The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
권호 표지
DOI QR코드

DOI QR Code

Training and role of paramedics in Japan

일본 구급구명사의 양성 및 업무에 관한 고찰

  • Lee, Kyoung-Youl (Department of Emergency Medical Service, Kongju National University, Research Center for Health Industry, Kongju National University)
  • 이경열 (공주대학교 응급구조학과, 공주대학교 건강산업연구센터)
  • Received : 2014.07.04
  • Accepted : 2014.08.18
  • Published : 2014.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The emergency medical service (EMS) system in Japan is similar to that in Korea. This study reviewed the development of paramedics who are major personnel in the respective EMS system of their country. Methods: We searched law for paramedics and publications in J-stage, MEDLINE and the webpage of Japan's Fire and Disaster Management Agency. Results: Paramedic training had started in Japan in 1991, and most paramedics were employed in fire departments. In Japan, ambulances belonging to fire department are staffed by a three-person unit, including at least one paramedic. Medical control advisory boards were established in all Japanese prefectures in 2003 with the purpose of upgrading the activities of ambulance personnel, including paramedics. The scope of paramedics' work has been widened owing to the continued efforts of medical control advisory boards. This allows them to perform invasive procedures including tracheal intubation, intravenous line placement, and epinephrine administration under medical control of a physician. Conclusion: As paramedics' responsibilities expand, further development of the paramedic role and an effective medical control advisory board system are imperative both Korea and Japan.

Keywords

References

  1. Emergency Life Saving Technician Law, Japan. Available at: http://law.e-gov. go.jp/htmldata/H03/H03HO036.html, 1991.
  2. Emergency Medical Service Act, Korea. Available at: http://www.moleg.go.kr/ main.html, 2013.
  3. Japan EMT School Association. Available at: http://kyuumeisi.jp/, 2012.
  4. Ministry of Health, Labour and Welfare, Japan. The status of paramedic-training school. Available at: http://www.mhlw. go.jp/kouseiroudoushou/shokanhoujin/shitei/dl/h23_01_16.pdf, 2011.
  5. Japan foundation for emergency medicine. Available at: http://www.qqzaidan.jp/siken.html, 2014.
  6. Kawakita General Hospital. Available at: http://kawakita.or.jp/shinryou/content_kyuukyuu/, 2014.
  7. Uji-Tokushukai Medical Center. Available at: http://www.ujitoku.or.jp/outline/sec‒tion/ce/lifesaving.html, 2014.
  8. Ministry of Health, Labour and Welfare, Japan. Available at: http://www.mhlw.go.jp/topics/2009/03/dl/tp0306-3a.pdf, 2009.
  9. Fire and Disaster Management Agency, Japan. Annual Report (White paper). Available at: http://www.fdma.go.jp/concern/publication/, 2013.
  10. Kobayasi K. Prehospital emergency medical system and paramedic training. Japanese Journal of Reanimatology 2010;29(3):3.
  11. National Emergency Management Agency. Administrative data and statistics. Available at: http://www.nema.go.kr/nema_cms_iba/show_nema/board/board9s/view.jsp, 2014.
  12. Kajino K, Kitamura T, Iwami T, Daya M, EHOng M, Nishiyama C et al. Impact of the number of on-scene emergency life-saving technicians and outcomes from out-ofhospital cardiac arrest in Osaka City. Resuscitation 2014;85(1):59-64. https://doi.org/10.1016/j.resuscitation.2013.09.002
  13. Tanigawa K, Tanaka K. Emergency medical service systems in Japan: Past, present, and future. Resuscitation 2006;69(3):365-70. https://doi.org/10.1016/j.resuscitation.2006.04.001
  14. Ministry of Health, Labour and Welfare, Japan. The report about discussion of current status of paramedic job. Available at: http://www.mhlw.go.jp/file/05-Shingikai-10801000-Iseikyoku-Soumuka/0000014584.pdf, 2013.

Cited by

  1. Operating conditions and satisfaction in a clinical training program for 119 emergency medical technicians vol.19, pp.2, 2015, https://doi.org/10.14408/KJEMS.2015.19.2.099