• Title/Summary/Keyword: Chest compression resuscitation (CPR)

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Comparison on the education effects of cardiopulmonary resuscitation application using smart-phone -Focused on animation CPR and modified pocket CPR- (스마트폰을 활용한 심폐소생술 어플리케이션의 교육 효과 비교 -애니메이션을 활용한 심폐소생술과 변형된 포켓 심폐소생술을 중심으로-)

  • Park, Hee;Cho, Keun-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.480-489
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    • 2015
  • This study aimed to compare the education effect of easily accessible cardiopulmonary resuscitation (CPR) applications on smart-phones. The differences of performance and accuracy of CPR between animation CPR group and modified Pocket CPR group in Reserve Officers' Training Corps students of K university were evaluated by 2010 AHA guidelines. Data were collected from May 19, 2012 to May 20, 2012. There was no statistically significant difference between both of group in the performance and accuracy of CPR. However, the modified Pocket CPR group showed significant increase in the accuracy of chest compression depth (26.4%, p<.05), while the animation CPR group showed significant increase in the accuracy of chest compression location after the education (25.2%, p<.01). In conclusion, the methods using advantage and complementing disadvantage of animation CPR application and Pocket CPR application could help that people could easily access and perform to CPR.

A Comparison of Quality of SimPad based on Field Focus Type CPR and Video Self-lnstruction CPR (SimPad를 이용한 현장중심형 심폐소생술과 영상자가학습 심폐소생술의 질 비교)

  • Kim, YeRim
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.207-214
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    • 2019
  • This study was designed to find effective CPR education methods by comparing and analyzing the quality of Field-Focus Type (FFT) CPR using SimPad and the quality of Video Self-lnstruction(VSI) CPR for the learners. The data collection were conducted from November 28, 2018 to December 5, 2018, on 64 first graders who completed CPR lectures at universities located in G metropolitan city, and analyzed using the SPSS ver. 23.0. The results of the study, Field Focus Type (FFT) CPR showed higher quality of Video Self-lnstruction (VSI) CPR in areas such as CPR total score, chest compressions score, chest compressions dept, chest compressions rate, chest compression velocity, total ventilation score, and Total number of ventilation than that of the subjects. Therefore, using Field Focus Type CPR (FFT) education law was found to improve the quality of cardiopulmonary resuscitation compared to the existing Video Self-lnstruction CPR (VSI) education method, and it is believed that it can be used as a basic data for cardiopulmonary resuscitation education in the future.

A comparison of the quality of manual and mechanical chest compressions in a moving rescue boat (이동 중인 구조보트 내에서 수기가슴압박과 기계가슴압박의 질 비교)

  • Kim, Hwang-Lim;Yun, Jong-Geun
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.1
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    • pp.77-84
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    • 2020
  • Purpose: This study was conducted to determine effective chest compression methods that could be used when performing cardiopulmonary resuscitation in rocking boats. Methods: Tests were conducted for four minutes using manual and mechanical chest compressions on two mannequins, placed in boats, and moving at a speed of 35km/hours on calm sea surfaces with wave heights of 0.5m and wind speeds of 2-3m/s (testing for two minutes, followed by rest, then a second round of testing for two minutes). To compare the quality of the chest compressions, data were analyzed using mannequins (Resusci Anne Q-CPR, Laerdal, Norway) and then statistically processed. Results: When chest compressions were administered in the moving rescue boat, an accuracy analysis showed that the pressure speed of the hand and mechanical techniques were normal, h owever, the pressure depth accuracies were 49.04% for manual techniques and 0% for mechanical techniques. The relaxation accuracies during compressions were 2.07% for manual techniques and 95.4% for mechanical techniques. Conclusion: When administering chest compressions in rocking rescue boats, mechanical rather than manual techniques should be preferentially considered.

Design of CPR Artifact Removal Algorithm Based on Orthogonal Function using LMS Adaptive Filter (LMS 적응필터를 이용한 직교 함수 기반의CPR 잡음 제거 알고리즘 설계)

  • Lim, Eunho;Nam, Dong-Hoon;Myoung, Hyoun-seok;Kang, Dong-Won;Jeon, Dae-Keun;Yoon, Young-Ro;Lee, Kyoung-Joung
    • Journal of Biomedical Engineering Research
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    • v.37 no.5
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    • pp.153-160
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    • 2016
  • This study proposes an algorithm for removal of CPR artifact in order that automated external defibrillator (AED) can effectively diagnose ECG rhythm during cardiopulmonary resuscitation (CPR). Current AED required to interrupt chest compression for reliable rhythm analysis to avoid the effect of artifacts produced by CPR. However even temporarily interruption of chest compression during CPR adversely affects the probability of restoration of spontaneous circulation (ROSC) and survival after the delivery of the shock. Therefore, we proposed a method for removal of CPR artifacts using least mean square (LMS) filter. The removal of the CPR artifacts would enable compressions to continue during AED rhythm analysis, thereby increasing the likelihood of resuscitation success. It was tested on 31 segments of shockable and 300 segments of non-shockable ECG signals recorded from three pigs during CPR. In the result, sensitivity (Se) and specificity (Sp) analysis on the test segments showed values of Se = 3.2%, Sp = 66.0% and Se = 96.8%, Sp = 98.7% in the case of unfiltered and filtered signals during CPR. In conclusion, it was shown that the proposed method can be a useful tool to exactly diagnose the ECG rhythm during the CPR.

Development of the Basic Life Support App Including Chest Compression Feedback (흉부압박 피드백 기능이 포함된 기본소생술 앱 개발)

  • Song, Yeongtak;Kim, Minwoo;Kim, Jinsung;Oh, Jaehoon;Chee, Youngjoon
    • Journal of Biomedical Engineering Research
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    • v.35 no.6
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    • pp.219-226
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    • 2014
  • This study is to develop a basic life support (BLS) app using the android based smartphone and to evaluate the function of the app. Suggested app contains chest compression feedback function, the map of automated external defibrillator (AED), direct emergency call and the basic knowledge of BLS. Using the accelerometer of the smartphone, we implemented a real-time algorithm that estimates the chest compression depth and rate for high quality cardiopulmonary resuscitation (CPR). The accuracy of algorithm was evaluated by manikin experiment. We made contents which were easy to learn the BLS for the layperson and implemented a function that provides the AED location information based on the user's current location. From the manikin experiment, the chest compression depth and rate were no significant differences between the manikin data and the app's feedback data (p > 0.05). Developed BLS app was uploaded on Google Play Store and it was free to download. We expected that this app is useful to learn the BLS for the layperson.

A Novel Method of Infant Chest Compression: A Study on the Cross-Simulation of Randomization Using Manekin (새로운 영아 가슴압박법의 비교: 마네킨을 이용한 랜덤화 교차 시뮬레이션 연구)

  • Yun, Seong-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2019.05a
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    • pp.525-527
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    • 2019
  • Cardiac arrest is a series of conditions occur when the heart is stopped, regardless of the cause. one of the only ways to save a patient's life in the event of cardiac arrest is cardiopulmonary resuscitation, which is very important beacause it can maintain circulation through this technique, and high-quality CPR affects the survival rate and neurological prognosis of the patient. For infant cardiopulmonary resuscitation, use two finger to compress the chest. Hower, this method can be diffcult to reach the chest commpressions recommended by the American Heart Association because of the anatomically increased fatigue of the fingers and diffculty of vertical pressure. The study aims to verify the effects of new chest compressions in the implementation of chest compressions during infant cardiopulmonary resuscitation. The study also showed singnificant differences in chest depth and average rate of pressure(p<0.001). Based on the results of this study, we can see that the accuracy of the new chest compressions during infant cardiopulmonary resuscitation is increased, and the depth of chest compressions is improved, improving the quality index of chest compressions.

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The effects of hands-only cardiopulmonary resuscitation education for undergraduates with severe visual impairment (중증시각장애 대학생을 대상으로 한 가슴압박소생술 교육효과)

  • Jung, Hwa-Yoon;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.3
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    • pp.163-176
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    • 2018
  • Purpose: The purpose of this study was to determine the effectiveness of hands-only CPR education according to the American Heart Association (2015) guideline for undergraduates with severe visual impairment, to provide basic data for expanding the subject of hands-only CPR education among the visually impaired. Methods: Twenty-one students attending four universities in C Province, aged 19 years or older, were enrolled in this study. These students had severe visual impairment and no other disabilities and have never received hands-only CPR education. This study data were collected from December 1, 2017 to January 11, 2018. The accuracy of the participants' technique was measured using Brayden Pro CPR manikin. The data were analyzed using SPSS version 24.0. Results: Hands-only CPR education was effective in increasing confidence and accuracy of chest compression among undergraduates with severe visual impairment. Conclusion: These findings suggest that individuals with severe visual impairment should be given more educational opportunities. Additionally, subsequent studies should develop equipment that helps increase accuracy by using video aids with commentary or other auditory components for the visually impaired.

Analysis of the Factors influencing the performance of Cardiopulmonary Resuscitation (심폐소생술 수행에 영향을 미치는 요인 분석)

  • Choi, Keun-Myung
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.2
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    • pp.55-78
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    • 2005
  • The purpose of this study was to provide basic data for the improvement of the guidelines and training programs regarding the cardiopulmonary resuscitation performance of bystanders who can respond to the incidents in earlier times as the first responder of the cardiac arrest incident, by reviewing the performance of basic CPR and the influencing factors after providing 70 students of Department of Emergency Medical Technology with the CPR training. For the purpose of the study, the collected data were computerized and analyzed by SPSS-WIN program(ver. 10.1). The results for this study were as follows The duration of session between the groups in the BLS CPR were 3 minutes and 36 seconds, 2 minutes and 32 seconds respectively. The average compression number per minute were 24.3 times and 33,2 times respectively(p=.000), and the average compression rate per minute were 112 times and 122 times respectively(p=.000). The average ventilation number per minute were 3.54 times and 5.1 times respectively(p=.000). The errors in compression "Too shallow" were 20.73 times(34.6%) and 23,23 times(38,7%) out of 60 times in 4 cycles with the standard of 38 nun. In CPR performance results according to gender in the first episode, males showed better results in compression depth as 41.5 mm comparing to females average 38.2 mm(p=.015). When ventilation results were compared according to the use of FS, the average ventilation number per minute, total ventilation per minute and the average volume per episode were significantly higher when FS was not used(<.040), There was no significant difference in ventilation accuracy between two groups. According to the results, we need to improve and distribute portable barrier devices, and to be familiar with those devices. We need to enforce ventilations as well as to include compressions so that faster and more accurate CPR can be performed. Additionally, we need to exclude ventilation only cases, minimize the interference time of chest compression due to inaccurate ventilation, simplify or minimize the complicatedness of CPR performance and responding time related to breathing, provide first responders with various training programs such as initial assessment and ventilations only, or initial assessment and chest compression-only CPR and than provide advanced training with AHA BLS education including CPR for more than two people according to CPR skills and target characteristics.

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Comparison of Efficiency of New Chest Compression Methods in Pediatric CPR (소아 심폐소생술 중 새로운 가슴압박 방법의 효율성 비교)

  • Yun, Seong-Woo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.9
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    • pp.1392-1398
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    • 2022
  • This study was conducted for effective CPR by comparing the quality of chest compressions when using a new chest compression method during pediatric CPR. As an experimental study by Randomized Crossover Design, the depth, speed, compression-to-relaxation ratio, ease, and stability were measured when performing chest compressions for 28 Emergency Medical Technicians who completed the BLS Health Care-Provider qualification. The collected data were analyzed by using the SPSS Ver. 23.0 for Win statistical program. To summarize the results of this study, if the new chest compression method was used for chest compression in pediatric CPR, the qualitative indicators of chest compressions were improved. It is good to stick to the existing method, but through the new chest compression method, it will be necessary to confirm the possibility of clinical use based on additional research on various age groups and environmental factors.

A Study on Quality Improvement of Cardiopulmonary Resuscitation Using Pad Attachment Glove (패드부착장갑을 이용한 심폐소생술 질 향상 연구)

  • Kim, Ye-Rim
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.289-295
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    • 2019
  • This study was conducted to present effective CPR by identifying the usefulness of Pad Attachment Glove. The study subjects and data collection were conducted from 1 April 2019 to 30 April on Paramedic students of G university located in G-wide city and analyzed using the SPSS/Win 23.0. The study found that the chest compressions after wearing pad attachment gloves were higher in the areas of Chest Compressions total score, Number of chest compressions, chest recoil rate, hand position accuracy, CPR velocity than before wearing them. It was understood that pad attachment gloves improved the quality of chest compressions more than Hands-Only CPR. This will be used as a basic material for cardiopulmonary resuscitation education in the future, and is believed to contribute to devising a practical program.