.4 in RASR and 68.2 A911 (p=.038), wrong hand position (#/min) was 10.9 in RASR and 30.8 A911 (p=.040). Four items that showed better scores in group RASR had statistically significant difference. Ventilation compression scores, percent correct (%) was 40.6 in RASR and 20.6 A911 (p<.001), number correct (#) was 4.7 in RASR and 2.1 A911 (p=.002), too fast (#) was 0.9 in RASR and 2.9 A911 (p=.003), average volume (ml) was 536.5 in RASR and 707.1 A911 (p=.011). Also, three items that showed better scores in group RASR had statistically significant difference. Conclusions: Regarding the positive effect of CPR training feedback, comparison between the real-time visual feedback manikin (RASR) and the non-feedback manikin (A911) showed that RASR had better results than A911 in chest compression except average number per min (it means that we need harder chest manikin) and ventilation. Verification of the training effect in the real world such as CPR outcomes is also necessary. A proper application of manikin in training circumstances and research on retention of CPR skills will be needed.

Training Feedback effect of team-based CPR using a mobile video recording device body camera (이동용 영상촬영기기 바디캠을 활용한 팀단위 심폐소생술의 교육피드백 효과)

  • Seong bin Im
    • Smart Media Journal
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    • v.13 no.5
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    • pp.62-71
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    • 2024
  • This study conducted a team-based CPR simulation with 32 fourth-year emergency rescue students to determine the effectiveness of training feedback using body cameras used at emergency rescue sites, and measured awareness, training feedback effectiveness, and satisfactio+n before and after body camera feedback. , preferences and difficulties in using body camera devices were identified. Data analysis was performed using SPSS 27.0 program, including descriptive statistics, frequency analysis, paried t-test, and Wilcoxon signed rank test. As a result of the study, the perception of body camera use showed a positive change from 3.73±0.62 points to 4.45±0.54 points, and a positive satisfaction level of 3.98±0.51 was shown (p<.001). Additionally, there was a significant increase in self-check accuracy and performance score after body camera feedback (p<.001). Therefore, during team-based simulation resuscitation training, positive feedback effects in improving self-inspection ability and performance can be achieved by watching body camera videos and using self-checklists without direct feedback from the instructor.

Estimation of Chest Compression Depth during Cardiopulmonary Resuscitation by using Single Frequency Analysis (단일주파수분석을 이용한 심폐소생술 흉부압박깊이 추정)

  • U, One Sang;Kang, Seong Min;Choi, Seong Wook
    • Journal of Biomedical Engineering Research
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    • v.38 no.4
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    • pp.211-217
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    • 2017
  • During the emergency situation such as cardiac arrest, cardiopulmonary resuscitation(CPR) is the most important treatment to maintain patient's blood circulation. Since the quality of CPR can not be easily measured or evaluated by the eye, an assistive device with an accelerometer can help to assess the pressure depth of CPR. In this study, we propose a single frequency analysis method to reduce the error of the accelerometer by extracting only one frequency component from the Fourier transform process. To verify the effectiveness of the single frequency analysis, acceleration data at CPR conditions were measured at a sampling rate of 50 / sec using a wristband equipped with an acceleration sensor. Then, We compared the existing distance estimation method and the single frequency analysis method using the measured data. The amplitude value proportional to the compression depth was obtained by applying the single frequency analysis method.

Estimation of Chest Compression Depth using two Accelerometers during CPR (심폐소생술에서 두 개의 가속도 센서를 활용한 흉부 압박 깊이 추정)

  • Song, Yeong-Tak;Oh, Jae-Hoon;Suh, Young-Soo;Chee, Young-Joon
    • Journal of Biomedical Engineering Research
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    • v.31 no.5
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    • pp.407-411
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    • 2010
  • During the cardiopulmonary resuscitation (CPR), the correct chest compression depth and period are very important to increase the resuscitation possibility. For the feedback of chest compression depth, the depth monitoring device based on the accelerometer is developed and widely used. But this method tends to overestimate the compression depth on the bed. To overcome this limitation, the chest compression depth estimation method using two accelerometers is suggested With the additional accelerometer between the patient and mattress on the bed, the compression of the mattress is also measured and it is used to compensate the overestimation error. The experimental results show that the single accelerometer estimates as 61.4mm for the actual compression depth of 43.6mm on the mattress. The depth estimation with the dual accelerometer was 44.6mm which is close to the actual depth. With the automatic zeroing in every single compression, the integration error for the depth can be reduced. The dual accelerometer method is effective to increase the accuracy of the chest compression depth estimation.

Usability of CPR Training System based on Extended Reality (확장현실 기반의 심폐소생술 교육 시스템의 사용성 평가)

  • Lee, Youngho;Kim, Sun Kyung;Choi, Jongmyung;Park, Gun Woo;Go, Younghye
    • Journal of Internet of Things and Convergence
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    • v.8 no.6
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    • pp.115-122
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    • 2022
  • Recently, the importance of CPR training for the layperson has been emphasized to improve the survival rate of out-of-hospital cardiac arrest patients. An accurate and realistic training strategy is required for the CPR training effect for laypersons. In this study, we develop an extended reality (XR) based CPR training system and evaluate its usability. The XR based CPR training system consisted of three applications. First, a 3D heart anatomy image registered to the manikin is transmitted to the smart glasses to guide the chest compression point. The second application provides visual and auditory information about the CPR process through smart glasses. At the same time, the smartwatch sends a vibration notification to guide the compression rate. The 'Add-on-kit' is a device that detects the depth and speed of chest compression via sensors installed on the manikin and sends immediate feedback to the smartphone. One hundred laypersons who participated in this study agreed that the XR based CPR training system has realism and effectiveness. XR based registration technology will contribute to improving the efficiency of CPR training by enhancing realism, immersion, and self-directed learning.