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KMID : 1812520140030010003
Journal of Healthcare Simulation
2014 Volume.3 No. 1 p.3 ~ p.7
Comparison between mouth-to-mouth and BVM rescue breathings for the single first responder
Jung Hyung-Gun

Hong Seok-Hwan
Abstract
Background: Korea, like many countries, also provides various cardiopulmonary resuscitation (CPR) training courses for lay person to improve CPR resuscitation rate in out of hospital (OH) cardiac arrest situations. However our bystander CPR rate at OH situation is still lower compared to other countries. Previous studies prove some clues for this low CPR rate that one of which is people isn¡¯t willing to touch stranger¡¯s bare mouth. One of methods to avoid this attitude is to use bag-valve-mask (BVM) ventilation. However students without medical background learned only mouth-to-mouth rescue breathing and no BVM ventilation skills in most CPR courses.

Methods: To prove efficacy of BVM in lay person we compared two groups, an ordinary students group and a Junior and senior paramedic students group. We gave the ordinary students group time to learn BVM for 5minutes and another 5minutes to practice it before a CPR test with BVM ventilation. The paramedic students group had no time to learn and practice it before the test.

Results: By BVM, assist ventilation in CPR do even represents better results of conventional resuscitation parameters, and no difference of tidal volume or hands-off time results with mouth-to-mouth ventilation.

Conclusions: Ordinary students were able to use BVM properly even though they only had 5 to 10 minutes learning time. According to this finding, we thought it might be better to teach lay person how to use BVM in CPR training courses, and provide a BVM in each AED boxes. Doing so, bystander CPR rate and resuscitation rate might be improved.
KEYWORD
Bag-valve-mask, Mouth-to-mouth, Ordinary student, Paramedic student, Hands-off time
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