KMID : 1140520210250030081
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Korean Journal of Emergency Medical Services 2021 Volume.25 No. 3 p.81 ~ p.92
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Measuring rescuer¡¯s fatigue by evaluating varying sized groups of rescuers performing chest compressions on a manikin study for suspected COVID-19 patients
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Ahn Hee-Jeong
Shim Gyu-Sik Bang Sung-Hwan Song Hyo-Suk Han Seung-Eun
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Abstract
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Purpose: The aim of the study is to measure the quality of cardiopulmonary resuscitation (CPR) and the fatigue of rescuers wearing PPE (Level D) during a CPR session and to ultimately provide suggestions of safety standards for rescuers.
Methods: 36 subjects were enrolled in the study. The subjects were divided randomly into three groups of two-members, three-members, and four-members. Each group performed CPR for 30 minutes. Blood lactate concentration, heart rate, rating of perceived exertion, chest compression depth and rate were measured before experiment and after each cycle.
Results: There was a difference in the blood lactate concentration during CPR cycle by member of shifts (p=.014). The blood lactate concentration increased during CPR (p=.000). Subjective fatigue was a significant difference of chest compression in cycles 3, 4, and 5 for the member of shifts during CPR (p=.049, p=.009, p=.015). Depth and rate of chest compression were not different for the member of shifts during CPR.
Conclusion: It is necessary to establish standards for the member of shifts during CPR, to reduce the fatigue of rescuers.
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KEYWORD
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Cardiopulmonary resuscitation(CPR), Level D, Fatigue, Member of shifts, Blood lactate concentration
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