의학드라마에 표현된 심폐소생술: 오해와 진실 = Representations of Cardiopulmonary Resuscitation on Korean Medical Dramas: Fiction Versus Reality

다국어 초록 (Multilingual Abstract)

Purpose: We evaluated the differences between the clinical characteristics, procedure and results of real life cardiopulmonary resuscitation versus how CPR is portrayed in Korean medical dramas.
Methods: We watched 58 episodes of Korean television medical dramas including <Surgeon, Bong Dalhee>, <New heart> and <General hospital>, broadcast during the period 2007 to 2010. We identified all occurrences of CPR in each episode and collected the fictional patients’ age, sex, location,presumed cause of cardiac arrest, and return of spontaneous circulation rate for the CPR performed, and then compared these with actual, published resuscitation statistics.
Whether or not the procedure employed in a fictional CPR scene adhered to current CPR guidelines was also evaluated.
Results: There were 39 occurrences of CPR in the 58 television episodes viewed, with the most common cause being cardiac arrest. The fictional ROSC rate after CPR (71.8%) differed significantly from published real life figures (p=0.072). The resuscitation process did not appear to follow current guidelines in 64.1% of the cases. Contrary to reality, the average age of patients was 41.3 years.
Conclusion: The CPR provided to fictional patients in medical dramas televised in Korea is generally different than what would be provided to a patient in reality. In addition,the ROSC rate appears higher on television than what can be expected in the real world.

참고문헌 (Reference)

1 박인철, "한국 영화에 표현된 응급 처치의 적절성 평가" 대한응급의학회 13 (13): 466-469, 2002

2 김호중, "전문 인명구조술팀에 으해 시행된 병원내 심폐소생술 결과의 In Hospital Utstein Style에 따른 분석" 대한응급의학회 13 (13): 450-458, 2002

3 강경희, "일반인 심폐소생술 교육 참가자와 비참가자의 특성 비교 및 교육 참가 예측인자 고찰" 대한응급의학회 17 (17): 539-544, 2006

4 김성은, "일개 3차 의료기관에 내원한 병원전 심정지 환자의 심폐소생술 결과" 대한응급의학회 16 (16): 495-504, 2005

5 권인호, "심폐소생술 지침을 따르고 계십니까" 대한응급의학회 19 (19): 641-647, 2008

6 조범규, "서울시 병원전 심정지 환자의 심폐소생술에 대한 전향적 다기관 평가" 대한응급의학회 20 (20): 355-364, 2009

7 김종근, "병원 전 심정지 환자의 심폐소생술의 분석" 대한응급의학회 13 (13): 5-11, 2002

8 "http://likms.assembly.go.kr/"

9 Bedell SE, "Survivalafter cardiopulmonary resuscitation in the hospital" 309 : 569-576, 1983

10 Ekstrom L, "Survival after cardiac arrest outside hospitalover a 12‐year period in Gothenburg" 27 : 181-187, 1994

11 Dylan H, "Resuscitation on television: realisticor ridiculous? a quantitative observational analysis of theportrayal of cardiopulmonary resuscitation in televisionmedical drama" 80 : 1275-1279, 2009

12 Schonwetter RS, "Resuscitation decision making in the elderly: the value ofoutcome data" 8 : 295-300, 1993

13 Turow J, "Playing doctor" Oxford University Press 201-208, 1989

14 Marcus BH, "Physical activity interventions using mass media, printmedia, information technology" 15 : 362-378, 1988

15 Murphy DJ, "Outcomes of cardiopulmonary resuscitation in the elderly" 111 : 199-205, 1989

16 Valentin A, "Outcome of cardio‐pulmonary resuscitation in hospitalisedpatients" 30 : 217-221, 1995

17 Taffet GE, "In‐hospital cardiopulmonaryresuscitation" 260 : 2069-2072, 1998

18 Radford T, "Influence and power of the media" 347 : 1533-1535, 1996

19 Schonwetter RS, "Educating the elderly cardiopulmonary resuscitationon decisions before and after intervention" 39 : 372-377, 1991

20 Ballew KA, "Causes of variation in reportedin‐hospital CPR survival: a critical review" 30 : 203-215, 1995

21 Diem SJ, "Cardiopulmonary resuscitationon television: Miracles and misinformation" 334 : 1578-1582, 1996

22 Van den Bulck J, "Cardiopulmonary resuscitationon Flemish television: challenges to the televisioneffects hypothesis" 21 : 565-567, 2004

23 Gordon PN, "As seen on TV;observational study of cardiopulmonary resuscitation inBritish television medical dramas" 317 : 780-783, 1998

24 Seoul Metropolitan Government, "A research for the educationof cardiopulmonary resuscitation and publicity activitiesin Seoul" 4-6, 2007

25 어은경, "3차 의료기관 응급센터에서 시행된 병원내 심정지 환자의 심폐소생술 결과 분석" 대한응급의학회 13 (13): 312-318, 2002

26 The American Heart Association, "2005 American HeartAssociation Guidelines for Cardiopulmonary Resuscitationand Emergency Cardiovascular Care" 112 : 33-66, 2005