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J Korean Soc Emerg Med > Volume 28(6); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(6): 635-642.
동영상 문제를 통한 심정지 인지 여부 비교 연구: 일반인, 간호사, 응급의료전화상담원
김태완1, 조영석1,2, 이진혁1,3, 차현민1, 이현정1, 최대희1, 조규종1
1한림대학교 의과대학 강동성심병원 응급의학과
2한양대학교 의과대학 생명공학과
3강원대학교 의과대학 응급의학교실
The Recognition Capability of Cardiac Arrest for Lay Person, Nurse and Dispatcher: A Comparison Study through the Video Question
Taewan Kim1, Youngsuk Cho1,2, Jinhyuck Lee1,3, Hyunmin Cha1, Hyunjung Lee1, Daehee Choi1, Gyu Chong Cho1
1Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea
2Department of Biomedical Engineering, Hanyang University College of Medicine, Seoul, Korea
3Department of Emergency Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
Correspondence  Gyu Chong Cho ,Tel: 02-2225-2869, Fax: 02-2224-2683, Email: emdrcho@empas.com,
Received: July 31, 2017; Revised: August 3, 2017   Accepted: September 25, 2017.  Published online: December 31, 2017.
ABSTRACT
Purpose:
The rapid recognition of cardiac arrest is an important factor for survival in cardiac arrest patients, and gasping is a primary barrier to the recognition of a cardiac arrest. This study examined differences in capability of recognizing a cardiac arrest and gasping among lay people, hospital nurses, and medical dispatchers.
Method:
From January to July 2016, 193 participants (65 lay people 62 hospital nurses, and 66 medical dispatchers) watched video clips of a collapsed virtual patient with unresponsiveness, gasping or seizure and answered a questionnaire asking whether the patient was in cardiac arrest or not. The results of the questionnaire were analyzed and compared among the groups.
Results:
The total score of the questionnaire on the determination of cardiac arrest among lay people, nurses, and medical dispatchers were significant (3.09±1.43 vs. 4.15±1.22 vs. 4.45±1.29 points, p<0.01). In the questions regarding cardiac arrest with gasping, the correct answer rate was highest in the dispatchers, followed in order by nurses and lay people (82.5% vs. 54.8% vs. 29.7%, p<0.001).
Conclusion:
In this study, lay people had the lowest recognition capability of a cardiac arrest and gasping among the groups. In addition, gasping is a meaningful barrier to cardiac arrest recognition for both lay people and healthcare providers.
Key words: Cardiopulmonary resuscitation, Cardiac arrest, Respiration, Recognition
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