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신선화 ( Shin Sun-Hwa ) - 이화여자대학교 대학원
김주원 ( Kim Ju-Won ) - 서울대학교병원 응급의료센터
이지연 ( Lee Ji-Yeon ) - 서울대학교병원 응급의료센터
최민진 ( Choi Min-Jin ) - 서울대학교병원 응급의료센터
최희강 ( Choi Hee-Kang ) - 서울대학교병원 응급의료센터
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Abstract
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Purpose: Resuscitation rooms in emergency department are places for time-critical tasks. This study aimed 1) to
develop a resuscitation protocol for dyspneic patients and 2) to evaluate the effect of the resuscitation protocol for dyspneic patients in improving clinical performances.
Methods: A panel of experts including emergency physicians and nurses developed a resuscitation protocol for dyspneic patients which included a list of critical interventions and time-limits. The resuscitation protocol was implemented in a emergency medical center for two months. Clinical performances of health care providers were compared by analyzing video-recorded clinical performances.
Results: The resuscitation protocol consisted of four steps: Initial treatments within 5 minutes, main treatments within 15 minutes, diagnostic tests within 30 minutes, and disposition within 60 minutes. A total of 43 dyspneic patients (23 patients experimental group, 20 patients control group) were included for the analysis of the clinical performance change. Clinical performance rates were improved significantly from control group (66.71%) to experimental group (82.41%) after implementing the resuscitation protocol (Z=-3.09, p=.004).
Conclusion: The resuscitation protocol developed for dyspneic patients improved clinical performance rates of
health care providers. Further development of clinical protocols for other emergent cases at resuscitation rooms are strongly recommended.
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KeyWords
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호흡곤란, 소생, 응급실, 임상 프로토콜
Dyspnea, Resuscitation, Emergency Department, Clinical protocol
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원문 및 링크아웃 정보
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등재저널 정보
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