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Development and Evaluation of the Resuscitation Protocol for Dyspneic Patients in the Emergency Medical Center
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½Å¼±È(Shin Sun-Hwa) - ÀÌÈ¿©ÀÚ´ëÇб³ ´ëÇпø
±èÁÖ¿ø(Kim Ju-Won) - ¼¿ï´ëÇб³º´¿ø ÀÀ±ÞÀÇ·á¼¾ÅÍ
ÀÌÁö¿¬(Lee Ji-Yeon) - ¼¿ï´ëÇб³º´¿ø ÀÀ±ÞÀÇ·á¼¾ÅÍ
ÃÖ¹ÎÁø(Choi Min-Jin) - ¼¿ï´ëÇб³º´¿ø ÀÀ±ÞÀÇ·á¼¾ÅÍ
ÃÖÈñ°(Choi Hee-Kang) - ¼¿ï´ëÇб³º´¿ø ÀÀ±ÞÀÇ·á¼¾ÅÍ
Abstract
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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Dyspnea, Resuscitation, Emergency Department, Clinical protocol
KMID :
1004620140200020223
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