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http://dx.doi.org/10.14408/KJEMS.2022.26.3.071

A phenomenological study on pre-hospital care of 119 EMT  

Hye-ji, Kwon (Hanyang University, Graduate School of Public Health)
Young-jeon, Shin (Hanyang University, School of Medicine, Hanyang University, Graduate School of Public Health)
Publication Information
The Korean Journal of Emergency Medical Services / v.26, no.3, 2022 , pp. 71-91 More about this Journal
Abstract
Purpose: This study aimed to provide baseline data for implementing advanced life-support for 119EMTs. This is done with an in-depth examination of the emergency care experiences of the 119EMTs on-site and during transportation. Methods: Interviews were conducted with twelve 119EMTs, and the data were analyzed using the phenomenological method. Results: The 34 topics had 19 sub-components and were analyzed according to seven categories: 'A work environment where you cannot focus only on emergency care on-site and during transportation', '119EMTs struggling with manpower shortage', 'Current status of education blocking the upward standardization of 119EMT', 'Implementation of professional emergency care was held back due to the limited legal scope of 119EMT', 'Medical oversight makes it difficult to implement emergency care due to low flexibility', '119EMTs who cannot choose hospital selection and find it difficult to receive help', 'An evaluation system not reflecting reality at all that only leaves high scores'. Conclusion: This study was undertaken to implement specialized emergency care for 119EMTs; not only the necessity of reviewing the expansion of the work scope of 119EMTs but also the necessity of effective 'Medical Oversight system' reorganization raised as well.
Keywords
A phenomenological study; Pre-hospital care; 119EMTs; Advanced life-support;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Hong SG, Son IA. A study on the factors influencing the accuracy of chest compression during cardiopulmonary resuscitation trying in a moving ambulance. J Korean Soc Emerg Med 2009; 20(4):343-54.
2 Sasson C, Rogers MAM, Dahl J, Kellermann AL. Predictors of Survival From Out-of-Hospital Cardiac Arrest. Circulation: Cardiovascular Quality and Outcomes. 2010;3:63-81. https://doi.org/10.1161/CIRCOUTCOMES.109.889576   DOI
3 Park JO, Lee KH, No SG, Chei CS. A analysis of prehospital care on the patients transported via 119 system. J Korean Soc Emerg Med Tech 2003;7(1):127-34.
4 Wang SW, Kim BK, Park YS, Han SM, Park JJ. Effect analysis according to the route of glucose administration in hypoglycemic emergency patients. J of Wellness 2020;15(2):481-9. https://doi.org/10.21097/ksw.2020.05.15.2.481   DOI
5 Lee SH. A Study on the emergency treatments of the patients taken by an 119 first-aid team to the emergency ward. Unpublished master's thesis, Hanyang University 2006, Seoul, Korea.
6 Kim H, Kim Y, Eun SJ, Jung KY, Cho KH. Prospective multicenter evaluation of prehospital care by 119 rescue services. J Korean Soc Emerg Med 2007;18(3):177-89.
7 Lee KY, Yun SW. Prehospital care of 119 EMT for non-traumatic cardiac arrest and improvement to increase advanced care rate. Fire Science Engineering 2011;25(5):21-31.
8 Yoo IS. Current status and problems of emergency medical system. HIRA Research 2015;9(4):17-30.
9 Song HM, Roh SG. A research of prehospital 119 emergency medical service for stroke patients. Fire Science Engineering 2012;26(3): 14-20. https://doi.org/10.7731/KIFSE.2012.26.3.014   DOI
10 Park JM, Bang JS, Hong SW, Song YJ. A study on improvement of EMT-Paramedic's pre-hospital paramedic emergency care for cardioplegic patients. Crisisonomy 2013;9(3):89-110.
11 Lim DS, Kim SC, Park SY, Ryu JH, Bae BK, Kim SH et al. A survey on the perception of emergency medical services (EMS) providers and medical directors toward EMS provider's field skill proficiency. J Korean Soc Emerg Med 2020;31(4):401-19.
12 Kim BK, Kim JH. An analysis of factors affecting intravascular access of 119 paramedics on the pre-hospitalization - focused on patients with hypoglycemia-. J Wellness 2018;13(4): 433-41. https://doi.org/10.21097/ksw.2018.11.13.4.433   DOI
13 Kim JM, Park JH, Hyeon SY, Sin YS, Lee DW, Kim JY et al. Implementation of a direct medical direction system for 119 EMS providers and expansion of scope of practices under the indirect protocols- experience in Gyunggi province. J Korean Soc Emerg Med 2015;26 (4):276-85.
14 Lee SK, Kim GW, Kim CH. Prehospital cardiopulmonary resuscitation by 119 emergency medical technician (EMT) for increasing the rate of return of spontaneous circulation; national-wide 119 EMT survey. J Korean Soc Emerg Med 2014;25(1):35-45.
15 Kim SK, Cho SJ, Shin PH. Survey for application of emergency medical information center at firehouse rescue service. J Korean Soc Emerg Med 2006;17(1):26-38.
16 National assembly research service. Problems and Improvement Tasks of Advanced Emergency care. https://www.nars.go.kr/report/view.do?page=10&cmsCode=CM0043&categoryId=&searchType=&searchKeyword=&brdSeq=28527
17 Park ME, Shin HJ, Lee MR. Employment experience of female marriage migrants using phenomenological research method. J Social Science 2012;23(4):213-44.
18 Kim BH, Kim KJ, Lee KJ, Hong JJ, Kim YH, Park IS et al. A Comparison of Phenomenological Research Methodology - Focused on Giorgi, Colaizzi, Van Kaam Methods-. J Korean Acad Nur 1999;29(6):1208-20. https://doi.org/10.4040/jkan.1999.29.6.1208   DOI
19 Kwon HW. Phenomenology and socials science research: exploring the applicability to policy studies. The Korean Association for Policy Studies 2016;25(1):355-95.
20 Park HJ, Lee SY. Interviewing as qualitative research. 3rd edition, translated from Irving Seidman. Hakjisa:Seoul, 2009.
21 Giorgi, AP, & Giorgi, BM. The descriptive phenomenological psychological method. In P. M. Camic, J. E. Rhodes, & L. Yardley (Eds.), Qualitative research in psychology: Expanding perspectives in methodology and design. 2003. pp. 243-73. American Psychological Association. https://doi.org/10.1037/10595-013   DOI
22 Lee JH, Kim BK, Park SK. The qualitative research about fire-fighting paramedics who resuscitated the pre-hospital cardiac arrest patient. J Wellness 2016;11(3):71-82. https://doi.org/10.21097/ksw.2016.08.11.3.71   DOI
23 Yang JC, Moon JD. The effects of prehospital care on on-scene time in patients with major trauma. Korean J Emerg Med Ser 2020;24(1): 67-76. https://doi.org/10.14408/KJEMS.2020.24.1.067   DOI
24 Lee GU, Kil YS. A phenomenological research upon experiences of newlyappointed firefighters(paramedics). Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology 2018;8(1):591-604.   DOI
25 Kim JW. Effect of wound-related to knowledge of 119 emergency medical technician on wound patient management. J Educational Research 2014;22:127-45.A
26 Rho SG, Lee JG, Kim JH. A research on the actual condition of the prehospital emergency care and education in 119 emergency medical services. J of Korea Academia-Industrial cooperation Society 2012;13(5):2117-24. https://doi.org/10.5762/kais.2012.13.5.2117   DOI
27 Yoon SA. The effects of hospital-based clinical training for paramedics on the prehospital intravascular access. Unpublished master's thesis, Gachon University Graduate School of Public Health 2016, Incheon, Republic of Korea.
28 National Fire Agency 119. 119 establishment of special emergency unit for critical care. 2022.7.29. https://nfa.go.kr/search/totalSearch.do
29 Kim JH, Shim GS. Convergence study on the intravenous access of paramedics in ambulances. Journal of the Korea Convergence Society 2017;8(11):177-82. https://doi.org/10.15207/JKCS.2017.8.11.177   DOI
30 Joo MH, Han MA. Utilization of medical oversight and related factors among some 119 rescue workers. Fire Science Engineering 2016;30(3):124-32. https://doi.org/10.7731/KIFSE.2016.30.3.124   DOI