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23. Framework Development of Non-Face-to-Face Training of Basic Life Support for Laypersons: A Multi-Method Study.

Author

Han, Sangsoo, Lee, Choung Ah, Jeong, Won Jung, Park, JuOk, and Park, Hang A

Subjects
ONLINE education, RESEARCH methodology, BYSTANDER CPR, CURRICULUM, MANN Whitney U Test, CONCEPTUAL structures, RESEARCH funding, CARDIAC arrest, STATISTICAL sampling, DATA analysis software, DELPHI method
Abstract

The spread of infectious diseases has accelerated the transition from face-to-face (F2F) to non-F2F (NF2F) education. To maintain the effect of successful NF2F education in cardiopulmonary resuscitation, reorganizing the curriculum to suit the NF2F educational environment is necessary. We propose an appropriate learning curriculum for NF2F basic life support (BLS) training for laypersons based on expert surveys and learners' performance outcomes. This study included three stages and used multiple methods. A draft curriculum was created through a literature review and three-round Delphi approach, and then applied as a test for actual education. After the training, the final curriculum of the NF2F BLS training for laypersons was proposed by reflecting on the performance outcomes of learners and expert opinions. NF2F theoretical education was simplified into five content items: concept of chain of survival, legal protection for first aiders, importance of bystander cardiopulmonary resuscitation, how to recognize a patient in cardiac arrest and activate the emergency medical services system, and reduced training time. In the hands-on skills session, it was recommended to practice chest compressions using a simple intuitive feedback device and to use automated external defibrillators step-by-step more than in F2F training. In conclusion, NF2F training is a suitable option for BLS training methods in situations where F2F training is difficult. [ABSTRACT FROM AUTHOR]

Published
2023
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28. Effects of Smart Advanced Life Support protocol implementation including CPR coaching during out-of-hospital cardiac arrest

Author

Kim, Gi Woon, primary, Moon, Hyung Jun, additional, Lim, Hoon, additional, Kim, Yu Jin, additional, Lee, Choung Ah., additional, Park, Yong Jin, additional, Lee, Kyoung Mi, additional, Woo, Jae Hyug, additional, Cho, Jin Seong, additional, Jeong, Won Jung, additional, Choi, Hyuk Joong, additional, Kim, Chang Sun, additional, Choi, Han Joo, additional, Choi, Il Kug, additional, Heo, Nam Hun, additional, Park, Jung Soo, additional, Lee, Young Hwan, additional, Park, Seung Min, additional, and Jeong, Dong Kil, additional

Published
2022
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31. Characteristics of injuries according to types of personal mobility devices in a multicenter emergency department from 2011 to 2017

Author

Kim, Joo Yeong, Lee, Seung Chul, Lee, Sanghun, Lee, Choung Ah, Ahn, Ki Ok, and Park, Ju Ok

Subjects
Adult, Male, Adolescent, injury, electronic board, Observational Study, Young Adult, Sex Factors, Risk Factors, Republic of Korea, Humans, Off-Road Motor Vehicles, Child, Retrospective Studies, electronic balancing wheel, Age Factors, Middle Aged, Cross-Sectional Studies, electronic scooter, Wounds and Injuries, Female, Head Protective Devices, personal mobility device, Emergency Service, Hospital, Research Article
Abstract

Personal mobility devices (PMDs) have emerged as new factors in motor vehicle accidents, and related injuries are increasing. We aimed to describe the characteristics of PMD-related injuries presented to emergency departments (EDs) through a cross-sectional study for 7 years. This study is a multicenter cross-sectional study using the Emergency Department-based Injury In-Depth Surveillance database in South Korea. We identified all PMD-related injuries from 2011 to 2017 based on text searching. We categorized them into 3 groups based on their distinguishable characteristics: electric standing scooter (E-scooter), electric self-balancing wheel (E-wheel), and electronic board (E-board). A total of 448 PMD-related injuries were observed during the observation period. E-scooter-, E-wheel-, and E-board-related injuries occurred in 284, 138, and 26 cases, respectively. Most patients were between the ages of 19 and 59 years (69.2%), men (66.3%), and injured because of leisure activity (61.2%). The mechanism of injury was mostly traffic accidents (75.2%), but regarding injuries involving E-wheel and E-board, 25.4% and 30.8% of patients slipped from the device. The most commonly injured body part was the head, which accounted for 58.1% of E-scooter injuries, 38.4% of E-wheel injuries, and 53.9% of E-board injuries. Only 6 of all patients wore a helmet at the time of accident. PMD users and PMD-sharing programs are increasing, and more accidents are expected in the future. As PMDs are convenient to move and more people are willing to use them, proper riding and safety rules based on the type of PMD are needed to reduce the risk of injury. The results of this study can be used as basic data for developing safety policies.

Published
2021

39. Survival and Rearrest in out-of-Hospital Cardiac Arrest Patients with Prehospital Return of Spontaneous Circulation: A Prospective Multi-Regional Observational Study

Author

Woo, Jae-Hyug, primary, Cho, Jin-Seong, additional, Lee, Choung Ah, additional, Kim, Gi Woon, additional, Kim, Yu Jin, additional, Moon, Hyung Jun, additional, Park, Yong Jin, additional, Lee, Kyoung Mi, additional, Jeong, Won Jung, additional, Choi, Il Kug, additional, Choi, Han Joo, additional, and Choi, Hyuk Joong, additional

Published
2020
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44. Survival and Rearrest in out-of-Hospital Cardiac Arrest Patients with Prehospital Return of Spontaneous Circulation: A Prospective Multi-Regional Observational Study.

Author

Woo, Jae-Hyug, Cho, Jin-Seong, Lee, Choung Ah, Kim, Gi Woon, Kim, Yu Jin, Moon, Hyung Jun, Park, Yong Jin, Lee, Kyoung Mi, Jeong, Won Jung, Choi, Il Kug, Choi, Han Joo, and Choi, Hyuk Joong

Subjects
DISEASE relapse, CARDIAC arrest, CONFIDENCE intervals, CARDIOPULMONARY resuscitation, EMERGENCY medical services, EMERGENCY medicine, FISHER exact test, LONGITUDINAL method, MULTIVARIATE analysis, SCIENTIFIC observation, RISK assessment, SURVIVAL, T-test (Statistics), LOGISTIC regression analysis, RECEIVER operating characteristic curves, DATA analysis software, ADVANCED cardiac life support, DESCRIPTIVE statistics, ODDS ratio, MANN Whitney U Test
Abstract

We aimed to determine the factors associated with rearrest after prehospital return of spontaneous circulation (ROSC) and examine the factors associated with survival despite rearrest. We conducted a prospective multi-regional observational study of out-of-hospital cardiac arrest (OHCA) patients between August 2015 and July 2016. Patients received prehospital advanced cardiovascular life support performed by emergency medical technicians (EMTs). EMTs were directly supervised by medical directors (physicians) via real-time smartphone video calls [Smart Advanced Life Support (SALS)]. The study participants were categorized into rearrest (+) and rearrest (−) groups depending on whether rearrest occurred after prehospital ROSC. After rearrest, patients were further classified as survivors or non-survivors at discharge. SALS was performed in 1,711 OHCA patients. Prehospital ROSC occurred in 345 patients (20.2%); of these patients, 189 (54.8%) experienced rearrest [rearrest (+) group] and 156 did not experience rearrest [rearrest (−) group]. Multivariate analysis showed that a longer interval from collapse to first prehospital ROSC was independently associated with rearrest [odds ratio (OR) 1.081; 95% confidence interval (CI) 1.050–1.114]. The presence of an initial shockable rhythm was independently associated with survival after rearrest (OR 6.920; 95% CI 2.749–17.422). As a predictor of rearrest, the interval from collapse to first prehospital ROSC (cut-off: 24 min) had a sensitivity of 77% and a specificity of 54% (AUC = 0.715 [95% CI 0.661–0.769]). A longer interval from collapse to first prehospital ROSC was associated with rearrest, and an initial shockable rhythm was associated with survival despite the occurrence of rearrest. Emergency medical service providers and physicians should be prepared to deal with rearrest when pulses are obtained late in the resuscitation. [ABSTRACT FROM AUTHOR]

Published
2021
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