Earticle

Purpose: This study aimed to identify the position for the most accurate head-up cardiopulmonary resuscitation (CPR) by comparing saddle position CPR (SPCPR) and traditional CPR (TCPR). Methods: Sixty certified persons who completed a basic life support provider course between May 1 and June 21, 2019 were enrolled in the study. The participants were asked to perform 2 minutes of CPR, and the depth of chest compression, rate, position, full release, and hands off time were assessed. Accuracy was evaluated based on data collected from a smart phone application connected to the manikin via bluetooth and analyzed using frequency, percentage, t-test, analysis of variance and χ². Results: The accuracy of chest compression was statistically significantly higher for SPCPR, 63.03%[±8.75] for SPCPR and 55.50%[±10.17] for TCPR [t=3.074, p=.003]. The depth of chest compression was statistically significantly greater for SPCPR, 4.51cm[±0.45] for SPCPR and 4.16cm[±0.61] for TCPR [t=2.503, p=.015]. The rate of chest compression was statistically significantly higher for TCPR, 105/min[±10.79] for SPCPR and 111/min[±11.57] for TCPR [t=-2.008, p=.049]. Accuracy of position of chest compression was statistically significantly higher for SPCPR, 96.10%[±13.73] for SPCPR and 79.93%[±30.34] for TCPR [t=2.659, p=.011]. Accuracy of full release was higher with SPCPR, with 86.30%[±30.53] for SPCPR and 71.10%[±36.05] for TCPR, but the difference was not statistically significant [t=1.762, p=.083]. Conclusion: Saddle position CPR was found to be more accurate than TCPR in the performance of manual head-up CPR.

Purpose: This study aimed to observe change in factors over time in the first cohort of the 2018 Children and Adolescent Panel Middle School. In addition, this study attempted to examine the causal relationship and influence between variables by setting a time gap between independent and dependent variables. Methods: Frequency and descriptive statistical analyses were conducted to determine the general characteristics of the study participants. Hierarchical regression analysis was conducted to analyze the effects of smartphone dependence on health, sleep quality, and depression. After inputting the control variables (Model 2), the influence of the variables was identified based on the input model. Results: Smartphone dependence positively impacted depression in both male and female students and negatively impacted sleep and health. Conclusion: Smartphones are closely associated with teenagers’ lives. Additionally, as adolescents experience various psychological anxieties owing to rapid physical changes, there are concerns that psychological dependence may increase, considering that adolescence is the most emotionally unstable period. Therefore, the results of this study consistently prove that smartphone dependence has a causal relationship with emotion-related variables, such as emotional stress, depression, and anxiety.

Purpose: This study attempted to identify how academic self-efficacy, grit, and learned helplessness influence Academic delay behavior in college students and provide a foundation for reducing Academic delay behavior in college students. Methods: Data was collected from October 12, 2023 to October 30, 2023 using a structured questionnaire from 170 college students at a university in City D. The data was collected using a structured questionnaire. Results: Academic delay behaviors were significantly negatively correlated with academic self-efficacy (r=-.371, p<.001) and grit (r=-.562, p=.012), and significantly positively correlated with learned helplessness (r=.341, p<.001). Conclusion: Finally, In order to reduce academic delay behaviors among college students, it is necessary to actively utilize educational environments that promote academic achievement and grit, academic-related counseling programs, and learning environments that do not suffer from academic helplessness.

Purpose: The study attempted to improve the health promotion behavior of university students by identifying the factors that affect health promotion behavior and by checking depression, anxiety, and stress levels of university students after the COVID-19 pandemic. Methods: We collected data using a structured questionnaire targeting 170 university students in C-province between December 1 and December 31, 2022. Results: Health promotion behavior had a significantly negative correlation with Depression (r=-.361, p<.001), Anxiety (r=-.191, p=.012), and Stress (r=-.301, p<.001), respectively. The influencing factors of health promotion behavior are gender (r=0.184, p<.001) and depression (r=-0.303, p<.001); the explanatory power is accounted for 15%. Conclusion: A practical method with counseling programs and mental health support services for early detection of risk groups by periodically monitoring the depression state of university students requires practicing health promotion behavior. Therefore, active support and attention should be provided to manage the mental health of university students.

Purpose: This protocol aims to improve the simplicity of the existing two-person cardiopulmonary resuscitation (CPR) by focusing on chest compressions and artificial respiration, and classifying the roles within the scope that can be observed. Methods: In this study, the protocol was developed by forming an expert group consisting of a professor from the emergency and rescue department, a professor from the nursing department, and a first aid officer from the fire department. In addition, if the number of panels is 15 and the derived content validity ratio (CVR) value exceeds 0.49, a reference point that satisfies content validity at 95% reliability is presented. Results: All 11 performance items exceeded the CVR value of 0.49 to meet the reference point, and the CVR range of this protocol is 0.625 to 1.000. Conclusion: In order to improve the quality of three-person CPR, verification of simulation models and continuous protocol revision should be conducted by individuals specializing in various fields.

Purpose: This study requested and used the raw data of an in-depth investigation of emergency room-injured patients to analyze the characteristics of youths who have attempted intentional self-harm and suicide and the characteristics of youths who have repeatedly self-harmed and attempted suicide. Methods: This study utilized raw data from an in-depth survey of emergency room injury patients conducted from 2019 to 2020, extracted self-harm and suicide patients aged 9-24 years, defined as adolescents under the Youth Basic Act, and analyzed 2,595 subjects. A chi-square test was performed to identify factors related to suicide reattempts. In addition, multiple logistic regression analysis was used to analyze the factors affecting suicide re-attempts in depth. Results: Women were 2.96 times more likely to re-attempt suicide than men (95% CI: 2.468-3.550, p<.001). In terms of reasons for suicide attempts, the probability of re-attempting suicide because of psychiatric problems was 1.354 times higher based on relationship conflict (p<.01). In terms of suicide attempt methods, falls were 0.295 times lower based on burns (p<.001). In terms of suicide attempt outcomes, survival was 0.183 times lower for those who attempted suicide again based on death (p<.05). Conclusion: Ongoing care and support are needed for adolescents who survive suicide attempts. They should be provided with professional counseling and treatment, and programs should be established to help them adapt well to school and society.

Purpose: This study conducted a systematic literature review to analyze the factors related to suicidal ideation among firefighters. Methods: A systematic literature review was conducted to identify factors influencing suicidal ideation among firefighters, using Korean academic information search services from January to June 2022. A total of 238 articles were searched using keywords such as “firefighter,” “depression,” “post-traumatic stress disorder (PTSD),” “cognitive emotion regulation,” “suicide,” and “suicidal ideation.” Among them, nine articles were selected for analysis using descriptive correlation studies. Results: It was found that the relationship between firefighter stress (PTSD) and suicidal thoughts was mediated by depression. Even if the stress level (PTSD) was high, suicidal thoughts decreased when the emotional coping level was high. Conclusion: To prevent firefighters from committing suicide, intervention programs with effective approaches to quickly identify high at-risk people and improve their emotional coping skills, should be implemented.

Purpose: Education for children in South Korea is similar to that for adults, necessitating additional enhancements. Therefore, this study aimed to examine the effectiveness of fairy-tale books in cardiopulmonary resuscitation (CPR) education among kindergarten children. Methods: The study involved 64 kindergarten children enrolled in an affiliated kindergarten program were included. The participants were divided into an experimental group of 32 who received CPR education using picture books, and a control group of 32 who received education through traditional methods. Participant characteristics such as sex, age, height, weight, cardiac arrest awareness, and ability to request assistance were measured, and the collected data were statistically analyzed. Results: Following education, the experimental group showed significantly higher scores than the control group across all measures, including cardiac arrest recognition (2.25 vs. 0.34, p<.001) and consciousness assessment (1.81 vs. 0.09, p<.001). Additionally, in requesting assistance, the experimental group exhibited statistical superiority in phone usage (1.75 vs. 0.28, p<.001), situational explanation post-call (2.25 vs. 0.34, p<.001), and self-location explanation (0.84 vs. 0.00, p=.001). Conclusion: The use of fairy-tale books in CPR education enhanced cardiac arrest recognition and the ability to request assistance (EMS Activation) more effectively than the traditional educational methods among kindergarten children.

연구 목적: 본 연구에서는 심근경색 쥐 모델에서 심장정지를 유발시킨 후 심폐소생술을 수행하는 과정에서 조기 저체온 치료를 적용하여 심장근육의 기능회복과 생존율에 미치는 효과를 조사하고자 하였다. 연구 방법: 본 연구를 위하여 체중 450-550g의 수컷 Sprague Dawley 쥐 10 마리에 개흉을 실시하였다. 왼내림심장동맥을 묶어서 심근경색을 유발시켰다. 왼내림심장동맥을 묶은 후 90분 동안 심실세동을 유도하고, 심폐소생술과 제세동을 실시하였다. 대조군(정상체온군)은 회복과정에 정상체온으로 유지한 군이며, 실험군(저체온군)은 회복과정에 32 ℃ 4시간 저체온을 유지한 군이다. 연구 결과: 심박출량, 좌심실박출률, 심근수행지수는 심폐소생술 후 첫 4시간 동안 대조군보다 실험군에서 더 양호하게 나타났다. 실험군의 생존시간은 대조군보다 더 길게 나타났다(p<.050). 결 론: 본 연구를 통하여 조기 저체온 치료의 적용이 급성심근경색의 심폐소생술 후 심장 기능을 개선하는 데 탁월한 효과가 있으며, 치료법의 새로운 기준이 될 것이다.

Purpose: To investigate the effect of early hypothermia on post-resuscitation myocardial recovery and survival time after cardiac arrest and resuscitation in a rat model of myocardial infarction(MI). Methods: Thoracotomies were performed in 10 male Sprague Dawley rats weighing 450-455g. Myocardial infarction was induced by ligation of the left anterior descending coronary artery. Ninety minutes after arterial ligation, ventricular fibrillation was induced, cardiopulmonary resuscitation was subsequently performed before defibrillation was attempted. Animals were randomized to control group and experimental group(acute MI-normothermia)(32 ℃ for 4 hours). Duration of survival was recorded. Myocardial functions, including cardiac output, left ventricular ejection fraction, and myocardial performance index were measured using echocardiography. Results: Myocardial function was significantly better in hypothermia group than the control group during the first 4 hours post-resuscitation. The survival time of the experimental group was greater than that of the control group(p<.050). Conclusion: This study suggests that early hypothermia can attenuate post-resuscitation myocardial dysfunction after acute myocardial function, and may be a useful strategy in post-resuscitation care.

Purpose: This study compared the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curricula of 119 emergency medical technicians (EMTs). Methods: First, we identified the educational content, training hours, and teaching and evaluation methods of the existing patient assessment curriculum based on the National Competency Standard learning module. Second, we surveyed 30 EMTs affiliated with 119 services using the Analytic Hierarchy Process (AHP) method. Subsequently, we compared the differences between the current curriculum and the AHP analysis results. Results: Currently in operation, the "Advanced EMT Course" comprises three learning modules: assessment of patient status, scene size-up and triage, and assessment using monitoring devices. Among these, content related to the assessment of patient status received the most allocated time and was deemed the most important according to the AHP survey results. Conversely, while less time was allocated to scene size and triage compared with assessment using monitoring devices, the former was assessed as more important than the latter in the AHP results. Furthermore, scenario-based team training and procedure-focused individual practice were evaluated as relatively important teaching methods, while practical examination using a checklist was deemed the most appropriate evaluation method for all learning content. Conclusion: To improve the patient assessment curriculum, we propose adjusting teaching hours and introducing new teaching and evaluation methods based on the results of relative importance. The proposed improvement plan will contribute to enhancing the competency of 119 EMTs.