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논문검색

병원 전 심정지 환자의 자발순환 회복에 관한 병원전 처치 - 하트세이버 수상자를 중심으로 -

원문정보

Prehospital care after return of spontaneous circulation in out-of-hospital cardiac arrest patients : Based on Heart Saver laureate

고봉연, 홍성기, 김진영

피인용수 : 0(자료제공 : 네이버학술정보)

초록

영어

Purpose: We aimed to improve the survival rates of out-of-hospital cardiac arrest patients. Methods: We analyzed data regarding cardiopulmonary resuscitation (CPR) outcomes and clinicalcharacteristics of out-of-hospital cardiac arrest patients. The data included prehospital emergencymedical service reports of 207 patients, 135 patients of Heart Saver, who survived over 72 hours afterreturn of spontaneous circulation (ROSC) in Gyeonggi-do from January, 2012 to December, 2013. Datawere analyzed using SPSS 18.0 descriptive statistics. Results: Among patients who achieved ROSC, 87.6% were men and 73.6% were aged 41-70 years; 86.7% were cases of witnessed cardiac arrest, and cardiopulmonary resuscitation was performed by bystandersin 65.9% of cases. The initial electrocardiogram showed ventricular fibrillation or pulseless ventriculartachycardia in 96.3% of patients. The call time was 1.0 minutes, arrival time was 6.3 minutes, time spent at the scene was 8.0 minutes, hospital arrival time was 10.0 minutes, and total CPR durationwas 9.6 minutes. The certificate of them was paramedics in 89.6%. Conclusion: To improve the survival rates of out-of-hospital cardiac arrest patients, standardprehospital care for these patients and educational programs regarding CPR for lay rescues should bedeveloped.

목차

Abstract
 Ⅰ. 서론
  1. 연구의 필요성
  2. 연구의 목적
 Ⅱ. 연구방법
  1. 연구대상
  2. 자료수집 및 자료분석
 Ⅲ. 연구결과
  1. 하트세이버 수상자와 자발순환 회복환자의 일반적 특성
  2. 자발순환 회복환자에 대한 병원 전응급처치
 Ⅳ. 고찰
  1. 하트세이버 제도와 운영실태
  2. 심정지 환자의 소생과 관련된 요소
 Ⅴ. 결론 및 제언
 References

저자정보

  • 고봉연 Bong-Yeun Koh. 동남보건대학교 응급구조과
  • 홍성기 Sung-Gi Hong. 동남보건대학교 응급구조과
  • 김진영 Jin-Young Kim. 경기소방재난본부 재난대응과

참고문헌

자료제공 : 네이버학술정보

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