Ohk Taekgeun, Cho Junhwi, Cho Hyunseok, Yang Goeun, You Kicheol, Lee Taehun
Department of Emergency Medicine, College of Medicine, Kangwon National University, 24341 Chuncheon, Republic of Korea.
Department of Emergency Medicine, Kangwon National University Hospital, 24289 Chuncheon, Republic of Korea.
J Clin Med. 2025 Apr 20;14(8):2839. doi: 10.3390/jcm14082839.
Foreign body airway obstruction is a sudden emergency that can occur unexpectedly in healthy people, leading to severe consequences if immediate first aid is not provided. Unlike the Heimlich maneuver for adults, the first aid for infant choking is less widely known and more complex, making it difficult to explain verbally. This study aimed to assess the efficiency of using an animated graphics interchange format (GIF) to teach first aid for infant choking due to foreign bodies. Eighty adults who had not received recent training in choking first aid within the last two years were randomly assigned to either the auditory ( = 40) or audiovisual ( = 40) groups. The participants were asked to perform first aid on an infant manikin under the guidance of a researcher using a smartphone in a separate room. The auditory group received verbal instructions only, while the audiovisual group received animated GIFs on their smartphones along with verbal instructions simultaneously. The entire process was recorded with two cameras, and two emergency physicians reviewed the videos to assess the adequacy of the first aid administered. The "infant position", "supporting arm posture", and "head tilt" were more adequate in the audiovisual group. The Instruction Performance scores were higher in the audiovisual group. There was no significant difference in the time required to administer first aid between the two groups. Audiovisual guidance using animated GIFs has been shown to effectively enhance the adequacy of first-aid performance for infant airway obstruction caused by foreign bodies.
气道异物梗阻是一种可能在健康人群中意外突然发生的紧急情况，如果不立即进行急救，会导致严重后果。与成人的海姆立克急救法不同，婴儿窒息的急救方法鲜为人知且更为复杂，难以用言语解释清楚。本研究旨在评估使用动画图形交换格式（GIF）来教授婴儿异物窒息急救方法的效果。80名在过去两年内未接受过窒息急救培训的成年人被随机分为听觉组（n = 40）或视听组（n = 40）。参与者被要求在一个单独的房间里，在研究人员的指导下，使用智能手机对一个婴儿人体模型进行急救。听觉组只接受口头指导，而视听组在接收口头指导的同时，还在智能手机上接收动画GIF。整个过程用两台摄像机进行记录，两名急诊医生观看视频，评估所实施急救的充分性。在“婴儿体位”“支撑手臂姿势”和“头部倾斜”方面，视听组表现得更恰当。视听组的操作表现得分更高。两组实施急救所需的时间没有显著差异。结果表明，使用动画GIF进行视听指导能有效提高婴儿异物所致气道梗阻急救操作的充分性。
