KMID : 0385920150260010051
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Journal of the Korean Society of Emergency Medicine 2015 Volume.26 No. 1 p.51 ~ p.62
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Adequacy of Videos for Adult Basic Life Support in a Portal Site of Korea
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Ryu Seung-Bum
Kim Ji-Hoon Park Kyu-Nam Kim Sung-Wook Park Jung-Taek
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Abstract
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Purpose: Prompt initiation of effective cardiopulmonary resuscitation (CPR) and defibrillation is underlined in the guideline. Many people search health-related information on the internet. The objective of this study was to evaluate the content and quality of videos for adult basic life support (BLS) on the internet.
Methods: We searched ¡®Daum¡¯ for the term ¡®CPR¡¯ in Korean. Videos dealing with BLS over 5 sequences were included. Videos inserted in the news and drama or used for advertisement or entertainment, or which only contained pediatric BLS were excluded. Two emergency physicians analyzed videos using a standardized checklist.
Results: Of 1,600 videos, 32 met the inclusion criteria, except for duplicate videos. More than 90% of videos showed appropriate demonstration for check response, activate emergency response system, correct hand place-ment, minimize interruptions in chest compression, 30:2 compression to ventilation ratio, open airway, and deliver rescue breath; 13 (40.6%) and 12 (37.5%) videos demon-strated ¡®call for automated external defibrillator (AED)¡¯ and ¡®apply AED¡¯, respectively; 25 (78.1%), 23 (71.9%), and 27 (84.4%) videos showed correct demonstration for chest compression rate and depth, and complete chest recoil, respectively; 6 (18.8%) and 10 (31.3%) videos contained instructions for ¡®complete chest recoil¡¯ and ¡®minimize inter-ruptions in chest compression¡¯, respectively. Only 2 (6.3%) videos dealt with hands-only CPR.
Conclusion: A large proportion of educational videos for adult BLS contained basic sequence of BLS, except for ¡®call for AED¡¯ and ¡®apply AED¡¯. There is a lack of instruction for high-quality CPR, particularly for minimizing interruptions in chest compression and complete chest recoil, and hands-only CPR.
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KEYWORD
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Out-of-hospital cardiac arrest, Cardiopulmonary resuscitation, Defibrillator, Internet
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