A Study on the Cardiopulmonary Resuscitation Methods in Ambulance

So-Yeon, Shin; Jee-Hee, Kim; Gyoung-Yong, Kim; Shin-Woo, Kang; Sung-Hwan, Bang; Jong-Geun, Yun; Sang-Gyun, Roh

doi:2014.28.4.104

Fire Sci. Eng. > Volume 28(4); 2014 > Article

Fire Science and Engineering 2014;28(4):104-111.
DOI: https://doi.org/10.7731/KIFSE.2014.28.4.104 Published online August 31, 2014.

구급차 내에서의 심폐소생술 방법에 관한 연구

신소연, 김지희, 김경용, 강신우, 방성환, 윤종근, 노상균

¹강원대학교 산업과학대학원
²강원대학교 응급구조학과
³경기도소방학교
⁴경기도소방학교
⁵소방방재청 119구급과
⁶선문대학교 응급구조학과
⁷선문대학교 응급구조학과

A Study on the Cardiopulmonary Resuscitation Methods in Ambulance

Shin So-Yeon, Kim Jee-Hee, Kim Gyoung-Yong, Kang Shin-Woo, Bang Sung-Hwan, Yun Jong-Geun, Roh Sang-Gyun

¹Graduate School of Industry & Science, Kangwon National Univ.
²Dept. of Emergency Medical Services, Kangwon National Univ.
³Gyeonggi-Do Fire Service Academy
⁴Gyeonggi-Do Fire Service Academy
⁵National Emergency Management Agency 119 EMS Division
⁶Dept. of Emergency Medical Services, Sunmoon Univ.
⁷Dept. of Emergency Medical Services, Sunmoon Univ.

요약

이 연구는 소방에 근무하는 응급구조사에 의해 시행되는 구급차 내 심폐소생술 방법에 관한 연구이다. 연구 대상은 경기도 관할 780명으로 2012년 보수교육 종료 후 설문을 통하여 수집하였다. 일반적 특성, 가슴압박 방법(한 손 가슴압박 VS 두 손 가슴압박), 심폐소생술 방법(표준심폐소생술 VS 가슴압박소생술) 등에 대하여 Chi-square test, t-test. ANOVA로 분석하였다. 한 손을 이용한 가슴압박 14.0%, 두 손을 이용한 가슴압박 86.0%를 보였고, 표준심폐소생술(가슴압박 VS 인공호흡)은 28.3%, 가슴압박소생술 71.7%를 보였다. 고품질의 심폐소생술을 위해서는 심정지 환자의 구급 출동만이라도 운전자 포함 3명 이상의 응급구조사가 출동할 수 있도록 탄력적인 인력 운영 방안이 필요하며, 역량 강화를 위한 심폐소생술의 정기적인 교육이 필요하다.

Abstract

The purpose of this study is to investigate the CPR within ambulance. The Subjects were 890 emergency medical technicians in fire department in Gyeonggido. After continuing education program, the emergency medical technicians completed the questionnaires from January to February, 2012. Questionnaire consisted of demographic characteristics, method of chest compression (one handed or two handed), chest compression - ventilation ratio, and hands only CPR. Data were analyzed by frequency analysis and Chi-square test, t-test. One-way analysis of variance (ANOVA) was followed by Scheffe post-hoc test to analyze changes in all parameters between all groups. One handed chest compression accounted for 14.0% and two handed chest compression accounted for 86.0%. Hands only CPR accounted for 71.7% and standard CPR (30:2) accounted for 28.3%. In order to perform the high quality CPR, as least three persons must be dispatched in the ambulance. The flexible management of manpower may improve the survival from the cardiac arrest. A systemic approach for educating and training EMT's in CPR is needed.

Key Words: Cardiopulmonary resuscitation, Emergency medical technician, Ambulance