• 한국응급구조학회지
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• 제23권3호
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• pp.41-51
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• 2019

Purpose: This dissertation is a descriptive research study analyzing the accuracy and reliability of the cardiopulmonary resuscitation (CPR) application developed in Korea. Methods: Two faculty members from the emergency medical services department and the emergency medicine department searched applications from July 1 to July 10, 2019 and selected a total of 13 applications. Twelve questions were assessed for information accuracy and three were assessed for reliability. In accordance with application types, the number and mean ± standard deviation were analyzed. The t-test was used to compare the accuracy of CPR information in accordance with information sources. Results: The results revealed the following errors: 7 cases (53.8%) identified the chest center lining from the nipple center-line as the chest pressure point; 5 cases (38.5%) did not provide information on the depth of 6 cm that should not be exceeded; and 4 cases (30.8%) did not provide advise to check respiration. When the CPR information sources were included, the information accuracy score was high; a significant difference was observed (p=.035). Conclusion: In the case of applications providing medical information regarding CPR, it is necessary to provide at least authoritarian, sources of information, and author transparency as well as continuous effort and attention.

• 대한의용생체공학회:의공학회지
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• 제31권5호
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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.

• 한국컴퓨터정보학회논문지
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• 제24권4호
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• pp.153-159
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• 2019

In this paper, we propose a the effects of new chest compressions in the implementation of chest compressions during infant cardiopulmonary resuscitation, and to provide basic data for high-quality CPR. On March 12, 2019, the research target used the SPSS 22.0 Version as an experimental study using randomized cross-design of 30 emergency medical services students who completed BLS Health Care-provider. The study also showed significant differences in chest depth and average rate of pressure($34.61{\pm}1.29$, $39.40{\pm}1.08$, <0.001, $105.46{\pm}4.23$, $107{\pm}3.84$, <0.001) depending on chest compressions. There was also a significant difference in the convenience and degree of pain of chest compressions(<0.001). In addition, new chest compressions appeared close to vertical and showed statistically significant differences(p<.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. However, it will be necessary to further study the use of the new chest compressions to identify the potential for clinical use.

• 융합신호처리학회논문지
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• 제12권3호
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• pp.157-162
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• 2011

본 연구는 심폐소생술 (CPR) 중 인공호흡의 무선 전송 시스템 구현에 관한 것으로, 병원 전 단계에서의 CPR 성과를 높임으로써 응급환자의 생존율을 높이기 위한 환자-병원간 무선 통신 시스템이다. 기도삽관 기반 호흡기류센서를 적용하여 호흡량을 측정하였는데, 기도삽관을 통한 인공호흡은 기류량의 손실을 최소화하여 보다 정확한 흡기-호기량 계측이 가능하고, 기도-식도 구분을 통해 식도팽창을 방지하여 다른 인공호흡 방법에 비해 장점을 입증하였다. 또, 인공호흡 주요지표인 분당 평균호흡량 (V), 호기말 이산화탄소 농도 ($EtCO_2$), 기도압력 (Ptr)을 디지털화하여 정의하였으며 정의된 데이터를 무선 통신 시스템을 이용하여 전송망의 대역폭 및 지연시간을 확인하였다. 호흡신호를 전송하기 위해 필요한 최대대역폭 (815 Kbps) 에 비해 Wireless LAN의 대역폭 (54 Mbps) 이 충분하여 네트워크 부하는 1.5 % 미만이었으며, 전송지연시간은 0.3 초 이내로 측정되었다.

• 전기학회논문지
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• 제62권6호
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• pp.833-839
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• 2013

Cardiopulmonary resuscitation (CPR) is performed by thoracic compression and artificial ventilation for the patient under emergent situation to maintain at least the minimum level of respiration and blood circulation for life survival. Good quality CPR requires monitoring respiration, however, traditional respiratory air flow transducers cannot be used because the transducer elements are facing the whole area perpendicular to the flow axis. The present study developed a new air flow transducer conveniently applicable to CPR. Specially designed "sensing rod" samples the air velocity at 3 different locations of the flow cross-section, then transforms into average dynamic pressure by the Bernoulli's law. The symmetric structure of the sensing holes of the sensing rod enables bi-directional measurement simply by taking the difference in pressure by a commercial differential pressure transducer. Both inspiratory and expiratory flows were obtained with symmetric measurement characteristics. Quadratic curve fitting provided excellent calibration formula with a correlation coefficient>0.999 (P<0.0001) and the mean relative error<1%. The present results can be usefully applied to accurately monitor the air flow rate during CPR.

• 한국응급구조학회지
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• 제19권3호
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• pp.19-32
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• 2015

Purpose: This study examined the effect of wearing personal protective equipment (PPE) on cardiopulmonary resuscitation (CPR), positive airway pressure, and the posture of emergency medical technicians (EMTs) when conducting CPR. Methods: Twenty 119 EMTs performed 30:2 CPR on a manikin for 4 min. Imaging data were digitized with Kwon3D XP (version 4.0). Data were collected by analyzing the motion when starting in one cycle, such as pressing to the maximum and in the final position (relaxed), and were analyzed with SPSS 18.0. Results: The angle of the elbow joints was significantly reduced (p < .05). The trunk angle was statistically significantly (p < .01, p < .001) increased. The angular velocities of the shoulder joint and left elbow joint were reduced (p > .05). The angular velocity of the trunk was significantly reduced in the starting and maximum compression postures. The hand-escape time was increased. The average compression depth was increased but not significantly (p > .05). The positive airway pressure was reduced (p > .05). Conclusion: The angle of the elbow joints and the angular velocity of the trunk were reduced, and the angle of the trunk was increased. The success of CPR and positive airway pressure was reduced.

• 한국응급구조학회지
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• 제28권1호
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• pp.113-126
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• 2024

Purpose: Education for children in South Korea is similar to that for adults, necessitating additional enhancements. Therefore, this study aimed to examine the effectiveness of fairy-tale books in cardiopulmonary resuscitation (CPR) education among kindergarten children. Methods: The study involved 64 kindergarten children enrolled in an affiliated kindergarten program were included. The participants were divided into an experimental group of 32 who received CPR education using picture books, and a control group of 32 who received education through traditional methods. Participant characteristics such as sex, age, height, weight, cardiac arrest awareness, and ability to request assistance were measured, and the collected data were statistically analyzed. Results: Following education, the experimental group showed significantly higher scores than the control group across all measures, including cardiac arrest recognition (2.25 vs. 0.34, p<.001) and consciousness assessment (1.81 vs. 0.09, p<.001). Additionally, in requesting assistance, the experimental group exhibited statistical superiority in phone usage (1.75 vs. 0.28, p<.001), situational explanation post-call (2.25 vs. 0.34, p<.001), and self-location explanation (0.84 vs. 0.00, p=.001). Conclusion: The use of fairy-tale books in CPR education enhanced cardiac arrest recognition and the ability to request assistance (EMS Activation) more effectively than the traditional educational methods among kindergarten children.

• 한국응급구조학회지
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• 제13권2호
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• pp.87-98
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• 2009

Purpose : This study set out to compare the educational effects of a video self-instruction program for child CPR education on childcare teachers by applying the 2006 KACPR Guideline. By adopting the nonequivalent control group posttest quasi-experimental design, the study examined the educational effects on a group that did not receive instructions from the instructor, another group that received his instructions, and the other group that received an extra three-minute practice training session in addition to instructions. Methods : Data were gathered from August 6 to 18, 2008. As for research tools, the Knowledge Instrument of CPR by Connolly (2006) was used along with the National Practice Test Protocol for C1ass 1 Emergency Medical Technicians (2007) and Common Protocol for CPR (2006) to examine the performance of child CPR. By shooting the guide screen of $Resusci^{(R)}$ Junior CPR Manikin of Leardal with a video camera and using the Skill Guide Checklist of the Common Protocol for CPR (2006), the subjects' technical accuracy of chi1d CPR was evaluated. There were three subject groups: 29 childcare teachers randomly assigned to received the video self-instruction program training for chi1d CPR and no instructions from the instructor made up the control group; 22 childcare teachers randomly assigned to received the program training and instructions from the instructor made up experiment group I; 23 childcare teachers randomly assigned to received an extra three-minute practice training session in addition to the program training and the instructions made up experiment group II. The gathered data were analyzed with SPSS/PC+ (Version 14.0) in frequency, percentage, $X^2$-test, ANOVA, Scheffe test. Results : 1) There were no statistically significant differences (F=1.030, p=.362) among the groups in terms of knowledge scores after the child CPR education. 2) There were statistically significant differences (F=13.625, p=.000) among the groups in terms of performance abilities after the child CPR education. 3) There were no statistically significant differences (F=1.610, p=.207) among the groups in terms of technical accuracy of mouth-to-mouth resuscitation after the child CPR education 4) There were no statistically significant differences (F=1.484, p=.234) among the groups in terms of technical accuracy of chest compression after the child CPR education. Conclusion : The results indicate that childcare teachers can improve their performance abilities in child CPR when the instructors are active with their instructions and extra practice hours are secured through a VSI program. It's also needed to provide education with increasing concentration ratio about the items of lower knowledge points in order to help the teachers learn the accurate theory of child CPR. And there should be VSI programs of diverse conditions to increase the effects of child CPR training among childcare teachers.

• 한국콘텐츠학회논문지
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• 제11권5호
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• pp.280-290
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• 2011

본 연구는 심폐소생술 수행 시 피구조자의 위치, 성별, 체중에 따른 가슴압박과 인공호흡 정확도 비교를 통하여 심폐소생술 수행에 정확성을 높이는데 그 목적이 있다. 본 연구는 G도 소재 대학생 72명(실험군 36명, 대조군 36명)을 편의추출 하여 시행하였으며, 조사기간은 2009년 11월 5일부터 11월 19일까지 시행되었다. 수집된 자료는 SPSS WIN 12.0 Version 프로그램을 사용하여 분석하였다. 연구결과 대부분 영역에서 우측이 좌측보다 인공호흡과 가슴압박의 효과적으로 나타났음이 증명되었기에 향후 심폐소생술 수행방법과 교육방법에 있어서 우측 편에서 시행하는 심폐소생술 수행방법을 적용해 볼 필요가 있다. 하지만 실제 응급현장에서 심폐소생술 생존율이 우측 편에서 효과적인가에 대해서는 지속적 연구가 이루어져야 할 것으로 여겨진다.

• 한국화재소방학회논문지
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• 제18권1호
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• pp.13-17
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• 2004

Purpose: The purpose of this study is to predict a reasonable direction to design a pertinent educational program in the future by evaluating an adult CPR(Cardiopulmonary Resuscitation) skill performed by EMTs engaged in fire services organization and comparing the CPR success rate of factors as like a duty place and licensed year. Methods: We studied CPR skill by the use of a CPR manikin(Skillmeter Resusci Annie, Laerdal company). The study population consisted of 320 EMTs. Every EMT performed four cycle after investigating the manikin for 2 minutes. We regarded chest compression with 100 times in a minute as the 100% success rate. We analysed the skill of chest compression, ventilation and chest compression times success rate by the records printed in the CPR paper. Results: The average success rate of chest compression was 59.42$\pm$29.26% and ventilation 49.22$\pm$29.65%. The success rate of manual CPR was different between chest compression and ventilation. Also the success rate of chest compression times was high relatively as a 87.32$\pm$9.14%(p=0.000). For the CPR skill, ventilation was lowest as 49.22%. The factors such as duty place and licensed year did not influence the CPR success rate (p>0.001). Conclusion: We could have conclusion that CPR training should be shared more time in ventilation than in chest compression. Also we could reach to a conclusion that it is important to increase the times of CPR training for improving the accuracy of CPR and that the continuing education of CPR training frequency might be more than four times in a year.