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J Korean Soc Emerg Med > Volume 34(6); 2023 > Article
Journal of The Korean Society of Emergency Medicine 2023;34(6): 467-486.
전국 응급의료기관의 기계 심폐소생술 장치 사용 현황에 대한 보고
박희수1 , 서길준1,2 , 김태균1,2 , 김하영1 , 김주원3 , 최명재1 , 왕가온소래1
1서울대학교병원 응급의학과
2서울대학교 의과대학 응급의학교실
3서울대학교병원 간호본부
The research for the utilization of mechanical chest compression device for emergency medical center in Korea: a survey-based study
Heesu Park1 , Gil Joon Suh1,2 , Taegyun Kim1,2 , Hayoung Kim1 , Ju Won Kim3 , Myeongjae Choi1 , Gaonsorae Wang1
1Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea
2Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea
3Nursing Department, Seoul National University Hospital, Seoul, Korea
Correspondence  Gil Joon Suh ,Tel: 02-2072-2196, Fax: 02-3672-8871, Email: suhgil@snu.ac.kr,
Received: August 7, 2023; Revised: September 22, 2023   Accepted: October 11, 2023.  Published online: December 31, 2023.
ABSTRACT
Objective:
During the coronavirus disease 2019 (COVID-19) pandemic, the use of mechanical chest compression (meCC) devices for cardiopulmonary resuscitation (CPR) in emergency departments might have increased. However, there are few reports yet of such an increase in use. This study aimed to assess the current status of meCC device utilization in emergency medical institutions nationwide through a survey.
Method:
This cross-sectional study conducted a survey from August 20, 2022 to September 29, 2022, using emails and text messages to target 287 out of a total of 409 emergency medical institutions nationwide for which contact information was obtained.
Results:
Of the 287 emergency medical institutions, 127 responded (44.2% response rate). Of these, 74 (58.3%) reported using meCC devices. The utilization rates were highest in the regional emergency medical center, followed by local emergency medical centers and local emergency medical agencies (93.3% vs. 67.3% vs. 27.1%, respectively; P<0.001). The most common reason for device purchases was to reduce rescuer fatigue and ensure high-quality CPR. The second reason was personnel shortages, while the regional emergency medical center gave a higher priority to the protection of medical staff from COVID-19. The meCC device group reported significantly higher cases of CPR (100 or more cases per year) compared to the non-meCC device group (64.9% vs. 24.6%; P<0.001) although no difference was shown in the total number of medical staff participated in CPR between the groups. Also, 90.5% of the meCC group expressed satisfaction with using the device.
Conclusion:
More than 50% of emergency medical institutions used meCC devices in CPR, citing reasons such as reducing rescuer fatigue and ensuring high-quality CPR.
Key words: Cardiopulmonary resuscitation; Advanced Cardiac Life Support; Emergency medical services
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