병원 전 심정지 환자의 자발순환 회복에 관한 병원전 처치 - 하트세이버 수상자를 중심으로 -
Prehospital care after return of spontaneous circulation in out-of-hospital cardiac arrest patients : Based on Heart Saver laureate
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
키워드
Out-of-hospital cardiac arrestCardiopulmonary resuscitationReturn of spontaneous circulationHeart saver
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]