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Cho, Byung-Jun
- The Effect of Cardiac Arrest Simulation Training Using Mechanical CPR Device on Chest Compression Quality of Paramedics in Pre-Hospital
Authors
1 Dept. Emergency Medical Technology, Kangwon National University, KP
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1816-1821Abstract
Background/Objectives: It is to establish a transport plan in a situation where it is difficult to maintain the quality of CPR due to the building structure by measuring the difference in quality of CPR in the field and transport process of pre-hospital cardiac arrest patients.
Method/Statistical Analysis:For this purpose, simulated CPR training for OHCA patients who were not seen in the field was performed on the 78 EMT trainees enrolled in firefighterschool in K region. The simulated training was performed by dividing them into two groups such as one group using manual CPR and the other group using mechanical CPR (LUCAS2™) in the stage of field and the transport composed of stairs and corridors in a four-story building.
Findings: The quality of chest compression implemented at the field does not satisfy all the requirements of the guideline, but provided sufficient depth and rate of the pressure. The values of the measured CPR quality showed that CPR in the transport was lower than that in the field. The chest press quality was lower- in particular the depth of chest press was about 20mm lower and it did not meet the 2015 Guidelines of the CPR Association in Korea. On the other hand, the group using LUCAS2™ in the transport stage showed steady and even press depth and appropriate press and relaxation without degradation of the quality comparing to CPR in the field, all guidelines are satisfied. Although there is much controversy about the improvement of chest compression quality using CPR devices leading to improved survival rates, the use of CPR devices should continue to be considered in these unstable environments.
Improvements/Applications: Conclusively, in the transport process where there are structural difficulties, the group using LUCAS2™ could meet the Guidelines of the CPR Association when performing CPR which plays important role in increasing revival rate of OHCA patients. It can be the ground of using mechanical CPR devices in the future.
Keywords
Pre-Hospital Cardiac Arrest, OHCA, CPR Quality, Mechanical CPR Device, LUCAS, Chest Compression Quality.- Factors Influencing Nursing Performance of Clinical Nurses: Focusing Communication Competency and Job Satisfaction
Authors
1 Department of Emergency Medical Technology, Daejeon Health Institute of Technology, KP
2 Department of Special Warfare Medical Non-Commissioned Officer, Daejeon Health Institute of Technology, KP
3 Department of Emergency Medical Technology, Kangwon National University,, KP
4 Department of Nursing, Kungmin University, KP
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 2208-2213Abstract
Background/Objectives:The purpose of this study was to identify factors influencing nursing performance of clinical nurses.
Method/Statistical Analysis:The participants were 187 clinical nurses. Data were collected from December, 2017 by questionnaire survey. Data analysis was done by using descriptive statistics, t-test, ANOVA, multiple logistic regression with the SPSS 23.0 program.
Findings:This study shows significant variables of age, marital status, education level, working pattern, position, salary, career of participants. The factors influencing with nursing performance were age, salary, communication competency and job satisfaction have a 52.0% explanatory power for the nursing performance of clinical nurses.
Improvements/Applications:This study confirmed that communication competency and job satisfaction were identified to improve nursing performance. Therefore we should develop programs in order to increase communication competency and job satisfaction.