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The Physical Characteristics of 119 EMTs and a Comparison of the Quality in Chest Compressions according to Posture in Pregnant Women Cardiac Arrest -A Mannequin Model lying with a 30° Incline to the Left-
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  • Journal title : Journal of Digital Convergence
  • Volume 13, Issue 11,  2015, pp.197-204
  • Publisher : The Society of Digital Policy and Management
  • DOI : 10.14400/JDC.2015.13.11.197
 Title & Authors
The Physical Characteristics of 119 EMTs and a Comparison of the Quality in Chest Compressions according to Posture in Pregnant Women Cardiac Arrest -A Mannequin Model lying with a 30° Incline to the Left-
Park, Dae-Sung;
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 Abstract
This study aims to identify the effects: quality of chest compressions, height and weight of pregnant women cardiac arrest while lying inclined to the left has on the quality of chest compressions administered by 119 EMT. For the purpose of this study, 62 members of 119 EMTs in M, N, S, Y cities and G cities of J province agreed to join in the test and the test was conducted from June 15 to 16 in 2015. Two mannequins (Resusci Anne) were used for the study and the chest compression process was recorded with the use of the Laerdal PC Skill Reporting System. As a result, it was discovered that for patients with a left inclination, who were below 170 cm in height and 65 kg in weight, the proper frequency and depth of compression were unsatisfactory. With this in mind, training programs and instruments that can improve the quality of chest compressions depending on a person's (patient's) height and weight should be developed.
 Keywords
119EMTs(Emergency medical technician);Pregnancy women; left inclination;Chest compression;Convergence;
 Language
Korean
 Cited by
 References
1.
R. J. Van Hoeyweghen, L. L. Bossaert, A. Mullie, P. Calle, P. Martens, W. Buylaert, et al., "Cerebral resuscitation study group: quality and efficiency of bystander CPR", Resuscitation Vol.26, No.1, pp.47-52, 1993. crossref(new window)

2.
E. J. Gallagher, G. Lombardi, P. Gennis, "Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest", J Am Med Assoc, Vol.274, No.24, pp.1922-5, 1995. crossref(new window)

3.
M. Sekimoto, Y. Noguchi, M. Rahman, K. Hira, M. Fukui, K. Enzan, et a.l, "Estimating the effect of bystander-initiated cardiopulmonary resuscitation in japan", Resuscitation, Vol.50, pp.153-60, 2001. crossref(new window)

4.
C. W. Yang, H. C. Wang, W. C. Chiang, C. W. Hsu, W. T. Chang, Z. S. Yen, et al., "Interactive video instruction improves the quality of dispatcher-assisted chest compression-only cardiopulmonary resuscitation in simulated cardiac arrests", Crit Care Med, Vol.31, pp.490-5, 2007.

5.
M. Wolcomir, ed, "Advanced life support for obstetrics", Kansas City, Mo: American Academy of Family Physicians, 1996.

6.
S. Morris, M. Stacey, "Resuscitation in pregnancy", BMJ, Vol.327, pp.1277-9, 2003. crossref(new window)

7.
A. Dijkman, C. M. Huisman, M. Smit, J. M. Schutte, J. J. Zwart, J. J. van Roosmalen, et al., "Cardiac arrest in pregnancy: increasing use of perimortem caesarean section due to emergency skills training?", BJOG, Vol.117, pp.282-7, 2010. crossref(new window)

8.
J. Bieniarz, L. A. Branda, E. Maqueda, J. Morozovsky, R. Caldeyro-Barcia, "Aortocaval compression by the uterus in late pregnancy. 3. unreliability of the sphygmomanometric method in estimating uterine artery pressure", Am J Obstet Gyneco,l Vol.102, pp.1106-15, 1968.

9.
R. J. Cardosi, K. B. Porter, "Cesarean delivery of twins during maternal cardiopulmonary arrest", Obstet Gynecol, Vol.92, pp.695-7, 1998. crossref(new window)

10.
A. Page-Rodriguez, J. A. Gonzalez-Sanchez, "Perimortem cesarean section of twin pregnancy:case report and review of the literature", Acad Emerg Med, Vol.6, pp.1072-4, 1999. crossref(new window)

11.
R. Lanoix, V. Akkapeddi, B. Goldfeder, "Perimortem cesarean section: case reports and recommendations", Acad Emerg Med, Vol.2, pp. 1063-7, 1995. crossref(new window)

12.
Korean journal of emergency medical services and korean association of university professors in emergency medical technology, "Emergency care in the streets 6th edition", pp.1438-42, Jungdammedia, 2010.

13.
D. F. Kupas, S. C. Harter, A. Vosk, "Out-of-hospital perimortem cesaream section", Prehosp Emerg Care, Vol.2, pp.206-8, 1998. crossref(new window)

14.
T. L. Vanden Hoek, L. J. Morrison, M. Shuster, M. Donnino, E. Sinz, E. J. Lavonas, et al., "Part 12: cardiac arrest in special situations: 2010 american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care", Circulation, Vol.122, pp.S829-61, 2010. crossref(new window)

15.
J. Soar, G. D. Perkins, G. Abbas, A. Alfonzo, A. Barelli, J. J. Bierens, et al., "European resuscitation council guidelines for resuscitation 2010 section 8. cardiac arrest in special circumstances: electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution", Resuscitation, Vol.81, pp.1400-33, 2010. crossref(new window)

16.
A. P. Goodwin, A. J. Pearce, "The human wedge. a manoeuvre to relieve aortocaval compression during resuscitation in late pregnancy", Anaesthesia, Vol.47, pp.433-4, 1992. crossref(new window)

17.
http://guidelines.ecc.org/guidelines-highlights.html. "Highlights of the 2010 american heart association guidelines for CPR and ECC".

18.
K. B. Kern, "Cardiopulmonary resuscitation without ventilation", Crit Care Med, Vol.28, No.11, pp.186-9, 2000. crossref(new window)

19.
J. E. Whitty, "Maternal cardiac arrest in pregnancy", Clin Obstet Gynecol, Vol.45, pp.377-92, 2002. crossref(new window)

20.
T. P. Aufderheide, R. G. Pirrallo, D. Yannopoulos, J. P. Klein, C. Von Briesen, C. W. Sparks, et al., "Incomplete chest wall decompression: a clinical evaluation of CPR performance by EMS personnel and assessment of alternative manual chest compression-decompression techniques", Resuscitation, Vol.64, No.3, pp.353-62, 2005. crossref(new window)

21.
P. D. Larsen, K. Perrin, D. C. Galletly, "Patterns of external chest compression", Resuscitation, Vol.53, No.3, pp.281-7, 2002. crossref(new window)

22.
G. D. Perkins, C. M. Smith, C. Augre, M. Allan, H. Rogers, B. Stephenson, et al., "Effects of a backboard, bad height, and operator position on compression depth during simulated resuscitation", Intensive Care Med, Vol.32, No.10, pp.1632-5, 2006. crossref(new window)

23.
S. G. Rees, J. A. Thurlow, I. C. Gardner, M. J. Scrutton, S. M. Kinsella, "Maternal cardiovascular consequences of positioning after spinal anaesthesia for caesarean section: left 15 degree table tilt vs. left lateral", Anaesthesia Vol.57, pp.15-20, 2002. crossref(new window)

24.
C. Mendonca, J. Griffiths, B. Ateleanu, R. E. Collis, "Hypotension following combined spinalepidural anaesthesia for Caesarean section. Left lateral position vs. tilted supine position", Anaesthesia, Vol.58, pp.428-31, 2003. crossref(new window)

25.
J. H. Bamber, M. Dresner, "Aortocaval compression in pregnancy: the effect of changing the degree and direction of lateral tilt on maternal cardiac output", Anesth Analg, Vol.97, pp.256-8, 2003.

26.
B. Carbonne, A. Benachi, M. L. Leveque, D. Cabrol, E. Papiernik, "Maternal position during labor:effects on fetal oxygen saturation measured by pulse oximetry", Obstet Gynecol, Vol.88, pp.797-800, 1996. crossref(new window)

27.
P. Tamas, A. Szilagyi, S. Jeges, M. Vizer, T. Csermely, Z. Lfi, et al., "Effects of maternal central hemodynamics on fetal heart rate patterns", Acta Obstet Gynecol Scand, Vol.86, pp.711-4, 2007. crossref(new window)

28.
G, A. Rees, B, A. Willis. "Resuscitation in late pregnancy", Anaesthesia, Vol.43, pp.347-9, 1988. crossref(new window)