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Journal of The Korean Society of Emergency Medicine 1997;8(4): 505-512. |
| Training Nurses, Trainee for Emergency Medical Technitinan, and Firefighters to use Automated External Defibrillator |
| Kang Hyun Lee, Sung Oh Hwang, Jin Woong Lee, Jong Chun Lim, Hyun Kim, Gu Hyun Kang, Seong Whan Kim, Boo Soo Lee, Ok Jun Kim |
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| ABSTRACT |
BACKGROUND: Automated external defibrillator(AED) represent a major breakdown to permit more widespread application of the principle of early defibrillation. Many recent efforts to improve emergency medical services(EMS) and increase survival rates are simply efforts to get defibrillation to patients as rapidly as possible. AED is major innovation for the prehospital care of ventricular fibrillation cardiac arrest patients. The purpose of this study is to evaluate the course of initial training to three different groups(nurses, firefighters, and EMT trainee) to use AED.
METHOD: We studies the efficacy of education of AED to 33 nurses, 15 EMT trainee, and 16 firefighters. Training lasted 75 mins and included 45 mins an overview of defibrillation, protocols for using the AED, and operation of the AED(Laerdal Heartstart 3000),15 mins demonstraion.4 check list was used to grade the performance of cardiopulmonary resuscitation, operation of the AED, and the time required to deliver the first three defibrillations.
RESULT: There were no statistically significant differences in performance and time required to deliver an electrical countershock among the groups(p=0.4). To the second test 92fo of all group completed all steps successfully. The step most often foiled was the preparing of the AED for defibrillation.
CONCLUSION:
In nurses, EMT trainee, and firefighters, it is both feasible and effective to train AED use irrespective of the degree of the trainee. |
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