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22대 대한민국 국회 국회정보길라잡이 국회의원검색
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결과 내 검색 동의어 포함
결과 내 검색 동의어 포함

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초록보기

Purpose: This study aimed to compare the effectiveness of one-hand compression method (one-hand) and two-thumb compression methods (two-thumb) using a 3-year-old pediatric mannequin.

Methods: Participants in the experiment were randomly assigned to 21 people with one hand and 21 people with two thumbs, who had completed a basic life support training course. The mannequin used a few junior QCPR manikis (Laerdal, Norway), based on an age of 3. The study followed the guidelines for two-rescuer pediatric CPR, performing chest compressions and ventilations in a 15:2 ratio for 5 cycles, 10 minutes. The chest compression number, depth, speed rate, and recoil rate were measured after 1, 3, and 5 cycles, respectively. Data were analyzed using SPSS 23.0.

Results: Comparing the efficiency of chest compressions performed during 1, 3, and 5 cycles, the depth of chest compressions was 40.84±3.10 mm for the two thumbs and 51.48±4.79 mm for the one-hand, which was significantly different (p＜.001). According to pediatric CPR guidelines, the frequency corresponding to the compression depth range of 40.00-50.00 mm was statistically higher at 57.1% (12 people) of two thumb than at 23.8% (5 people) of one hand (p＜.001).

Conclusion: While the current guidelines recommend one- or two-thumb encircling hand compressions for larger children, the use of one- or two-handed wrapped thumb compressions should be considered for smaller children, depending on the rescuer's judgment, when distinguishing between a child and an infant is difficult.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
문항반응이론을 적용한 1급 응급구조사 국가시험 대비 모의시험의 적정성 연구 = A study of the adequate number of questions in a mock test for the paramedic national examination using item response theory 이정은, 문준동, 김아정 p. 7-19

일개대학 대학생들이 인지하는 전동킥보드 이용 환경과 안전 개선에 관한 연구 = A study on university students perception of electric kickboard usage environment and safety improvement 진호영, 안선녀, 황소윤, 현재명, 정은경 p. 21-31

사설이송업체의 지도의사 현황 및 직접의료지도 실태에 관한 연구 = A study on the appointment status of the medical directors and the state of direct medical oversights in private ambulance services 문세중, 문준동 p. 33-46

병원 밖 심정지 환자의 전문소생술이 자발순환 회복에 미치는 영향 = Effect of advanced life support (ALS) on recovery of spontaneous circulation in out-of-hospital cardiac arrest patients 박소은, 윤병길 p. 47-62

임상실습을 경험한 응급구조학과 학생들의 진로정체감, 진로결정수준 및 진로준비행동의 관계 = Relationship between career identity, career decision level and career preparation behavior of paramedic students after clinical practice 최미영, 강민주, 주정미 p. 63-75

포커스그룹인터뷰(FGI)를 통한 응급구조사의 보수교육에 대한 인식 = Perceptions of continuing education for emergency medical technicians through focus group interviews 강민성 p. 77-98

가슴압박 방법에 따른 소아 심폐소생술의 효율성 비교 = A comparative analysis of the efficacy of tiny child cardiopulmonary resuscitation (CPR) by chest compression methods 김용준, 안소연, 한승은, 이경열 p. 99-108

보건계열 대학생의 의사소통능력, 자기통제력, 대학생활적응이 임상실습 스트레스에 미치는 영향 = Effects of communication skills, self-control, and college life adaptation on clinical practice stress among health-related college students 이상연, 박정희, 윤병길, 김용석 p. 109-118

응급구조학과 학생의 죽음인식, 생명의료윤리의식에 따른 존엄사에 대한 태도 = The attitude of paramedic students toward death with dignity based on perception of death and awareness of biomedical ethics 강소현, 윤병길, 박정희, 김용석, 이채웅 p. 119-129

웹기반 가상시뮬레이션 학습이 응급구조과 학생의 학습몰입, 문제해결능력, 학업적 자기효능감에 미치는 영향 = Effect of web-based virtual simulation learning on learning flow, problem-solving ability, and academic self-efficacy of paramedicine students 이영아 p. 131-142

제주지역 보건계열 대학생의 지역안전지수(LSLI) 관련 안전 인식과 국민안전의식지수(PSCI) = A study on awareness of disaster safety related to local safety level index (LSLI) and public safety consciousness index (PSCI) of college students in Jeju 이영아, 김효실 p. 143-155

국내 119구급자원의 지역별 배치 현황 = Status of region-wise deployment of 119 emergency resources in Korea : focusing on whether regional criteria are met and the characteristics of the region : 시·군·구별 기준 충족 여부와 지역특성을 중심으로 권혜지, 신영전 p. 157-172

참고문헌 (18건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 The Korean Society of Emergency Medicine. Emergency medicine. 2nd ed. Gyeonggi-do:koonja, 2019. 1159-71. 미소장
2 Korean Council of Professors for Emergency Medical Service. Special considerations and operations (Bledsoe, Porter, Cherry). 5th ed. Seoul: Daehakseorim, 2021. 95-104. 미소장
3 Korea Disease Control and Prevention Agency. 2022 Sudden Cardiac Arrest Survey. Available at: https://www.kdca.go.kr. 2024. 미소장
4 Merchant RM, Topjian AA, Panchal AR, Cheng A, Aziz K, Berg KM et al. Part 1:executive summary: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2020;20(142):S337-57. https://doi.org/10.1161/CIR.0000000000000918 미소장
5 Korea Association of Cardiopulmonary Resuscitation. 2020 Korean guideline for cardiopulmonary resuscitation and emergency cardiovascular care. Available at:http://www.kacpr.org, 2024. 미소장
6 Morgan RW, Kirschen MP, Kibaugh TJ, Sutton RM, Topjian AA. Pediatric in-hospital cardiac arrest and cardiopulmonary resuscitation in the united states: a review. JAMA pediatrics 2023;175(3):293-302. https://doi.org/10.1001/jamapediatrics.2020.5039 미소장
7 Topjian AA, Raymond TT, Atkins D, Chan M, Duff JP, Joyner BL et al. Part 4: pediatric basic and advanced life support 2020 American Heart Association guidelines for cardiovassocualr resuscitation and emergency cardiovascular care. Pediatrics 2021;147(suppl 1):e2020038505D. https://doi.org/10.1542/peds.2020-038505D 미소장
8 Kim MJ, Lee HS, Kim S, Park YS. Optimal chest compression technique for paediatric cardiac arrest victims. Scandinavian journal of trauma 2015;23(36):1-7. https://doi.org/10.1186/s13049-015-0118-y 미소장
9 Oh JH, Noh H, Lee JG, Kim DK. Effects of vertical compression during pediatric cardiopulmonary resuscitation using the one-handed chest compression technique. The American journal of emergency medicine. 2022;59:24-9. https://doi.org/10.1016/j.ajem.2022.06.044 미소장
10 Jin SY, Oh SM, Kim YO. Estimation of optimal pediatric chest compression depth by using computed tomography. Clinical and experimental emergency medicine 2016;3(1):27-33. https://doi.org/10.15441/ceem.16.119 미소장
11 Miyashita N, Kurosawa H, Aoki K. Successful resuscitation with shallow chest compression depth: a pediatric case. Pediatrics international 2021;63(12):1524-6. https://doi.org/10.1111/ped.14641 미소장
12 Ong GY, Chen ZJ, Niles DE, Srinivasan V, Sen AI, Skellett S et al. Poor concordance of one-third anterior-posterior chest compression depth targets in pediatric cardiac arrest patient. Circulation 2023;12(4):e028418. https://doi.org/10.1161/JAHA.122.028418 미소장
13 Atkins DL, Berger S, Duff JP, Gonzales JC, Hunt EA, Joyner BL et al. Part 11: pediatric basic life support and cardiopulmonary resuscitation quality:2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015;132(18_suppl_2):S519-25. https://doi.org/10.1161/CIR.0000000000000265 미소장
14 Hwang SJ, Yun JG, Kim JS. Chest compression efficiency for three methods of single-person rescuer infant cardiopulmonary resuscitation. Korean J of Emerg Med Ser 2020;24(3):107-16. https://doi.org/10.14408/KJEMS.2020.24.3.107 미소장
15 Pellegrino JL, Bogumil D, Epstein JL, Burke RV. Two-thumb-encircling advantageous for lay responder infant CPR: a randomised manikin study. Archives of Disease in Childhood 2019;104(6):530-4. https://doi.org/10.1136/archdischild-2018-314893 미소장
16 Lee WY, Yang DJ, Oh JH. Differences in the performance of resuscitation according to the resuscitation guideline terminology during infant cardiopulmonary resuscitation:“Approximately 4 cm” versus “at least one-third the anterior-posterior diameter of the chest”. PLos One 2020;15(3):e0230687. https://doi.org/10.1371/journal.pone.0230687 미소장
17 Kim MJ, Park YS, Kim SW, Yoon YS, Lee KR, Lim TH et al. Chest injury following cardiopulmonary resuscitation: a prospective computed tomography evaluation. Resuscitation 2013;84(3):361-4. https://doi.org/10.1016/j.resuscitation.2012.07.011 미소장
18 Wu HW, Chien JH, Weng KP, Lin CC, Chen BH, Huang SM et al. Traumatic ventricular septal defect in a 1-year-old boy after accidental chest compression by an adult. Pediatric Emergency Care 2019;35(5):e90-2. https://doi.org/10.1097/PEC.0000000000001077 미소장

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