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윤상연골 누르기: 적절히 시행되고 있는가?
Assessment of Cricoid Pressure Application by Emergency Department Personnel윤상연골 누르기: 적절히 시행되고 있는가?
장재혁 ( Chae Hyuk Chang ) , 오영민 ( Young Min Oh ) , 김영민 ( Young Min Kim ) , 양진홍 ( Jin Hong Yang ) , 박준석 ( Jun Seok Park ) , 임태호 ( Tai Ho Im ) , 정현수 ( Hyun Soo Chung ) , 박지은 ( Ji Eun Park )
UCI I410-ECN-0102-2009-510-008719772

Purpose: To assess the knowledge and the accuracy of cricoid pressure applied by emergency department (ED) personnel. Methods: A prospective, observational study was conducted for 100 ED personnel (57 doctors, 38 nurses, and 5 EMTs) who participated in emergency airway training courses. Each participant was asked to complete a knowledge survey and the accuracy of cricoid pressure applied was evaluated using the training manikin. Three attempts were measured and a mean value was calculated. Subgroup analysis was also performed for specific variables of interest. Results: Only thirty-four participants (34%) applied adequate cricoid pressure, with all participants who were outside of the target range applying less than the target amount. No statistically significant difference was demonstrated for age, qualifications, years of experience, existence of prior instruction, accuracy in knowledge, or ability to apply cricoid force within the target range. Male participants applied correct cricoid pressure within the target range more often than females (p=0.035, odds ratio=6.987, CI:1.145-42.641). Conclusion: Both knowledge and the application of adequate cricoid pressure by ED personnel were inadequate. In particular, females more often applied low cricoid pressure in order to guard against regurgitation than did males. Repeated hands-on training is recommended using adequate methods that integrate the concept of force.

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