Quality of dispatch‐assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational simulation study.

• 資料種別: 博士論文
• タイトル: Quality of dispatch‐assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational simulation study.
• 著者・編者: Asai, Hideki; Fukushima, Hidetada; Bolstad, Francesco; Okuchi, Kazuo
• 著者標目: Asai, Hideki; Fukushima, Hidetada; Bolstad, Francesco; Okuchi, Kazuo
• 出版事項: John Wiley and Sons, Inc.
• 出版年月日等: 2017-10-11
• 出版年（W3CDTF）: 2017-10-11
• 並列タイトル等: 日本の標準プロトコールに従った口頭指導下での非医療事者の心肺停止蘇生法の質の評価 : シミュレーョン観察研究
• タイトル（掲載誌）: Acute medicine and surgery
• 巻号年月日等（掲載誌）: 5 2
• 掲載巻: 5
• 掲載号: 2
• 掲載ページ: 133-139
• ISSN（掲載誌）: ISSN : 2052-8817
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2018-03-15
• 報告番号: 乙第1417号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Cardiac arrest; cardiopulmonary resuscitation; emergency medical services; prehospital care/medical control; simulation
• 対象利用者: 一般
• 一般注記: type:Thesis; Methods: We recruited laypersons at a shopping mall and measured the quality of CPR carried out in our simulation. Dispatchers provided instruction in accordance with the standard DACPR protocol in Japan. Results: Twenty‐three laypersons (13 with CPR training experience within the past 2 years and 10 with no training experience) participated in this study. The median chest compression rate and depth were 106/min and 33 mm, respectively. The median time interval from placing the 119 call to the start of chest compressions was 119 s. No significant difference was found between the groups with and without training experience. However, subjects with training experience more frequently placed their hands correctly on the manikin (84.6% versus 40.0%; P = 0.026). Twelve participants (52.2%, seven in trained and five in untrained group) interrupted chest compressions for 3–18 s, because dispatchers asked if the patient started breathing or moving. Conclusion: This current simulation study showed that the quality of DACPR carried out by lay rescuers can be less than optimal in terms of depth, hand placement, and minimization of pauses. Further studies are required to explore better DACPR instruction methods to help lay rescuers perform CPR with optimal quality.; 博士（医学）・乙第1417号・平成30年3月15日; © 2017 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.This is an open access article under the terms of the Creative Commons Attribution License(https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.; identifier:Acute medicine and surgery Vol.5 No.2 p.133-139 (2018 Apr); identifier:20528817; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3433; identifier:Acute medicine and surgery, 5(2): 133-139
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1002/ams2.315
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3433/1/01%e4%b9%991417%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3433/2/02%e4%b9%991417%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3433/3/03%e4%b9%991417%e6%9c%ac%e6%96%87.pdf fulltext