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http://dx.doi.org/10.5762/KAIS.2018.19.6.500

An Analysis of Prehospital Care for Major Trauma Patients depending on the number of 119 Ambulance Crews  

Kim, Jong-Ho (119 EMS Team, Paju Fire Station)
Lee, Hyo-Ju (Department of Emegency Medical Services, Sun Moon University)
Lim, Yong-Deok (Department of Emergency Medical Technician, Chonman National University)
Han, In-Deuk (Department of Emegency Medical Services, Gachon University)
Lee, Jae-Gook (Department of Emegency Medical Services, Sun Moon University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.6, 2018 , pp. 500-506 More about this Journal
Abstract
This study analyzed current prehospital emergency care for severe trauma patients administered by different number of 119 EMS (emergency medical services) teams. Out of 1,067 severe trauma patients transferred by 119 EMS teams in J province from January 1st to December 31st 2015, 438 were evaluated in this study. IBM SPSS Statistics 21.0 was used to analyze collected data. The number of patients with severe trauma during the period of study was higher in male with two and three ambulance crews of 119 EMS teams with 242 patients (70.6%) and 66 patients (69.5%) respectively. The percentage of transfers made to local emergency medical centers was highest in those two groups, being 44.0% (151 patients) and 49.5% (47 patients), respectively. Total time spent at the scene did not differ between ambulance crews of two and three, nor did the frequency of practicing advanced airway management and IV (intravenous) cannulation, or the success rate of IV cannulation (p=0.253, p=0.362, p=1.000). Overall, the results indicated that merely increasing the number of paramedics does not improve the quality of prehospital care for severe trauma patients. Measures such as securing professional paramedics, simplifying direct medical oversights, activating indirect medical oversights, and expanding the legally allowed work scope are required.
Keywords
Ambulance crew; Emergency Medical Service; Major Trauma Patient; Paramedic; Prehospital Emergency Care;
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