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논문검색

코로나19 의심 또는 확진 환자가 병원 밖 심정지 발생 시 구조자의 개인 보호장비(PPE) 착용에 의한 가슴압박 효과 비교 : 무작위 교차 시뮬레이션 연구

원문정보

Effect of level D personal protective equipment on chest compression for pre-hospital arrest patients with suspected or confirmed COVID-19 : A randomized crossover simulation trial

홍석환, 양연수, 한상균

피인용수 : 0(자료제공 : 네이버학술정보)

초록

영어

Purpose: The purpose of this study was to determine how the use of level D personal protective equipment (PPE) and cardiopulmonary resuscitation (CPR) feedback equipment affects chest compression (CC). Furthermore, this study provides basic data for developing Korean CPR guidelines that can be applied to patients with suspected or confirmed COVID-19. Methods: This randomized, single-blinded, crossover simulation trial included 26 student paramedics who performed 2-minute chest compressions using three different methods: Method A involved performing traditional CC for two minutes without donning level D PPE, Method B involved performing CC while donning level D PPE, and Method C involved performing CC with a CPR feedback device while donning level D PPE. Results: The use of a CPR feedback device during the 2-minute CC increased the exercise intensity of the subjects, but donning level D PPE didn't affect the quality of CC and the exercise intensity. The results of methods A and B showed changes in the quality of compression 80 seconds after the start of CC. No significant changes occurred in 2-minute CC when using the CPR feedback device. Conclusion: Using a CPR feedback device could prevent deterioration in the quality of CC while donning level D PPE.

목차

Abstract
Ⅰ. 서론
1. 연구의 필요성
Ⅱ. 연구방법
1. 연구설계
2. 연구대상
3. 자료수집 방법
4. 연구도구
5. 분석방법
Ⅲ. 연구결과
1. 연구대상자의 특성
2. 가슴압박 방법별 운동강도 비교
3. 방법별로 가슴압박 깊이, 압박 속도, 압박 후 이완을 각각의 시작점과 비교
4. 가슴압박 방법 간 가슴압박 깊이의 차이
5. 가슴압박 방법별 가슴압박 속도의 변화
6. 가슴압박 방법별 가슴압박 후 불완전 이완된 깊이의 변화
Ⅳ. 고찰
Ⅴ. 결론
ORCID ID
References

저자정보

  • 홍석환 Seok-Hwan Hong. 을지대학교 응급구조학과
  • 양연수 Yeun Soo Yang. 연세대학교 보건대학원 국민건강증진연구소
  • 한상균 Sang-Kyun Han. 연세대학교 대학원 의료법윤리학협동과정

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