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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

DC FieldValueLanguage
dc.contributor.author김민정-
dc.contributor.author김지훈-
dc.contributor.author박유석-
dc.contributor.author범진호-
dc.contributor.author유제성-
dc.contributor.author이혜선-
dc.contributor.author정현수-
dc.date.accessioned2018-10-22T13:17:25Z-
dc.date.available2018-10-22T13:17:25Z-
dc.date.issued2018-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/163711-
dc.description.abstractOBJECTIVES: 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.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherBMJ Publishing Group Ltd-
dc.relation.isPartOfBMJ Open-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleEvaluation of the quality of cardiopulmonary resuscitation according to vehicle driving pattern, using a virtual reality ambulance driving system: a prospective, cross-over, randomised study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Emergency Medicine-
dc.contributor.googleauthorJin Ho Beom-
dc.contributor.googleauthorMin Joung Kim-
dc.contributor.googleauthorJe Sung You-
dc.contributor.googleauthorHye Sun Lee-
dc.contributor.googleauthorJi Hoon Kim-
dc.contributor.googleauthorYoo Seok Park-
dc.contributor.googleauthorDong Min Shin-
dc.contributor.googleauthorHyun Soo Chung-
dc.identifier.doi10.1136/bmjopen-2018-023784-
dc.contributor.localIdA00470-
dc.contributor.localIdA05321-
dc.contributor.localIdA01592-
dc.contributor.localIdA05135-
dc.contributor.localIdA02507-
dc.contributor.localIdA03312-
dc.contributor.localIdA03764-
dc.relation.journalcodeJ00380-
dc.identifier.eissn2044-6055-
dc.identifier.pmid30269076-
dc.subject.keywordchest compression parameters-
dc.subject.keywordemergency medical services-
dc.subject.keywordvirtual reality simulator-
dc.contributor.alternativeNameKim, Min Joung-
dc.contributor.alternativeNameKim, Ji Hoon-
dc.contributor.alternativeNamePark, Yoo Seok-
dc.contributor.alternativeNameBeom, Jin Ho-
dc.contributor.alternativeNameYou, Je Sung-
dc.contributor.alternativeNameLee, Hye Sun-
dc.contributor.alternativeNameChung, Hyun Soo-
dc.contributor.affiliatedAuthorKim, Min Joung-
dc.contributor.affiliatedAuthorKim, Ji Hoon-
dc.contributor.affiliatedAuthorPark, Yoo Seok-
dc.contributor.affiliatedAuthorBeom, Jin Ho-
dc.contributor.affiliatedAuthorYou, Je Sung-
dc.contributor.affiliatedAuthorLee, Hye Sun-
dc.contributor.affiliatedAuthorChung, Hyun Soo-
dc.citation.volume8-
dc.citation.number9-
dc.citation.startPagee023784-
dc.identifier.bibliographicCitationBMJ Open, Vol.8(9) : e023784, 2018-
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

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