성인 심폐소생술 술기 점수 비교:레어달 에니 스킬리포터 대 액타 911 마네킹 (Comparison of adult CPR skill scores:real -time visual feedback manikin Anne skillreporter vs. non -feedback manikim (Actar 911 squadron))

서지정보

· 발행기관 : 사단법인 한국응급구조학회
· 수록지 정보 : 한국응급구조학회지 / 15권 / 2호 / 101 ~ 108페이지
· 저자명 : 김지희, 문태영, 엄태환

초록

Purpose: Cardiopulmonary resuscitation (CPR) prevents tissue necrosis of the brain and cardiac muscle in the cardiac arrest patient and requires exact skills in order to increase survival rate. Through comparison of the training effects of feedback manikin and nonfeedback manikin, this study present the effective CPR device to CPR instructors.
Method: This CPR course for 80 students by using Resusci Anne SkillReporterTM (RASR;Laerdal Medical, Stavanger, Norway) and Actar 911 SquadronTM (A911; Vital Signs, New Jersey, USA) held on December 22, 2009. Thirty seven students and two assistants were placed in one laboratory, there were five RASR manikins which provide the LED performance indicator, not the metronome. Forty two students and two assistants were placed in the other laboratory, there were 20 A911 manikins which don't provide any feedback indicator.
Chest compression scores and ventilation compression scores obtaining from two groups were analysed statistically by using independent t-test.
Results: Chest compression scores, average depth (mm) was 37.5 in RASR and 41.80 A911(p=.004), too depth (#) was 2.8 in RASR and 19.4 A911 (p=.005), average number per min (#/min) was 64.4 in RASR and 68.2 A911 (p=.038), wrong hand position (#/min) was 10.9 in RASR and 30.8 A911 (p=.040). Four items that showed better scores in group RASR had statistically significant difference. Ventilation compression scores, percent correct (%) was 40.6 in RASR and 20.6 A911 (p<.001), number correct (#) was 4.7 in RASR and 2.1 A911(p=.002), too fast (#) was 0.9 in RASR and 2.9 A911 (p=.003), average volume (ml) was 536.5in RASR and 707.1 A911 (p=.011). Also, three items that showed better scores in group RASR had statistically significant difference.
Conclusions: Regarding the positive effect of CPR training feedback, comparison between the real-time visual feedback manikin (RASR) and the non-feedback manikin (A911) showed that RASR had better results than A911 in chest compression except average number per min (it means that we need harder chest manikin) and ventilation. Verification of the training effect in the real world such as CPR outcomes is also necessary. A proper application of manikin in training circumstances and research on retention of CPR skills will be needed.

영어초록

Purpose: Cardiopulmonary resuscitation (CPR) prevents tissue necrosis of the brain and cardiac muscle in the cardiac arrest patient and requires exact skills in order to increase survival rate. Through comparison of the training effects of feedback manikin and nonfeedback manikin, this study present the effective CPR device to CPR instructors.
Method: This CPR course for 80 students by using Resusci Anne SkillReporterTM (RASR;Laerdal Medical, Stavanger, Norway) and Actar 911 SquadronTM (A911; Vital Signs, New Jersey, USA) held on December 22, 2009. Thirty seven students and two assistants were placed in one laboratory, there were five RASR manikins which provide the LED performance indicator, not the metronome. Forty two students and two assistants were placed in the other laboratory, there were 20 A911 manikins which don't provide any feedback indicator.
Chest compression scores and ventilation compression scores obtaining from two groups were analysed statistically by using independent t-test.
Results: Chest compression scores, average depth (mm) was 37.5 in RASR and 41.80 A911(p=.004), too depth (#) was 2.8 in RASR and 19.4 A911 (p=.005), average number per min (#/min) was 64.4 in RASR and 68.2 A911 (p=.038), wrong hand position (#/min) was 10.9 in RASR and 30.8 A911 (p=.040). Four items that showed better scores in group RASR had statistically significant difference. Ventilation compression scores, percent correct (%) was 40.6 in RASR and 20.6 A911 (p<.001), number correct (#) was 4.7 in RASR and 2.1 A911(p=.002), too fast (#) was 0.9 in RASR and 2.9 A911 (p=.003), average volume (ml) was 536.5in RASR and 707.1 A911 (p=.011). Also, three items that showed better scores in group RASR had statistically significant difference.
Conclusions: Regarding the positive effect of CPR training feedback, comparison between the real-time visual feedback manikin (RASR) and the non-feedback manikin (A911) showed that RASR had better results than A911 in chest compression except average number per min (it means that we need harder chest manikin) and ventilation. Verification of the training effect in the real world such as CPR outcomes is also necessary. A proper application of manikin in training circumstances and research on retention of CPR skills will be needed.

참고자료

· 없음