The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Effect of level D personal protective equipment on chest compression for pre-hospital arrest patients with suspected or confirmed COVID-19 : A randomized crossover simulation trial

코로나19 의심 또는 확진 환자가 병원 밖 심정지 발생 시 구조자의 개인 보호장비(PPE) 착용에 의한 가슴압박 효과 비교 : 무작위 교차 시뮬레이션 연구

  • Hong, Seok-Hwan (Department of Emergency Medical Services, Eulji University) ;
  • Yang, Yeun Soo (Department of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Han, Sang-Kyun (Department of Medical Law and Ethics, The Graduate School, Yonsei University)
  • 홍석환 (을지대학교 응급구조학과) ;
  • 양연수 (연세대학교 보건대학원 국민건강증진연구소) ;
  • 한상균 (연세대학교 대학원 의료법윤리학협동과정)
  • Received : 2021.02.28
  • Accepted : 2021.04.20
  • Published : 2021.04.30
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Abstract

Purpose: The purpose of this study was to determine how the use of level D personal protective equipment (PPE) and cardiopulmonary resuscitation (CPR) feedback equipment affects chest compression (CC). Furthermore, this study provides basic data for developing Korean CPR guidelines that can be applied to patients with suspected or confirmed COVID-19. Methods: This randomized, single-blinded, crossover simulation trial included 26 student paramedics who performed 2-minute chest compressions using three different methods: Method A involved performing traditional CC for two minutes without donning level D PPE, Method B involved performing CC while donning level D PPE, and Method C involved performing CC with a CPR feedback device while donning level D PPE. Results: The use of a CPR feedback device during the 2-minute CC increased the exercise intensity of the subjects, but donning level D PPE didn't affect the quality of CC and the exercise intensity. The results of methods A and B showed changes in the quality of compression 80 seconds after the start of CC. No significant changes occurred in 2-minute CC when using the CPR feedback device. Conclusion: Using a CPR feedback device could prevent deterioration in the quality of CC while donning level D PPE.

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References

  1. Korea Disease Control and Prevention Agency. last modified Jan 20, 2020, accessed Jan 11, 2021, Avaliable at: https://www.cdc.go.kr/board/board.es?mid=a20501000000&bid=0015.
  2. Korea Disease Control and Prevention Agency. last modified Jan 11, 2021, accessed Jan 11, 2021, Avaliable at: https://www.cdc.go.kr/board/board.es?mid=a20501000000&bid=0015.
  3. World Health Organization/Europe. last modified Apr 2, 2020, accessed Jan 11, 2021, Avaliable at: https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/statements/statement-older-people-are-at-highest-risk-from-covid-19,-but-all-must-act-to-prevent-community-spread.
  4. Korean National Fire Agency. last modified Feb 21, 2020, accessed Jan 11, 2021, Avaliable at: http://www.nfa.go.kr/nfa/news/pressrelease/press/?boardId=bbs_0000000000000010&mode=view&cntId=732.
  5. Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB et al. Interim guidance for basic and advanced life support in adults, children, and neonates with suspected or confirmed COVID-19. Circulation 2020;141:e933-e943. https://doi.org/10.1161/CIRCULATIONAHA.120.047463
  6. Chi AR, Cho YS, Lee HJ, Lee JH, Cho GC, Kim WY et al. The influence of vertical location of cardiac arrest and application of mechanical cardiopulmonary resuscitation device on out of hospital cardiac arrest in a community: a retrospective observational study. J Korean Soc Emerg Med 2016;27(6):530-9.
  7. Panchal AR, Bartos JA, Cabanas JG, Donnino MW, Drennan IR, Hirsch KG et al. Part 3: adult basic and advanced life support. Criculation 2020;142(suppl 2):S366-S468. https://doi.org/10.1161/CIR.0000000000000916
  8. Fox 3rd SM, Naughton JP, Haskell WL. Physical activity and the prevention of coronary heart disease. Ann Clin Res 1971;3:404-32. PMID:4945367
  9. Karvonen MJ, Kentala E, Mustala O. The effects of training on heart rate: a longitudinal study. Ann Med Exp Biol Fenn 1957;35:307-15. PMID:13470504
  10. Malysz M, Dabrowski M, Bottiger BW, Smereka J, Kulak K, Szarpak A et al. Resuscitation of the patient with suspected/confirmed COVID-19 when wearing personal protective equipment: A randomized multicenter crossover simulation trial. Cardiology J 2020;27(5):497-506. https://doi.org/10.5603/CJ.a2020.0068