JP2009189766A - Resuscitation mask device for cardiopulmonary arrest - Google Patents
Resuscitation mask device for cardiopulmonary arrest Download PDFInfo
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- JP2009189766A JP2009189766A JP2008064916A JP2008064916A JP2009189766A JP 2009189766 A JP2009189766 A JP 2009189766A JP 2008064916 A JP2008064916 A JP 2008064916A JP 2008064916 A JP2008064916 A JP 2008064916A JP 2009189766 A JP2009189766 A JP 2009189766A
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- 208000010496 Heart Arrest Diseases 0.000 title claims description 9
- 206010007617 Cardio-respiratory arrest Diseases 0.000 title claims description 7
- 230000029058 respiratory gaseous exchange Effects 0.000 claims abstract description 18
- 230000000747 cardiac effect Effects 0.000 claims abstract description 7
- 101100269850 Caenorhabditis elegans mask-1 gene Proteins 0.000 claims abstract description 6
- 238000000034 method Methods 0.000 claims description 13
- BZHJMEDXRYGGRV-UHFFFAOYSA-N Vinyl chloride Chemical compound ClC=C BZHJMEDXRYGGRV-UHFFFAOYSA-N 0.000 claims description 8
- 239000000463 material Substances 0.000 claims description 6
- 238000007664 blowing Methods 0.000 claims 1
- 239000000428 dust Substances 0.000 abstract description 8
- 239000000853 adhesive Substances 0.000 abstract description 3
- 230000001070 adhesive effect Effects 0.000 abstract description 3
- 229920000915 polyvinyl chloride Polymers 0.000 abstract 2
- 239000004800 polyvinyl chloride Substances 0.000 abstract 2
- 230000001681 protective effect Effects 0.000 abstract 1
- 238000007789 sealing Methods 0.000 abstract 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 5
- 239000001301 oxygen Substances 0.000 description 5
- 229910052760 oxygen Inorganic materials 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 230000002265 prevention Effects 0.000 description 3
- 210000003811 finger Anatomy 0.000 description 2
- 210000003813 thumb Anatomy 0.000 description 2
- 206010021143 Hypoxia Diseases 0.000 description 1
- 206010038669 Respiratory arrest Diseases 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 208000003443 Unconsciousness Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 206010003119 arrhythmia Diseases 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 230000006806 disease prevention Effects 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 230000000153 supplemental effect Effects 0.000 description 1
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- Percussion Or Vibration Massage (AREA)
- Respiratory Apparatuses And Protective Means (AREA)
Abstract
Description
本発明は、心肺停止の患者に対して、救助者が一人で心臓マッサージと人口呼吸を同時に心臓マッサージを行う姿勢のまま連続して蘇生への応急手当を行うために、患者側と救助者側にマスクを装着させその間をホースで連結し人口呼吸により呼気の吹き込みを行う「相対マスク」の発明に関するものである。 The present invention provides the patient side and the rescuer side in order to perform first aid for resuscitation continuously in a posture in which the rescuer alone performs cardiac massage and artificial breathing at the same time for a patient with cardiopulmonary arrest. This invention relates to an invention of a “relative mask” in which a mask is attached to each other and a hose is connected between them to inhale exhaled air by artificial respiration.
従来のマスク類には、一般用や工業用の防塵マスク。防毒マスク等のもので汚れた空気を遮断して呼吸出来るマスクは数多くの種類があり技術的に確立されている。(特許件数約2、000件ある。) Conventional masks include dust masks for general and industrial use. There are many types of masks that can breathe by blocking dirty air with things such as gas masks, and are technically established. (There are about 2,000 patents.)
酸素欠乏場所への立ち入りの際の酸素吸気マスクや酸素補給が必要な医療時の際や航空機の機内用で酸素マスク等の種類も多く技術的に確立されてある。Many types of oxygen masks have been technically established for entering an oxygen-deficient place, such as an oxygen inhalation mask and an oxygen mask for medical use that requires supplemental oxygen or for in-flight aircraft.
従来の防塵マスクにおいて、エアラインマスクや手動送風機ホースマスク等は本発明とホースを使用している点で類似するところがある、但し「相対マスク」に相当するものは、見出せなかった。
従来、心肺停止による蘇生方法があるが、患者が倒れて初期の段階で応急手当の不備から、回復出来ず死亡に至る比率が極めて高い現状にある。
心筋梗塞や脳卒中、不整脈等による心肺停止が発生した時は、敏速に応急手当を行わなければならないとされている、直ぐ救急車の出動要請をしても5分以内に到着することは、極めて確率が低い現状である。
心肺停止した場合は、心臓停止後約3分で50%呼吸停止後10分で50%で死亡に至ると言われている。
従い、如何に初期応急手当が重要であるかが現状の課題である。
応急手当は、救急車が到着するまでの間、倒れた患者の救助を行うが、現状の家庭は核家庭が多く、又高齢化に伴う老夫婦の家庭が多くなって来ている。
そのため最も重要な2〜3分以内の応急手当が不十分でこの時点で患者が回復出来ず死亡に至るケースが大半である。
即ち、現状の応急手当では、救助者が一人で心臓マッサージと口対口法の人口呼吸を同時に行うことは、困難であり、且つ確実な行動が取れず蘇生方法に無理がある現状である。
従い、本発明は、一人で同時に心臓マッサージと人口呼吸を容易に確実に行うことが出来る方法を発明した。Conventionally, there is a resuscitation method by cardiopulmonary arrest. However, the ratio of patients who fall down and cannot recover from death due to inadequate first aid at an early stage is extremely high.
When cardiopulmonary arrest due to myocardial infarction, stroke, arrhythmia, etc. occurs, it is said that emergency treatment must be performed promptly. Even if an ambulance is requested immediately, it is extremely probable that it will arrive within 5 minutes The current situation is low.
If cardiopulmonary arrest occurs, it is said that 50% will die in 10 minutes after cardiac arrest and 50% in approximately 3 minutes after cardiac arrest.
Therefore, the current issue is how important the first aid is.
First aid is used to rescue the fallen patient until the ambulance arrives. However, there are many nuclear households in the current family, and many elderly couples are aging.
For this reason, the most important first-aid treatment within 2 to 3 minutes is insufficient, and in most cases, the patient cannot be recovered at this point and the death is caused.
That is, with the current first aid, it is difficult for a rescuer to perform heart massage and mouth-to-mouth artificial respiration at the same time alone, and it is difficult to perform a resuscitation method because reliable action cannot be taken.
Accordingly, the present invention has invented a method that can easily and reliably perform cardiac massage and artificial respiration at the same time alone.
従来の口対口法による人口呼吸を行う際は、先ず患者が意識を失っててるため気道が塞がっていることが多い、よって気道を確保するため患者の首を上げる頭部後屈あご挙上法、図4を行い気道を確保したことを確認して人口呼吸により呼気を患者に吹き込む、この際忘れてはならないのは、親指と人差指で患者の鼻をつまんで空気が漏れないようにする、図4。
この動作を敏速に且つ確実に行われなければならない。When performing artificial breathing using the conventional mouth-to-mouth method, the airway is often obstructed because the patient first loses consciousness, so the head is bent back and raised to secure the airway. Confirm that the airway has been secured by performing the method, Fig. 4 and inhale exhalation into the patient by artificial respiration. Don't forget to pinch the patient's nose with the thumb and index finger to prevent air from leaking FIG.
This operation must be done quickly and reliably.
心臓マッサージ15回と人口呼吸2回のサイクルを繰り返して行う動作を解決する必要がある、従い今回発明した「相対マスク」を患者と救助者が相互に装着して心臓マッサージを行う位置を変えることなく人口呼吸を同時に行うことにより、確実に且つ救助者に負担を掛けず容易に出来る。 It is necessary to solve the action of repeating 15 cycles of cardiac massage and 2 cycles of artificial respiration. Therefore, the patient and rescuer wear the “relative mask” invented this time and change the position where heart massage is performed. By performing artificial respiration at the same time, it is possible to easily and reliably and without burdening the rescuer.
患者の気道の確保と人口呼吸時の鼻をつまんでの動作は、熟練された者でないと失敗する場合があるが、発明した「相対マスク」には気道の確保4を設けてあるのでマスクを装着しただけで気道の確保が容易に出来る、又人口呼吸による呼気の吹き込みを行う際の鼻をつまむ動作も不要となる。 Securing the patient's airway and pinching the nose during artificial respiration may fail unless the person is skilled, but the invented “Relative Mask” has airway securing 4 so the mask should be used. The airway can be easily secured just by wearing it, and the action of pinching the nose when inhaling exhalation by artificial respiration becomes unnecessary.
従来の心肺停止の患者に行う応急手当は、初期の最も大切な時間であるが、心臓マッサージ15回と口対口の法による人口呼吸2回のサイクルの繰り返し動作に時間がかかり、且つ確実に行われなかったために死亡に至る比率が高かつた。
発明した「相対マスク」を使用することで、不要な時間の大幅な減少と確実な応急手当の確立により、死亡比率が大幅に減少する。Conventional first aid for patients with cardiopulmonary arrest is the most important time in the early stages, but it takes time to repeat the cycle of 15 heart massages and 2 artificial breaths using the mouth-to-mouth method. Because it was not done, the rate of death was high.
By using the invented “relative mask”, the death rate is greatly reduced by significantly reducing unnecessary time and establishing a reliable first aid.
その応急手当が未熟練者で有っても、ひと通りの知識があれば容易に出来る。即ち、「相対マスク」を患者と救助者が装着して一人で心臓マッサージを行いながら救助者の呼気を連結されたホース間を通して患者に吹き込む人口呼吸の動作を容易に同時に行える。即ち、従来の応急手当より極めて簡単な方法である。 Even if the first aid is unskilled, it can be easily done if there is a general knowledge. That is, the patient and the rescuer can wear the “relative mask” and perform the artificial breathing operation in which the breath of the rescuer is blown into the patient through the connected hoses while performing the cardiac massage alone. That is, it is an extremely simple method than the conventional first aid.
「相対マスク」を最初にセットすれば、心臓マッサージを行う位置で連続して応急手当を行うことが出来るため救助者の負担が減少される。 If the “relative mask” is set first, first aid can be continuously performed at the position where the heart massage is performed, so that the burden on the rescuer is reduced.
従来、意識がない患者の気道確保の動作が熟練者でないと、なかなか容易に出来ない、又人口呼吸を行う毎に気道確保の動作を繰り返し行う必要があるため、この動作に時間が掛かり蘇生に必要な時間が減少してしまい応急手当の失敗を招いていた。
「相対マスク」の患者側マスク1を装着すれば、気道確保ホース4が設けてあるため、患者にマスクを装着した時に気道が確保される、即ち一回マスクを装着すれば患者か回復するまで人口呼吸による呼気を吹き込むことが出来る。Conventionally, it is difficult for an unconscious patient to perform airway maintenance unless it is a skilled person, and it is necessary to repeat the airway operation every time artificial respiration is performed. The required time was reduced, leading to first aid failure.
If the patient side mask 1 of “relative mask” is attached, the airway securing hose 4 is provided, so that the airway is secured when the mask is attached to the patient, that is, until the patient recovers if the mask is attached once. You can inhale exhaled breath by artificial respiration.
人口呼吸を行う時は必ず親指と人差指で患者の鼻をつまんで、吹き込んだ呼気が漏れないようにしなければならないが、この動作一箇所を忘れて応急手当を行っていて、患者が回復出来たものを失敗したケースは、極めて多い。
従い、発明した、「相対マスク」の患者側マスク1を装着するだけで口と鼻を覆う密閉型のマスクであるため、上記の失敗は絶無である。When performing artificial breathing, it is necessary to pinch the patient's nose with the thumb and index finger to prevent the exhaled breath from leaking out, but forgetting this one place and performing first aid, the patient was able to recover There are many cases where things fail.
Therefore, since the invented mask is a hermetically sealed mask that covers the mouth and nose only by wearing the patient mask 1 of the “relative mask”, the above-mentioned failure is absolutely none.
発明した「相対マスク」は、軽くコンパクトに収納出来るため外出時携帯することも可能である。 The invented “relative mask” can be stored lightly and compactly, so it can be carried when going out.
「相対マスク」は安価であり家庭内に常備することで安心感が著しく向上する。 “Relative masks” are inexpensive and can be relied upon at home to significantly improve security.
以下に、本発明の実施の形態を図1〜5に基づいて説明する。 Hereinafter, an embodiment of the present invention will be described with reference to FIGS.
図1は、本発明の「相対マスク」の全体図であり、1は患者側のマスクで口と鼻を塞ぐ完全密閉型で既存する防塵マスクと構造面では同じであり、材質も塩化ビニール製で柔軟性のあるもので、顔にヒットする形状を有す、即ち、鼻の両サイドから空気が漏れないよう鼻の形状に合ったものとする。
連結ホースとの接触面は空気が漏れないよう塩化ビニール専用の接着剤で固定する。FIG. 1 is an overall view of a “relative mask” of the present invention. 1 is a completely sealed type in which the mouth and nose are closed with a mask on the patient side, and is the same in structure as an existing dust mask, and the material is also made of vinyl chloride. It is flexible and has a shape that hits the face, that is, it matches the shape of the nose so that air does not leak from both sides of the nose.
Fix the contact surface with the connecting hose with vinyl chloride adhesive to prevent air leakage.
2は救助側マスクで口のみを覆う構造であるが、材質は1患者側マスクと同じもので、鼻下の部分は上唇部の形状に合わせたものとする。
連結ホースとの接触面も1患者側マスクと同じである。Reference numeral 2 denotes a structure in which only the mouth is covered with the rescue side mask, but the material is the same as that of the 1 patient side mask, and the part under the nose is adapted to the shape of the upper lip.
The contact surface with the connection hose is the same as that of the one patient side mask.
3連結ホースは、ホースが折れないようワイヤー入りの塩化ビニール製で柔軟性のあるものとする。ホースの長さは80cmとし、外径は25φで厚み2mmとする。マスクとの接触面は塩化ビニール専用の接着剤で固定する。 The 3-connection hose shall be made of vinyl chloride containing wire and be flexible so that the hose will not break. The length of the hose is 80 cm, the outer diameter is 25φ, and the thickness is 2 mm. The contact surface with the mask is fixed with a vinyl chloride adhesive.
患者側マスクに4気道確保用ホースは3連結ホースと一体ものであるが1患者側マスクの内部個所であり区分した、マスクの内面からの長さは8cmとする。 The 4 airway securing hose is integrated with the 3 connection hose on the patient side mask, but the length from the inner surface of the mask, which is an internal part of 1 patient side mask, is 8 cm.
5マスク固定バンドは、ゴム製の伸び縮みする柔軟性のあるものとする。
マスクとの固定は硬質塩化ビニールの止め具とする。The 5 mask fixing band is made of rubber and has flexibility to expand and contract.
Use a hard vinyl chloride stopper to fix the mask.
「図2」は、1患者側マスクの装着断面図で、口の中に挿入した4気道確保ホースの状態図である。尚、材質、外形、厚みは3連結ホースと同じである。"FIG. 2" is a sectional view of the mounting of the one patient side mask, and is a state diagram of the four airway securing hoses inserted into the mouth. The material, outer shape, and thickness are the same as those of the 3-connected hose.
「図3」は、「相対マスク」装着による状景図である。
2救助側マスクは、口のみを覆うマスクで鼻は外気を吸い込み口から患者に呼気を吹き込む形状となっている。その状態を表した図である。“FIG. 3” is a scene diagram when the “relative mask” is mounted.
2. The rescue mask is a mask that covers only the mouth, and the nose sucks outside air and blows exhalation into the patient through the mouth. It is a figure showing the state.
図4は、本発明に最も類似した、防塵マスクの代表図である。
エアーラインマスクと手動送風機形ホースマスクは粉塵濃度が高い個所での外気を動力を持ち得てホースからマスク内に綺麗な空気を送り込む方法のマスクである。類似しているところは、マスクにホースが連結されている点である。
しかし、本発明の呼吸停止の患者に相対して救助者間でマスクを装着する構造のものとは、内容的に違いがああある。FIG. 4 is a representative view of a dust mask most similar to the present invention.
Air line masks and manual blower type hose masks can be used to drive the outside air in places with high dust concentrations and to feed clean air from the hose into the mask. Similarity is that the hose is connected to the mask.
However, there is a difference in content from the structure of the present invention in which a mask is worn between rescuers relative to a patient with respiratory arrest.
図5は、従来行われている、応急手当の手順図である。
先ず、従来の応急手当の手順は心臓マッサージ15回と人口呼吸2回のサイクルを繰り返し行っている。
先ず、救助者は心臓マッサージを15回行い、身体を移動させ患者の顔近くに来て気道を確保するため図5−1の通り患者の首を上げ頭部後屈あご挙上法により気道を確保する次に図5−2の通り患者の鼻をつまみ口対口法で患者に呼気を2回吹き込む、その後又心臓マッサージを行うため移動する、この動作を患者が回復するまで一人で継続しなければならない。FIG. 5 is a procedure diagram of first aid which is conventionally performed.
First, the conventional first aid procedure repeats a cycle of 15 heart massages and 2 artificial breaths.
First, the rescuer performs 15 heart massages, moves the body and comes close to the patient's face to secure the airway. Next, as shown in Fig. 5-2, the patient's nose is pinched to breathe into the patient twice by mouth-to-mouth, and then move again for cardiac massage. This operation is continued until the patient recovers. There must be.
〔写真1〕 「相対マスク」を装着して行っている状景写真
1 患者側のマスク
2 救助者側のマスク
3 マスク間の連結ホース
4 気道確保用のホース
5 マスク装着固定バンドDESCRIPTION OF SYMBOLS 1 Mask on patient side 2 Mask on rescuer side 3 Connection hose between masks 4 Hose for securing airway 5 Mask wearing fixation band
Claims (4)
「図」1「相対マスク」の全体図
「写真1」「相対マスク」を装着して応急手当を行っている状景写真Invented a method of artificial respiration for patients with cardiopulmonary arrest in a posture in which the rescuer performs cardiac massage in order to easily and reliably perform first aid, with the patient and rescuer facing each other in that position, that is, 1, wearing the patient side mask 1 and the rescuer side mask 2, connecting them with a hose 3, blowing the rescuer's breath into the patient and performing artificial respiration until the patient recovers alone at the same time It is a method that can easily and surely make it easier to continuously give first aid.
"Figure" 1 Overall view of "Relative mask""Photo1""Scenery photo of wearing a" relative mask "and giving first aid
気道確保ホース4の材質は塩化ビニール製でホースが折れないようワイヤー入りとする
「図2」患者側マスク装着断面図The patient mask 1 of the “relative mask” is a completely sealed mask that covers the mouth and nose, and the material is a flexible material made of vinyl chloride that hits the face. Since the mouth is closed and the airway is blocked by the tongue, it is necessary to secure the airway. Therefore, the airway securing hose 4 is provided. Conventionally, the airway had to be secured every time breath was blown by the mouth-to-mouth method. However, when the mask was set on the patient according to the present invention, the airway can be secured.
The airway securing hose 4 is made of vinyl chloride and contains wires to prevent the hose from breaking.
「図3」「相対マスク」装着による状景図The rescuer-side mask 2 of the “relative mask” is a mask that covers only the mouth, and the rescuer can inhale air from the nose and breathe into the patient in the natural state of human breathing. The material is a sealed type that hits a flexible face made of vinyl chloride.
“Figure 3” “Relative mask” wearing scene
バンドは伸び縮みするゴム製のものとする。
「図1」「相対マスク」全体図“Relative mask” The patient side mask 1 and the rescue side mask 2 are provided with a fixing band 5 in order to fix the mask securely. Therefore, the wearing mask was not removed during the first aid.
The band shall be made of elastic rubber.
Overall view of "Fig. 1" and "Relative mask"
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2008064916A JP2009189766A (en) | 2008-02-17 | 2008-02-17 | Resuscitation mask device for cardiopulmonary arrest |
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| Application Number | Priority Date | Filing Date | Title |
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| JP2008064916A JP2009189766A (en) | 2008-02-17 | 2008-02-17 | Resuscitation mask device for cardiopulmonary arrest |
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| JP2009189766A true JP2009189766A (en) | 2009-08-27 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8547532B2 (en) | 2004-07-06 | 2013-10-01 | Topcon Positioning Systems, Inc. | System and method for determining range in 3D imaging systems |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8547532B2 (en) | 2004-07-06 | 2013-10-01 | Topcon Positioning Systems, Inc. | System and method for determining range in 3D imaging systems |
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| A871 | Explanation of circumstances concerning accelerated examination |
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