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Evaluation of the quality of cardiopulmonary resuscitation according to vehicle driving pattern, using a virtual reality ambulance driving system: a prospective, cross-over, randomised study

Authors
 Jin Ho Beom  ;  Min Joung Kim  ;  Je Sung You  ;  Hye Sun Lee  ;  Ji Hoon Kim  ;  Yoo Seok Park  ;  Dong Min Shin  ;  Hyun Soo Chung 
Citation
 BMJ Open, Vol.8(9) : e023784, 2018 
Journal Title
 BMJ Open 
Issue Date
2018
Keywords
chest compression parameters ; emergency medical services ; virtual reality simulator
Abstract
OBJECTIVES: To analyse changes in the quality of cardiopulmonary resuscitation (CPR) according to driving patterns encountered during ambulance transport, using a virtual reality simulator. DESIGN: Prospective, cross-over, randomised study. SETTING: This study was conducted at the National Fire Service Academy, Cheonan-si, Korea. PARTICIPANTS: Emergency medical technicians (39 men and 9 women) attending the National Fire Service Academy for clinical training with ≥6 months field experience or having performed ≥10 CPR. Individuals who withdrew consent were excluded. OUTCOME MEASURES: CPR quality parameters (eg, chest compression depth and its variability). RESULTS: Chest compressions were performed for 8 min each in a stationary and driving state. The mean chest compression depths were 54.8 mm and 55.3 mm during these two states, respectively (p=0.41). The SD of the chest compression depth was significantly higher while in the driving (7.6 mm) than in the stationary state (6.5 mm; p=0.04). The compression depths in the speed bump and sudden stop sections were 51.5 mm and 50.6 mm, respectively, which was shallower than those in all other sections (p<0.001). The correct hand position rate was low in the speed bump, sudden stop and right-hand cornering sections (65.4%, 71.5% and 72.5%, respectively; p=0.001) CONCLUSIONS: Although we found no differences in chest compression quality parameters between the stationary and driving states, the variability in the chest compression depth increased in the driving state. When comparing CPR quality parameters according to driving patterns, we noted a shallower compression depth, increased variability and decreased correct hand position rate in the speed bump, sudden stop and right-hand cornering sections. The clinical significance of these changes in CPR quality during ambulance transport remains to be determined. Future studies on how to reduce changes in the quality of CPR (including research on equipment development) are needed.
Files in This Item:
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DOI
10.1136/bmjopen-2018-023784
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
김민정(Kim, Min Joung) ORCID logo https://orcid.org/0000-0003-1634-5209
김지훈(Kim, Ji Hoon) ORCID logo https://orcid.org/0000-0002-0070-9568
박유석(Park, Yoo Seok) ORCID logo https://orcid.org/0000-0003-1543-4664
범진호(Beom, Jin Ho) ORCID logo https://orcid.org/0000-0002-2805-257X
유제성(You, Je Sung) ORCID logo https://orcid.org/0000-0002-2074-6745
이혜선(Lee, Hye Sun) ORCID logo https://orcid.org/0000-0001-6328-6948
정현수(Chung, Hyun Soo) ORCID logo https://orcid.org/0000-0001-6110-1495
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163711
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