지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose: The use of mechanical compression devices may be considered as an alternative method to treat cardiac arrest. This study aimed to assess the influence of vertical location of cardiac arrest scene to survival rate. Furthermore, it set out to examine the effect of mechanical compression devices on the survival rate. Methods: This is retrospective, observational study of cardiac arrest patients from Gangdong-gu, Seoul between September 2015 and February 2016. The data were collected by 119 rescue records and cardiac arrest summary list, and the resuscitation result variables were analyzed. We also conducted a survey on 119 paramedics regarding the subjective valuation and drawback of using mechanical compression devices. Results: The odd ratio of return of spontaneous circulation (ROSC) in vertical location of cardiac arrest scene was 0.40 (95% confidence interval, 0.17 to 0.98; p=0.044). The odd ratio of survival to admission comparing manual compression with mechanical compression was 0.73 (95% confidence interval, 0.26 to 1.99; p=0.532). A total of 54 paramedics completed the survey, and 46 (85.2%) of them answered that there was a decrease in the quality of chest compression if the scene was other than the 1st floor. Fifty-three (93.1%) replied that mechanical compression devices can be a countermeasure. Conclusion: Vertical location of cardiac arrest scene independently effects ROSC of out of hospital cardiac arrest. However, there was no difference in the survival rate between manual and mechanical compressions.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Stiell IG / 2014 / What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients? / Circulation 130:1962~1970
Christenson J / 2009 / Chest compression fraction determines survival in patients with out-ofhospital ventricular fibrillation / Circulation 120:1241~1247
Idris AH / 2015 / Chest compression rates and survival following out-of-hospital cardiac arrest / Crit Care Med 43:840~848
Hightower D / 1995 / Decay in quality of closed-chest compressions over time / Ann Emerg Med 26:300~303
Ochoa FJ / 1998 / The effect of rescuer fatigue on the quality of chest compressions / Resuscitation 37:149~152
Christenson J / 2009 / Chest compression fraction determines survival in patients with out-ofhospital ventricular fibrillation / Circulation 120:1241~1247
Idris AH / 2015 / Chest compression rates and survival following out-of-hospital cardiac arrest / Crit Care Med 43:840~848
Hightower D / 1995 / Decay in quality of closed-chest compressions over time / Ann Emerg Med 26:300~303
Ochoa FJ / 1998 / The effect of rescuer fatigue on the quality of chest compressions / Resuscitation 37:149~152
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