This is a cross-sectional study intended to draw the effectiveness of dispatcher-based voice-direction and video-direction at an advance stage of a hospital in order to draw a more effective CPR directing method between the previous phone CPR direction and the new and active dispatching method-based voice-direction and video-direction. 80 fire officers working at the fire headquarters in Daejeon participated in the study. While it was average 4.28 for voice-direction, it was 6.23 for

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... tion, which showed that video-direction had the significantly higher performance than voice-direction in managing the airway. Voice-direction was average 3.73, whereas video-direction was average 6.15 in performing CPR as well, which showed that video-direction had statistically more positive outcomes than voice-direction. The result of the cardiac massage was also showed that voice-direction was average 4.90 whereas video-direction was average 6.55, which showed a statistically significant difference proving that videodirection had better outcomes than voice-direction. However, it was 17.62% for voice-direction and 18.68% for video-direction in the basic respiration accuracy without a statistically notable difference between them. For pressure accuracy of the cardiac massage, it was average 47.33% for voice-direction and average 77.43% for video-direction implying that video-direction had the higher pressure accuracy than voice-direction. For the time took for respiration and pressure, video-direction had a reduced performance time compared to voice-direction. 심정지 발생 후 4~6분이 경과하면 치명적인 비가역적 뇌 손 상이 발생하므로 환자가 발생한 현장에서부터 목격자에 의한 심폐소생술 시행여부가 병원이외의 장소에서 발생한 환자 소 생에 영향을 주는 중요한 요소 중의 하나이다(황성오등 2006). Dispatcher의 지도에 의한 심폐소생술은 1975년경 Arizona 주 Phoenix의 응급통신관리자인 Bill Tune이 전화 신고자인 무호흡 영아의 어머니에게 비계획적이고 대본화되지 않은 도 착 전 지시를 제공하여 영아를 소생시킨 것이 계기가 되어 피닉스 소방대장인 Allen Brunacini의 주도로 정형화되지 않 은 지침인 "스스로 처치"(Medical Self Help)교육 프로그램이