Purpose: The quality of cardiopulmonary resuscitation (CPR) has been identified as an important factor for improving survival rate. This prospective study was conducted for comparison of manual chest compression and mechanical chest compression during simulative out of hospital cardiac arrest. And evaluation of quality of manual compression was performed on-scene and during ambulance transportation. Methods: A total of 24 emergency medical technicians (EMTs) participated in our study. During a period of one month, they were educated by E-learning on the importance of decreasing hands off time during CPR and anything else about CPR. We instituted the scenario of out of hospital cardiac arrest. They performed CPR twice in each same situation: they performed manual chest compression the first time. And, the second time, they used the mechanical chest compression device (X-CPRTM). We evaluated the performance by camcorder monitoring and Q-CPRTM for measurement of manual compression depth and flow time. Results: A total of 48 cases were performed in this study. Twenty four cases were included in the manual CPR group (H-Group) and 24 cases were included in the mechanical group (M-group). CPR of the H group vs. the M group was performed for a mean 19.71±2.97 min, 21.95±4.16 min on scene, and in a moving ambulance. The average compression rate was 122±14.80 min-1 vs 104.38±6.40 min-1 (p<0.001), and the compression depth was 44.25±8.50 mm vs 42.37±4.28 mm (p=0.34), respectively. No statistical difference was observed in the flow time ratio between manual and mechanical chest compression (67.04±11.12 vs 64.13±6.61, p=0.28). However, the quality of compression of the H-group, the ratio of insufficient compression, and the ratio of insufficient release during transport were higher than those on-scene (p=0.02, p=0.01). Conclusion: In comparison of chest compression rates between the two groups, the M-group showed a higher rate of chest compression. However, no significant difference in chest compression depth and flow time ratio was observed between the H- and M-groups. When performing manual chest compression during transport, EMTs should be careful of adequate chest compression and release.
[응급간호학] 2020년 방통대, 1 국내 응급의료체계의 구성, 문제점 및 개선방안 2 가슴압박소생술의 과학적 근거, 권장 상황 3 심실세동과 무수축 설명, 치료과정의 차이점
응급간호학3공통) 국내응급의료체계의 구성간단히 기술하고 문제점및개선방안에 대해 자신의 견해를 포함하여 설명하시오0k
[응급간호학]1. 국내 응급의료체계의 구성을 간단히 기술하고, 문제점 및 개선방안에 대해 자신의 견해를 포함하여 설명하시오.(12점) 2. 가슴압박소생술(hands-only CPR)을 도입한 과학적 근거를 3가지 쓰고, 가슴압박소생술을 권장하게 되는 상황을 2가지 기술(6점) 3. 심실세동과 무수축에 대해 각각 설명1하고, 치료과정의 차이점을 기술(12점)
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공무원 국어 기출문제(국가직7급,국가직9급,국회8급,경찰공무원,군무원)
[응급간호학] 2020년, 1 국내 응급의료체계의 구성, 문제점 및 개선방안 2 가슴압박소생술의 과학적 근거, 권장되는 상황 3 심실세동과 무수축 설명, 치료과정의 차이점