• The Korean Journal of Emergency Medical Services
• /
• v.7 no.1
• /
• pp.127-134
• /
• 2003

An analysis was performed to evaluate the prehospital advanced emergency care in Emergency Medical Service system(EMS) through the review of the 119 transfort chart of 190 patients who visited to Jecheon Seoul hospital emergency center at Chungbuk Jecheon via 119 system during the period from October 2002 to September 2003. The results were obtained as follows: 1. Among 190 patients, male were 127(66.8%) and female were 63(33.2%) and nontraumatic patients were 81(42.6%) and traumatic patients were 109(57.4%). 2. The analysis of prehospital care by Emergency Medical Technician(EMT) revealed that Airway maintenance and keeping oral airway(37.7%), oxygen supply(75.9%), Tourniquett or MAST(18.9%), Immobilization of neck or spine(94.7%), Immobilization of extremities (51.4%), wound bandage and dressing(25.0%), BCLS(12.1%) and Application of AED(2 patients). 3. The analysis of prehospital care by EMT revealed prehospital care was limited to keep of intubation or LMA, medication and IV insertion, insertion of gastric tube and ACLS. 4. There was no case of the notification to medical institute or consultation to doctor.

• The Korean Journal of Emergency Medical Services
• /
• v.6 no.1
• /
• pp.199-207
• /
• 2002

This is a study to evaluate the effects of the safety of ambulance driving and the occurrence of ambulance traffic accidents and to provide basic information for the description of various factors to reduce the ambulance traffic accidents. The major instruments of this study were Korean Self-Analysis Driver Opinionnaire. Questionnaire contains 8 items which measure driver's opinions or attitudees: driving courtesy, emotion, traffic law, speed, vehicle condition, the use of drugs, high-risk behavior, human factor. To take the analysis of data, the total of 187 drivers were investigated ambulance drivers in Gwangju Metropolitan City from 2002. 1. September to 2002. 20. September. The data were analyzed by the path analysis SPSS program. The result are as follows : 1. There was desirable attitude group(58.4%) and undesirable attitude group(41.7%) on safety ambulance driving. 2. It have suggested that rist factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = -2.00 + 0.6 X1(Emotion Control) + 0.4 $X_2$(Speed control) + E). 3. Almost 92.1% of respondents have agreed to necessity of emergency medical technics for ambulance drivers.

• The Korean Journal of Emergency Medical Services
• /
• v.4 no.1
• /
• pp.95-100
• /
• 2000

This is a study to evaluate the effects of the safety of ambulance driving and traffic accidents and to provide statistic information for the various factors to reduce the ambulance traffic accidents. The major instruments of this study were Korean Self-Analysis Driver Opinionnaire. This Questionnaire contains 8 items which measure drivers' opinions or attitudes: driving courtesy, emotion, traffic law, speed, vehicle condition, the use of drugs, high-risk behavior, human factors. The total of 145 divers were investigated ambulance drivers in Taejon City and others(6 City) from 2000. 5. July to 2000. 11. July. The data were analyzed by the path analysis - with SPSS and AMOS package program. The result are as follows : 1. It have suggested that risk factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = $0.88{\times}1$(Emotion Control) + $0.92{\times}2$(Speed) - $0.46{\times}3$(Traffic Law)+E). 2. It have suggested that risk factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = $0.398{\times}1$(Emotion Control) + $0.500{\times}2$(Speed) - $0.263{\times}3$(Traffic Law)+E) by coefficiecial structural analysis.

• The Korean Journal of Emergency Medical Services
• /
• v.20 no.2
• /
• pp.21-35
• /
• 2016

Purpose: This study aims to investigate awareness and performance of infection control during ambulance attendant training, and to provide basic data for infection control. Methods: The subjects were 235 paramedic students who completed ambulance attendant training. There were 51 questions. The infection control dimension was divided into hand washing, personal protective equipment use, and environmental management, for each sub-dimension, awareness and performance were measured by a 4-point scale. The collected data were analyzed using SPSS statistics ver. 22.0. Results: A total of 95.3%, of the subjects completed an orientation for ambulance attendant training and 71.7% received education on infection. In all three sub-dimensions, hand- washing (p<.001), personal protective equipment use (p<.001), and environmental management (p<.001), awareness scored higher than performance. The awareness of infection control showed a significantly positive correlation (r=.394) with performance. Conclusion: In order to improve performance of infection control, education to improve awareness should be provided, and paramedics with higher performance levels in hand washing, and use of gloves and masks wearing should be assigned as training advisors.

• Journal of the Korean Society of Safety
• /
• v.29 no.4
• /
• pp.172-179
• /
• 2014

This research suggests that the regulation, design and improvement of domestic and international ambulances so that make the basis for the future ambulance in Korea. It is true that the diversification of current disasters, increasing elderly population, the increase in emergency patients, due to the lack of effective transfer system, emergency vehicle's performance problem, and the aging of ambulances cause have difficulty in providing effective emergency services in domestic country. Therefore, in order to improve the effectiveness of ambulance, the history of ambulance, other relevant provisions include international, design and directions to be improved were investigated, and also research directions of the ambulance are suggested in domestic country. In this research, suggests the following conclusions to improve domestic ambulance 1. Through standardization of the spacing and location of an ambulance is needed to maximize the treatment room. 2. The interior of the ambulance design for hygiene and infection control should be included. 3. Stretcher and equipment are designed to be fitted to each other should be standardized. 4. Especially during transfer maintain the road, noise, vibration, and shock-absorbing function to emphasize the importance. 5. The improvement of ergonomic design is necessary for the possibility of applying to many people.

• The Korean Journal of Emergency Medical Services
• /
• v.19 no.3
• /
• pp.87-101
• /
• 2015

Purpose: The purpose of this study was to provide an appropriate direction for an effective field practice program by analyzing the factors related to practical procedures in the ambulance ride practice of paramedic students in Korea. Methods: Questionnaires were answered by 202 paramedic students from March 28 to April 15, 2014. The collected data were analyzed with SPSS WIN 18.0 program. Results: The general level of procedural exposure during ambulance ride practice was 59.0% on average. Considering the practice of specific areas, vital sign checking, patient assessment, and oxygen supply showed relatively high percentages of 92.3%, 77.4% and 72.6%, respectively, whereas the areas of fluid and drug, airway, and cardiopulmonary resuscitation recorded relatively low percentage of 25.8%, 24.1% and 50.2%, respectively. The level of direct practice was significantly high in the group that included the largest number of paramedics. Conclusion: For an effective field practice, the place of practice needs to have various cases of patients to ensure a wide experience of procedures during the practice, and ambulance workers with a high level of expertise should be selected to ride with students.

• The Korean Journal of Emergency Medical Services
• /
• v.22 no.3
• /
• pp.67-76
• /
• 2018

Purpose: The purpose of this study was to evaluate the quality of chest compressions and ventilation when using an mechanical device(LUCAS) and 2-men manual cardiopulmonary resuscitation(CPR) performed on a minikin, as well as to propose a more effective CPR method during transit. Methods: Data were collected by LUCAS and manual virtual reality based ambulance simulation. Analysis was performed using SPSS software 12.0. The average and standard deviation of chest compression depth and ventilation were analyzed using descriptive statistics and t-test. Results: In the virtual reality based LUCAS and manual CPR results, LUCAS showed better chest compression and lower incomplete chest release than manual CPR. During CPR with a chest compression-ventilation ratio of 30:2 in virtual reality ventilation with bag-valve mask was able to deliver an adequate volume of breathing. Conclusion: It is suggested that rescuers on ambulance may consider using LUCAS as an alternative to high-quality chest compression during transit.

• The Korean Journal of Emergency Medical Services
• /
• v.25 no.1
• /
• pp.159-175
• /
• 2021

Purpose: This study aimed to obtain, categorize, and analyze baseline data regarding the subjective perception of ambulances from the consumers' perspective, which can be utilized for improving emergency medical service systems. Methods: Fifty people aged 20 to 40 years old were selected as P samples. Data from 35 statements of Q-cards and Q-sample distribution plots were gathered using Q-sort and analyzed using the PC-QUANL program for major factor analysis. Results: We found four unique characteristics which accounted for 57.57% of the total variation: "Considerate of emergency situations," "Identifying emergency patients," "Trusting emergency vehicles," and "Sympathizing with emergency patients." Conclusion: Organizations that provide emergency medical services using ambulances should plan and render patient care according to the four types of public perception of ambulances.

• The Korean Journal of Emergency Medical Services
• /
• v.1 no.1
• /
• pp.100-111
• /
• 1997

This is the first Korea study to evaluate the effects od the safety of ambulance driving and the occurrence of ambulance traffic accidents and to provide basic informaion for the description of various factors to reduce the ambulance traffic accidents. The major insturment of this study were Krean Self-Analysis Driver Opinionnaire. Questionnaire contains 8 items which measure driver's opinions or attitudes : driving courtesy, emotion, traffic law, speed, vehicle conditions, the use of drugs, high-risk behaviors, and human factors. To take the analysis of data, the total of 350 divers were investigated ambulance divers and others in Taejon City and others (6 City) from 1996. 1. July to 1996. 31. July. The data were analyzed by the descriptive statistics and the logistic regression - path analysis - with SPSS and SAS package program. The result are as follows : 1. There was desirable attitude group(16.2%) and undesirable attitude group(17.6%) on safety ambulance driving. 2. It have suggested that risk factors of ambulance traffic accidents much affected with emotion and speed control on safety ambulance driving < Y(Accdient) = -2.64 + 0.57 $X_1$ (Emotion Control) + 0.30 $X_2$(Seed control) + E > and motor traffic acident much affected with emotion control and high-risk behavior on safety driving < Y(Accident) = -1.11 + 0.33 $X_1$(Emotion Control) + 0.29 $X_2$(High-risk Behvior) + E > 4. The primary emphassis of ambulance drivers was make us realized that improthatnt factors on safety ambulance driving were 1)making way for emergent ambulance, 2)driver's career, 3)The ability of emergency medical technics, and the knowledge or under standing of ambulance way difficut(or easy) of accdess. 5. Almost 96.6% of respondents have agreed to necessity of emergency medical technics for ambulance drivers. 6. Almost 94.6% of respondents have consented to necessity of emergtency medical technicians for ambulance driving. 7. It have suggested that the proportion of traffic accident proportion by desitable attitude group(16.7%) was much less than that of undesirable attitude group(30.8%) on safety ambulance driving(P < 0.05)/Ps) Accidents are unplanned, unforesen incidents which can lead to harmful or unfortunate outcomes, Collisons are not accidents, since the basic cause of the majority of collisons invovles high-risk human behavior. Although there are many factors which contribute to accident causation, four basic factors seem to predominate in most traffic related situations. These four factors include: the human factor, the vehicle factor, the environmental factors and destination factor(Peto G. et al. 1995).

• Journal of the Korean Society of Safety
• /
• v.30 no.1
• /
• pp.79-86
• /
• 2015

This research proposed a design direction for the ambulance interior storage space based on the placement and access to the equipment to facilitate an emergency medical practice taking into account the safety and efficiency by the emergency medical technician ergonomic factors. Therefore, through a field survey for the current derivation of the storage space problem 'placement', 'enable', 'management' like these three items resulting clarity, accessibility, simplicity and functionality of the four functional elements by targeting ambulances in operation in this country. First, there is a need to improve standardized of cabinet sizes fit to loaded meet emergency equipment standards. Currently, the equipment designed to use a simple storage cabinet has had problems in the usability. Second, it must be located in the continuous exposure in progress to the user's traffic line. Third, the problem was the insufficient function of the cabinet to ensure the safety of patients by paramedics from the emergency rescue equipment and due to the leaning of the ambulance driving. Besides, it was pointed out that in addition to the proposed alternatives, including the agenda, states that safety belt replacement equipment, emergency personnel and patients with the handle of a guardian for the efficient use storage space within the 119 ambulance. However, in the present study suggest that there is a state proceeds mainly limited usability in the field, having been installed.