병원 외 심정지 환자에서 119 구급대원의 전문기도유지술 시행에 영향을 미치는 요인
Factors associated with advanced airway management while performing cardiopulmonary resuscitation for out-of-hospital cardiac arrest patients by 119 EMT
Purpose: Advanced airway maintenance improves the quality of cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) patients. In this study, we evaluate the factors associated with advanced airway management while performing CPR for out-of-hospital cardiac arrest patients by 119 emergency medical technicians (EMTs). Methods: The observational analysis method was used ro retrospectively collect data from 119 rescue run sheets. This study was conducted in a fire station in Seoul, Korea. The subjects of this study were defined as OHCA patients who received CPR from July 2016 to June 2018. We divided the subjects into two groups according to whether advanced airway maintenance was performed or not, and then compared and analyzed both groups. We performed logistic regression analyses for characteristics that differed significantly between groups. Results: Out of 188 OHCA patients, 146 (77.7%) had received advanced airway management. Statistically significant differences in the logistic analysis were found regarding the total number of EMT professionals (adjusted odds ration [aOR]: 1.955; 95% confidence interval [CI]: 1.227-3.115; p =0.005) and scene-time (aOR:1.119;95%CI:1.019-1.228;p =0.019). Conclusion: Advanced airway maintenance while performing CPR for OHCA patients by EMT associated primarily with ensuring an adequate numbers of EMT professionals and sufficient scene time.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구대상 2. 연구절차와 연구도구 3. 분석방법 Ⅲ. 연구결과 1. 일반적 특성 2. 전문기도유지술 시행 관련 요인 분석 Ⅳ. 고찰 Ⅴ. 결론 References
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 ]