| 병원 밖 심정지에서 현장의 수직 위치와 기계심폐소생장치가 소생 결과에 미치는 영향에 대한 관찰연구 |
| 지아람1, 조영석1, 이현정1, 이진혁2, 조규종1, 김원영3, 김명천4 |
1한림대학교 의과대학 응급의학교실
2강원대학교 의과대학 응급의학교실
3울산대학교 의과대학 서울아산병원 응급의학과
4경희대학교 의과대학 강동경희대병원 응급의학과 |
| The Influence of Vertical Location of Cardiac Arrest and Application of Mechanical Cardiopulmonary Resuscitation Device on out of Hospital Cardiac Arrest in a Community: A Retrospective Observational Study |
| Ahram Chi1, Youngsuk Cho1, Hyunjung Lee1, Jinhyuck Lee2, Gyu Chong Cho1, Won Young Kim3, Myung Chun Kim4 |
1Department of Emergency Medicine, Hallym University College of Medicine, Seoul, Korea
2Kangwon National University, School of Medicine, Chuncheon, Korea
3Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea
4Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea |
| Correspondence |
Gyu Chong Cho ,Tel: 02-2225-2869, Fax: 02-2224-2683, Email: emdrcho@empas.com,
|
|
|
Received: June 29, 2016; Revised: June 30, 2016 Accepted: August 22, 2016. Published online: December 31, 2016. |
|
|
|
| ABSTRACT |
Purpose:
The use of mechanical compression devices may be considered as an alternative method to treat cardiac arrest. This study aimed to assess the influence of vertical location of cardiac arrest scene to survival rate. Furthermore, it set out to examine the effect of mechanical compression devices on the survival rate.
Method:
This is retrospective, observational study of cardiac arrest patients from Gangdong-gu, Seoul between September 2015 and February 2016. The data were collected by 119 rescue records and cardiac arrest summary list, and the resuscitation result variables were analyzed. We also conducted a survey on 119 paramedics regarding the subjective valuation and drawback of using mechanical compression devices.
Results:
The odd ratio of return of spontaneous circulation (ROSC) in vertical location of cardiac arrest scene was 0.40 (95% confidence interval, 0.17 to 0.98; p=0.044). The odd ratio of survival to admission comparing manual compression with mechanical compression was 0.73 (95% confidence interval, 0.26 to 1.99; p=0.532). A total of 54 paramedics completed the survey, and 46 (85.2%) of them answered that there was a decrease in the quality of chest compression if the scene was other than the 1st floor. Fifty-three (93.1%) replied that mechanical compression devices can be a countermeasure.
Conclusion:
Vertical location of cardiac arrest scene independently effects ROSC of out of hospital cardiac arrest. However, there was no difference in the survival rate between manual and mechanical compressions. |
| Key words:
Cardiopulmonary resuscitation, Device, Location |
|
PDF Links
Full text via DOI 
Download Citation 
