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The Effects of Slide-Covered of Slide-Covered Contemporary Charging Automated External Defibrillator on Rapidity and Convenience of Defibrillation

슬라이드 커버 동시충전 자동심장충격기가 제세동의 신속성과 편의성에 미치는 효과

  • Park, Si-Eun (Department of Emergency Medical Technology, Donggang University)
  • 박시은 (동강대학교 응급구조과)
  • Received : 2020.05.19
  • Accepted : 2020.08.07
  • Published : 2020.08.31
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Abstract

This study compares the rapidity and subjective convenience of T-AED and SC-AED for health care providers and the general public. Subjects were randomly allocated to T-AED (n=77) and SC-AED (n=79) groups. Each group conducted defibrillation, with subsequent measurement of the rapidity of defibrillation in peri-shock pause, pre-shock pause, hesitation pause, and post-shock pause. Defibrillation and chest compression delay times for both equipment were analyzed by t-test. On conclusion of the experiment, subjects answered a questionnaire on the subjective convenience of defibrillation, as measured for confidence, convenience, and clear decision. Comparisons of subjective convenience analyzed by t-test revealed significantly shortened peri-shock pause (11.22s), pre-shock pause (11.04s), and hesitation pause (2.15s) in the SC-AED group, as compared to the T-AED group (p<0.001). However, no significant differences were observed for post-shock pause values. Comparing subjective convenience, confidence (T-AED: 7.62±1.25VAS vs. SC-AED: 7.80±0.98VAS, p=0.358) was not significant, whereas convenience (T-AED: 7.05±1.36VAS vs. SC-AED: 8.95±0.89VAS, p<0.001) and clear decision (T-AED: 6.58±1.73VAS vs. SC-AED: 9.08±0.98VAS, p=0.001) showed statistically significant differences. Our results indicate that compared to T-AED, SC-AED has significantly shortened pauses. Moreover, it is more convenient for the user, and significantly aids in clear decisions.

본 연구의 목적은 기존 자동심장충격기인 T-AED와 새롭게 개발된 SC-AED의 제세동 신속성 및 사용자가 느끼는 주관적 편의성을 비교하는 것이다. 2017년 2월부터 2018년 4월까지 전남지역의 D대학, C대학병원의 기본인명소생술 교육센터에서 의료종사자 및 일반인을 위한 기본소생술과정에 참여한 156명을 T-AED (n = 77) 및 SC-AED (n = 79) 그룹에 무작위할당 하였다. 각 그룹은 제세동을 실시한 후, 총 제세동 지연시간, 제세동 지연시간, 쇼크버튼 누름 지연시간, 후속 흉부압박 재개시간까지의 시간을 측정하였고 이를 t-검정을 통해 분석했다. 실험 후 조작자신감, 사용편의성, 의사결정 도움, 이상 3가지 요인에 대한 자료를 설문으로 수집하였고 각각 t-검정을 통해 분석하였다. SC-AED는 T-AED와 비교하여 총 제세동 지연시간(11.22 초), 제세동 지연시간(11.04 초) 및 쇼크버튼 누름지연시간(2.15 초)가 현저히 단축되었습니다 (p<0.001). 주관적 편의성 측면에서 자신감(T-AED : 7.62±1.25VAS vs. SC-AED : 7.80±0.98VAS, p = .358)는 중요하지 않았지만, 편의성(T-AED : 7.05±1.36VAS vs. SC) -AED : 8.95±0.89VAS, p<0.001) 및 의사결정도움(T-AED : 6.58 ± 1.73VAS vs. SC-AED : 9.08±0.98VAS, p = 0.001)은 유의한 차이를 보여주었다. 결론적으로 T-AED에 비해 의료종사자 및 일반인 집단 모두에서 더욱 신속한 제세동을 가능하게 하였으며, 사용자의 편의성과 명확한 의사결정을 크게 도와주었다. SC-AED에 적용된 기술이 향후 보편적인 자동심장충격기에 상용화된다면 더욱 효과적인 PAD를 통해 심정지 환자의 생존율 제고에도 이바지할 것이다.

Keywords

References

  1. P. R. Hinchey, J. B. Myers, R. Lewis, V. J. De Maio, E. Reyer, D. Licatese, & J. Zalkin, "Improved Out-of-hospital Cardiac Arrest Survival after the Sequential Implementation of 2005 AHA Guidelines for Compressions, Ventilations, and Induced Hypothermia: The Wake County Experience," Annuals of Emergency Medicine, Vol.56, No.4, pp.348-357, 2010. DOI: https://doi.org/10.1016/j.annemergmed.2010.01.036
  2. R. E. Sell, R. Sarno, B. Lawrence, E. M. Castillo, R. Fisher, C. Brainard, J. V. Dunford, & D. P. Davis, "Minimizing Pre-and Post-defibrillation Pauses Increases the Likelihood of Return of Spontaneous Circulation(ROSC)," Resuscitation, Vol.81, No,7, pp.822-825, 2010. DOI: https://doi.org/10.1016/j.resuscitation.2010.03.013
  3. S. Cheskes, R. H. Schmicker, P. R. Verbeek, D. D. Salcido, S. P. Brown, S. Brooks, J. J. Menegazzi, C. Vaillancourt, J. Powell, S. May, R. A. Berg, R. Sell, A. Idris, M. Kampp, T. Schmidt, & J. Christenson, "The Impact of Peri-shock Pause on Survival from Out-of-hospital Shockable Cardiac Arrest during the Resuscitation Outcomes Consortium PRIMED Trial," Resuscitation, Vol.85, No.3, pp.336-342, 2014. DOI: https://doi.org/10.1016/j.resuscitation.2013.10.014
  4. J. Berdowski, M. T. Blom, A. Bardai, H. L. Tan, J. G. Tijssen, & R. W. Koster, "Impact of Onsite or Dispatched Automated External Defibrillator Use on Survival after Out-of-hospital Cardiac Arrest," Circulation, Vol.124, pp.2225-2232., 2011 DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.015545
  5. M. F. Hazinski, A. H. Idris, R. E. Kerber, A. Epstein, D. Atkins, W. Tang, & K. Lurie, "Lay Rescuer Automated External Defibrillator ("Public Access Defibrillation") Programs: Lessons Learned from an International Multicenter Trial: Advisory Statement from the American Heart Association Emergency Cardiovascular Committee; the Council on Cardiopulmonary, Perioperative, and Critical Care; and the Council on Clinical Cardiology," Circulation, Vol.111, No.24, pp.3336-3340, 2005. DOI: https://doi.org/10.1161/CIRCULATIONAHA.105.165674
  6. T. D. Rea, M. Olsufka, B. Bemis, L. White, L. Yin, L. Becker, M. Copass, M. Eisenberg, & L. Cobb, "A Population-based Investigation of Public Access Defibrillation: Role of Emergency Medical Services Care," Resuscitation, Vol.81, No.2, pp.163-167, 2010. DOI: https://doi.org/10.1016/j.resuscitation.2009.10.025
  7. F. Folke, F. K. Lippert, S. L. Nielsen, G. H. Gislason, M. L. Hansen, T. K. Schramm, R. Sorensen, E. L. FoSCol, S. S. Andersen, S. Rasmussen, L. Kober, & C. Torp-Pedersen, "Location of Cardiac Arrest in a City Center: Strategic Placement of Automated External Defibrillators in Public Locations. Circulation, Vol.120, No.6, pp.510-517, 2009. DOI: https://doi.org/10.1161/CIRCULATIONAHA.108.843755
  8. Jeon, B. H. "Comparison of automated and manual modes in multimodal defibrillator with manikin model-in aspect of interrupting chest compression, and accuracy of ECG rhythm analysis." Chung Ang University. 2014.
  9. S. Ha, J. Kim, S. Shin, & E. Lee, "Impact of Automatic AED with Feedback Device on the Quality of CPR under the Out-of-hospital Cardiac Arrest Situation," In Proceedings of the The Korean Society of Emergency Medicine Spring Conference, pp.272-273, 2013.
  10. J. Park, "The Effects of Cardiopulmonary Resuscitation and Automated External Defibrillator Education for School Teachers," The Korean Journal of Emergency Medical Services, Vol.17, No.2, pp.29-41, 2013. DOI: https://doi.org/10.14408/KJEMS.2013.17.2.029
  11. M. D. Miller, & D. G. Ferris, "Measurement of Subjective Phenomena in Primary Care Research: The Visual Analogue Scale." Family Practice Research Journal, Vol.13, No.1, pp.15-24, 1993.
  12. T. Eftestol, K. Sunde, & P. A. Steen, "Effects of Interrupting Precordial Compressions on the Calculated Probability of Defibrillation Success during Out-of-hospital Cardiac Arrest," Circulation, Vol.105, No.19, pp.2270-2273, 2002. DOI: https://doi.org/10.1161/01.CIR.0000016362.42586.FE
  13. T. Yu, M. H. Weil, W. Tang, S. Sun, K., Klouche, H. Povoas, & J. Bisera, "Adverse Outcomes of Interrupted Precordial Compression during Automated Defibrillation," Circulation, Vol.106, No.3, pp.368-372, 2002. DOI: https://doi.org/10.1161/01.CIR.0000021429.22005.2E
  14. C. Y. Koh, & C. H. Kim, "Comparing the Fully-automated External Defibrillator and Semi-automated External Defibrillator used by Lay-persons: A Simulation Study," Journal of The Korean Society of Emergency Medicine, Vol.24, No.4, pp.362-369, 2013.
  15. J. A. Zijlstra, L. E. Bekkers, M. Hulleman, S. G. Beesems, & R. W. Koster, "Automated External Defibrillator and Operator Performance in Out-of-hospital Cardiac Arrest," Resuscitation, Vol. 118, pp.140-146, 2017. DOI: https://doi.org/10.1016/j.resuscitation.2017.05.017