Earticle

초록

영어

This study is to research delay time comparison for later defibrillation after hands off according to the changes in defibrillation electrodes. Study purpose: In defibrillation treatment that is the only way for cardiac arrest by arrhythmia, it is to find defibrillator device which can minimize late defibrillation delay time after important affect of hands off. Study object and method: After hands off according to the defibrillator device, we collected total 40 people for emergency medicine doctor, internal medicine doctor, general surgeon, nurse, emergency medical technician who are working at 2 CN, CS University hospitals in Gwangju Jeollanamdo district to find out hand off shock interval(HOSI). We then researched their general properties like occupation sector, experiences in clinic, gender, completion of AHA ACLS-P training and more. Then 40 participants continued ventricular fibrillation cardiac arrest simulation training (using human-model mannequin) designed by researcher and performed their roles as defibrillation operator. Each of participant used manual paddle and performed 4 times of defibrillation (150J) during 8 minutes of CPR and in 8day, the defibrillator devices were replaced from manual paddle to self-adhesive electrodes pads and 4 times of defibrillation (150J) under same simulation condition as manual paddle were performed. Study result: In comparison for delay time of later defibrillation after hands off of manual paddle and self adhesive electrodes pad, the self adhesive electrodes pad (7.0±0.5sec) seemed to reduce delay time of later defibrillation significantly (p<0.05) compared to manual paddle (10.0±0.9sec). The self adhesive electrodes pad, according to the general properties of participants, had no particular change in delay time after later defibrillation for the statistics (p>0.05) but the manual paddle had statistically significant differences for the occupation sector, experiences in clinic and gender (p<0.05). Conclusion: In defibrillation, the self adhesive electrodes pad(7.0±0.5sec) showed short HOSI compared to manual paddle (10.0±0.9sec) significantly (p<0.05) and it applied identically for both existence and non-existence of ACLS-P training completion, experiences in clinic, gender and occupation sector. The manual paddle had also significant difference in experiences in clinic and occupation sector (p<0.05). which means the effect on HOSI according to the job mastery. Therefore, if the clinic experience is short or in case for the occupations without frequent defibrillation treatment has a danger of lowering success rate for the defibrillation using manual paddle. Therefore, it is true that using self adhesive electrodes pad for defibrillation electrodes when performing manual defibrillation in pre-hospital as well as in-hospital steps can generally minimize delay time of later defibrillation after hands off.

목차

Ⅰ. 서론
  1. 연구의 필요성
  2. 연구의 목적
 Ⅱ. 연구방법
  1. 연구 설계 및 대상
  2. 연구의 방법
  3. 용어의 정의
 Ⅲ. 연구 결과
  1. 대상자의 일반적 특성
  2. 수동패들과 전극패드의 HOSI 분석결과
 Ⅳ. 고찰 및 결론
  1. 고찰
  2. 결론
 참고문헌
 Abstract

키워드

저자

• 박시은 [ Si-Eun Park | 조선대학교병원 응급의료센터 ]
• 신동민 [ Dong-Min Shin | 한국교통대학교 응급구조학과 ] 교신저자

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]

• 간기

  연3회

• pISSN

  1738-1606

• eISSN

  2384-2091

• 수록기간

  1997~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 616