• The Korean Journal of Emergency Medical Services
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• v.14 no.3
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• pp.71-81
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• 2010

Purpose: To minimize an interruption in chest compression, reduce the hands-off time, the American Heart Association has recommended the ratio of chest compression to ventilation ratio to 30:2 from 2005 CPR guideline to 2010 CPR guideline. However, current studies have shown that the hands-off time was > 10 seconds with that method. For this reason, we devised new CPR method that a ventilation to chest compression ratio of 2:30 to reduce pt assessment time and skipped the assessment step of carotid artery pulse would be a more effective way to reduce the hands-off time & the time to set the CPR. According to the more detailed purpose are listed below. 1) We would like to confirm efficiency of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 to reduce the hands-off time & the time to set the CPR. 2) We would like to evaluate possibility of increasing for chest compression accuracy of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 3) We would like to evaluate possibility of increasing for ventilation accuracy of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 Methods: According to 2005 American Heart Association Guidelines, 60 paramedic students(20 students X freshmen, sophomore, junior) performed 5 cycles of 3~ chest compressions : 2 ventilations after A, B, C evaluation with Laerdal Resusci R Anne SkillReporters. After 5 minutes rest, the 60 students performed 5 cycles of 2 ventilations : 30 chest compressions after A, B evaluation with the manikins between 13 and 17 September 2010. The short reports including speed & accuracy of chest compression, respiratory, CPR cycle were gained from the manikins. Hands-off times were measured by assistants. Results: Recently, the importance of high quality CPR was emphasized in order to perform the CPR faster and more accurate. To find out improving the conventional CPR method, we switch the procedure of the compression and the ventilation. By switching the procedure back and forth, we are able to compare the effectiveness of CPR between two type of CPR method which are 2:30 and 30:2 methods. 2:30 is that the breaths is delivered twice, first and perform 30 compressions while 30:2 perform 30 compressions first and give 2 breaths followed by the ABC method. Also, we verify the effectiveness of the hands off time, compression accuracy of the compression through the comparison of the two procedure as mentioned earlier. Consequently research verified that 2:30 is the efficient by providing faster set up delivering more accurate chest compression. Conclusion: 2:30 can minimize a time delay from cardiac standstill until starting the chest compression. In addition, hands-off time which is an interruption in chest compression can be shortened by 2:30 method, which result to effective oxygenation of coronary artery & maintenance of the bloodstream. Once again, performing the 2:30 method provide lessen hands off time and increase the accuracy of the chest compression.

• The Korean Journal of Emergency Medical Services
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• v.19 no.3
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• pp.139-148
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• 2015

Purpose: This study aimed to compare the chest compression quality between compression-only cardiopulmonary resuscitation (CPR) and conventional CPR. Methods: This study involved 123 participants randomly assigned to either the chest compression-only CPR training and conventional CPR training. After training for 120 min, the participants performed CPR for 4 min and the CPR quality was evaluated. The primary outcome was evaluated as the mean compression depth, and the secondary outcome was calculated as the proportion of chest compressions with an appropriate depth among the total chest compressions. Results: The mean compression depth was more deeper in conventional CPR than in compression-only CPR (57mm vs. 53mm, p <.001). The proportion of appropriate chest compression depth was also more higher in conventional CPR (98.8% vs. 68.6%, p <.001). As compared with every minute over time for a total of 4 min, the mean compression depth and the proportion of appropriate chest compression depth were deeper and higher after 1 min in conventional CPR than in compression-only CPR. Conclusion: The results suggested that conventional CPR is a better method than compression-only CPR in terms of chest compression quality.

• 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.

• The Korean Journal of Emergency Medical Services
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• v.24 no.3
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• pp.107-116
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• 2020

Purpose: We compared three chest compression methods to find an efficient method for performing infant cardiopulmonary resuscitation (CPR) for single rescuers and improving chest compressions quality. Methods: Thirty new marine police trainees at the Korea Coast Guard Education Institute were tested for five sessions using three methods of single rescuer infant CPR: two-finger chest compression, two-thumb encircling chest compression, and two-finger support chest compression. Results: The depth, accuracy, and number of compressions per minute of resuscitation were analyzed for the above three methods. The depth of two-finger chest compression, two-thumb encircling chest compression, and two-finger support chest compression was 3.53±0.20cm, 4.10±0.13cm, and 4.22±0.15cm, respectively. Accuracy was 23.86±12.59%, 54.11±10.8%, 71.55±18.81%, respectively, while the time for one cycle of 30 chest compression was 16.01±10.5 seconds, 16.45±0.85 seconds, and 16.56±0.91 seconds, respectively. Chest compression interruptions were 6.59±0.78 seconds, 7.17±0.37 seconds, and 6.97±0.35 seconds, respectively. The interruptions were consistent with the range of 5-10 seconds suggested by the American Heart Association. Conclusion: When one rescuer performs CPR for an infant in cardiac arrest, a comparative analysis of three methods showed that two-thumb encircling chest compression is the best for accuracy and efficiency of chest compressions.

• Journal of the Korea Society of Computer and Information
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• v.24 no.11
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• pp.179-185
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• 2019

In this paper, We purpose the basic data for the success of effective CPR using mirror in order to increase the quality of chest compression during CPR. The subject of this study was an experimental study based on a randomized crossover design of 28 people who completed the BLS Health Care Provider, and collected data were analyzed by SPSS Ver. 23.0 for Win statistics program. As the research methods, depth, speed, compression to relaxation ratio, arm angle and easiness during the chest compression were measured. Taken together, the results of this study showed that using a mirror-based chest compression method for chest compressions in adult CPR could make chest compressions easier, in addition, the quality of breast compression was improved by improving the posture of the rescuers, such as the average depth of compression, compression to relaxation ratio, and arm angle. However, it is necessary to confirm the feasibility of clinical application through additional studies on various environmental factors and job groups for mirror-based chest compression method.

• 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.

• Journal of the Korea Society of Computer and Information
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• v.23 no.10
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• pp.151-156
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• 2018

The purpose of this study was to find more effective method through comparison of manual chest compression and chest compression using $AutoPulse^{TM}$ device in pre-hospital simulation cardiac arrest. In order to achieve the purpose of the study, ambulance workers did two different style CPR in pre-hospital simulation cardiac arrest. Data analyzed by T test and ANOVA. Findings of this study are as follows. Firstly, manual chest compression is more effective than chest compression using $AutoPulse^{TM}$ device on scene. Secondly, chest compression using $AutoPulse^{TM}$ device is more effective manual chest compression in ambulance and in elevator. In conclusion, these findings provide strong evidence for the importance of hands off time and stable CPR before hospital arrival in explaining patient's prognosis. Therefore, strategies to conduct precise hands off time and stable CPR are needed to improve patient's prognosis.

• The Korean Journal of Emergency Medical Services
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• v.22 no.3
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• pp.67-76
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• 2018

Purpose: The purpose of this study was to evaluate the quality of chest compressions and ventilation when using an mechanical device(LUCAS) and 2-men manual cardiopulmonary resuscitation(CPR) performed on a minikin, as well as to propose a more effective CPR method during transit. Methods: Data were collected by LUCAS and manual virtual reality based ambulance simulation. Analysis was performed using SPSS software 12.0. The average and standard deviation of chest compression depth and ventilation were analyzed using descriptive statistics and t-test. Results: In the virtual reality based LUCAS and manual CPR results, LUCAS showed better chest compression and lower incomplete chest release than manual CPR. During CPR with a chest compression-ventilation ratio of 30:2 in virtual reality ventilation with bag-valve mask was able to deliver an adequate volume of breathing. Conclusion: It is suggested that rescuers on ambulance may consider using LUCAS as an alternative to high-quality chest compression during transit.

• Journal of the Korea Society of Computer and Information
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• v.25 no.3
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• pp.169-176
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• 2020

This study suggested a method to increase the quality of chest compressions in patients with cardiac arrest during transport. When providing cardiopulmonary resuscitation to a cardiac arrest patient in the pre-hospital phase, the quality of chest compressions should be improved by using a three-point fixed belt to the ambulance. Because the quality of the chest compression was increased when the 119 paramedic wears a 3-point fixed belt in addition to the chest compression method. Also, paramedics are less likely to be at risk. Therefore, if a 3-point fixed belt is worn in an ambulance during transport, 119 paramedics will be able to secure safety and provide high-quality chest compressions to cardiac arrest patients.

• Korean Journal of Applied Biomechanics
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• v.31 no.3
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• pp.220-225
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• 2021

Objective: The purpose of this study was to investigate the effect of levels of education on ground reaction force and center of pressure parameters during chest compression resuscitation. Method: Twenty male university students were divided into two groups; certified group (CG, n=10) and non-certified group (NCG, n=10). Two force plates were used to measure ground reaction force and center of pressure parameters during 30 times (three trials) chest compression resuscitation. Independent t-tests were used to compare ground reaction force and center of pressure parameters between two groups. An alpha level of 0.05 was used in all tests. Results: All chest-compression time parameters (total time, 1 systolic time, and diastolic time) in CG were significantly shorter than those in NCG (p<.05). Fy of the diastolic and Fz of the systolic in CG revealed significantly the larger GRF values and Fy of the systolic in CG showed significantly the smaller GRF value (p<.05). The standard deviation of Fz of the systolic and diastolic within the subject during 30 times chest-compression resuscitation revealed significantly the smaller values in CG (p<.05). Conclusion: First, CG performed chest compressions efficiently at an appropriate rate compared to NCG. Second, CG showed lower Fx and Fy values in both the mediolateral and anteroposterior axes compared to NCG, which reduced unnecessary chest-compression force consumption and minimized the movement in patients with cardiac arrest. Third, CG showed high Fz value of the systolic and low Fz value of the diastolic. Based on this, chest compression resuscitation was performed to increase the survival rate of cardiac arrest patients.