DOI QR코드

DOI QR Code

구급대 환자이송과 반응시간의 평가

Evaluation of patient transportation and response intervals among emergency medical squads

  • 박상규 (가천대학교 응급구조학과) ;
  • 엄태환 (을지대학교 응급구조학과)
  • Park, Sang-Kyu (Department of Emergency Medical Services, Gachon University) ;
  • Uhm, Tai-Hwan (Department of Emergency Medical Services, Eulji University)
  • 투고 : 2018.10.02
  • 심사 : 2018.12.16
  • 발행 : 2018.12.31

초록

Purpose: The purpose of this study was to present evidence for quality management based on analysis of patient transportation and response intervals among emergency medical squads. Methods: The chi-square test was used to determine whether mental status and patient assessment affected direct medical control and hospital destination. One way analysis of variance was used to compare response intervals depending on mental status and patient assessment using data drawn from 1172 prehospital care reports. Results: There was a statistically significant relationship between mental status and direct medical control (p<.001); there was a statistically significant relationship between patient assessment and hospital destination (p=.011). However, there was no statistically significant relationship between mental status and hospital destination. The interval from arrival at the patient's side to departure from the scene showed a statistically significant difference (p<.001, p<.001), however, it took the longest time (16.8 minutes) in unresponsive patients. It showed a statistically significant difference (p<.001) in the interval from arrival at patient's side to departure from the scene depending on patient assessment; however, it took the longest time (9.6 minutes) in emergency patients. Conclusion: There was call for direct medical control based on patient assessment; however, patient transportation and response intervals were not appropriate.

키워드

참고문헌

  1. National Fire Agency. 2018 Statistics annual report. Available at: http://www.nfa.go.kr/nfa/releaseinformation/statisticalinformation/main/?boardId=bbs_0000000000000019&mode=view&cntId=16&category=&pageIdx=&searchCondition=&searchKeyword=, 2018.
  2. Uhm TH, Kim JH. Survival to admission after out-of-hospital cardiac arrest in Seoul, South Korea. Open Access Emerg Med 2014;6:63-8. https://doi.org/10.2147/OAEM.S68758
  3. Chun JH. Establishment of collection system of data and management system for the factors related with occurrence and survival of sudden cardiac arrest. Seoul: Korea Centers for Disease Control and Prevention Press, 2012.
  4. Kim KW, Moon HJ, Choi HJ, Cho JS, Kim SJ, Chung WJ et al. 2015 Report on smart medical direction program for emergency medical technicians. Seoul: National Emergency Medical Center Press, 2015.
  5. Campbell JP, Kroshus Kathy S, Lindholm DJ, Watson WA. Measuring the call-receipt-to-defibrillation interval: evaluation of prehospital methods. Ann Emerg Med 1995;26(6):697-701. https://doi.org/10.1016/S0196-0644(95)70040-4
  6. Campbell JP, Gratton MC, Girkin JP, Watson WA. Vehicle-at-scene-to-patient-access interval measured with computer-aided dispatch. Ann Emerg Med 1995;25(2):182-6. https://doi.org/10.1016/S0196-0644(95)70321-7
  7. Yun SW, Choi BR, Lee KY. Prehospital care of patients with dyspnea by 119 emergency medical technician. Korean J Emerg Med Ser 2013;17(1):41-50. https://doi.org/10.14408/KJEMS.2013.17.1.041
  8. Ahn HJ. Prehospital treatments of the patients with hypoglycemia by 119 emergency medical technicians. -Analysis of the current data and survey-. J Korean Soc Emerg Med Tech 2010;14(1):31-46.
  9. Uhm TH. An analysis of emergency care based on prehospital care reports. J Korean Soc Emerg Med Tech 2005;9(1):101-9.
  10. Seo HY, Lee KY. Analysis of direct medical control conducted to 119 emergency medical technicians in an emergency medical information center. Korean J Emerg Med Ser 2012;16(3):29-43. https://doi.org/10.14408/KJEMS.2012.16.3.029
  11. Meislin HW, Conn JB, Conroy C, Tibbitts M. Emergency medical service agency definitions of response intervals. Ann Emerg Med 1999;34(4):453-8. https://doi.org/10.1016/S0196-0644(99)80046-8
  12. Pointer J. Evaluation of system components. In Swor RA, Rottman SJ, Pirrallo RG, Davis E, (ed.), Quality management in prehospital care. St. Louis: Mosby Lifeline, 1993. 36-48.
  13. Eisenberg MS, Cummins RO, Larsen MP. Numerators, denominators, and survival rates: reporting survival from out-of-hospital cardiac arrest. Am J Emerg Med 1991;9(6):544-6. https://doi.org/10.1016/0735-6757(91)90108-V
  14. Uhm TH. An analysis of call demands of two squads in Kyonggi Provincial Fire and Disaster Headquarters. J Korean Soc Emerg Med Tech 2002;6:77-86.
  15. De Maio VJ, Stiell IG, Wells GA, Spaite DW. Optimal defibrillation response intervals for maximum out-of-hospital cardiac arrest survival rates. Ann Emerg Med 2003;42(2):242-50. https://doi.org/10.1067/mem.2003.266