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| 심폐소생술지도에서 CPR수행자에 대한 Dispatcher의 음성지도와 영상지도의 비교연구 |
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박영석 |
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| A Comparative Study on Audio-Direction and Video-Direction of Dispatcher for CPR Trainee in Directing Cardiopulmonary Resuscitation(CPR) |
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Young-Seok Bak |
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| Abstract |
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This is a cross-sectional study intended to draw the effectiveness of dispatcher-based voice-direction and video-direction at an advance stage of a hospital in order to draw a more effective CPR directing method between the previous phone CPR direction and the new and active dispatching method-based voice-direction and video-direction. 80 fire officers working at the fire head-quarters in Daejeon participated in the study. While it was average 4.28 for voice-direction, it was 6.23 for video-direction, which showed that video-direction had the significantly higher performance than voice-direction in managing the airway. Voice-direction was average 3.73, whereas video-direction was average 6.15 in performing CPR as well, which showed that video-direction had statistically more positive outcomes than voice-direction. The result of the cardiac massage was also showed that voice-direction was average 4.90 whereas video-direction was average 6.55, which showed a statistically significant difference proving that video-direction had better outcomes than voice-direction. However, it was 17.62% for voice-direction and 18.68% for video-direction in the basic respiration accuracy without a statistically notable difference between them. For pressure accuracy of the cardiac massage, it was average 47.33% for voice-direction and average 77.43% for video-direction implying that video-direction had the higher pressure accuracy than voice-direction. For the time took for respiration and pressure, video-direction had a reduced performance time compared to voice-direction. |
| Key Words:
Dispatcher; Cardiopulmonary Resuscitation(CPR); Video-direction; Audio-direction |
| 요지 |
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본 연구에서는 기존의 전화음성을 통한 CPR지도와 새로운 지도방법으로 병원 전 단계에서 Dispatcher에 의한 적극적인 음성지도와 영상지도의 효율성을 도출하여 보다 효과적인 CPR 지도방법을 도출하고자 D광역시의 소방본부 산하에 근무하는 소방공무원 80명을 대상으로 실시한 단면연구이다. 음성지도의 경우는 평균 4.28반면 영상지도의 경우는 평균 6.23로 기도관리에서 음성지도보다 영상지도의 수행도가 유의하게 높았고, 인공호흡의 수행에서도 음성지도 평균 3.73반면 영상지도는 평균 6.15로 음성지도보다 영상지도의 수행도가 더 좋은 결과로 통계적으로 지지되었다. 흉부압박 수행에서도 음성지도의 경우에는 평균 4.90인 반면 영상지도의 경우는 평균 6.55으로 음성지도보다 영상지도가 더 좋은 결과로 통계적으로 유의한 차이가 있었으나, 기본적인 호흡정확도에서는 음성지도 17.62%, 영상지도 18.68%로 통계적으로 유의하지 않았다. 흉부압박에서 압박정확도의 경우 음성지도는 평균 47.33%이고 영상지도는 평균 77.43%로 음성지도보다 영상지도에서 압박 정확도가 높은 것으로 나타났다. 호흡과 압박에 걸린 시간에서도 음성지도보다 영상지도에서 수행시간이 매우 단축되는 것으로 나타났다. |
| 핵심용어:
응급통신관리자; 심폐소생술; 영상지도; 음성지도 |
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