• Journal of the Korea Convergence Society
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• v.10 no.5
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• pp.85-94
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• 2019

This study was aimed to identify a study on the effect of chest compressions combined with abdominal drawing-in technique on prevention of back pain and chest compression quality. We tested motion analysis, electromyography, and chest compression quality of 15 paramedics. Data were normalized to SPSS 21.0 (Kolmogorov-Smirnov and Shapiro-Wilk test). The paired t-test was used for the pre- and post-test chest compressions, the one-way ANOVA was used for the analysis of the measurement point-in-time differences, and LSD was used for the post-test. The results of the study showed significant difference in muscle activity and chest compression success rate when the chest pressure was applied with abdomen drawing-in. Therefore, it is necessary to study cardiopulmonary resuscitation education which can increase the chest compression success rate while preventing the back pain of the paramedics in the future.

• Journal of Platform Technology
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• v.9 no.3
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• pp.44-51
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• 2021

In general, golden time refers to the most important time in the initial response to accidents such as saving lives or extinguishing fires. The golden time varies from disaster to disaster, but is aimed at five minutes in terms of fire and first aid. However, for the actual site, the average dispatch time for ambulances is 9 minutes and the average transfer time is 17.6 minutes, which is quite large compared to the golden time. There are various causes for this delay, but the main cause is traffic jams. In order to solve the problem, the government has established emergency car concession obligations and secured golden time to prioritize ambulances in places with the highest accident rate, but it is not a solution in rush hour when traffic is increasing rapidly. Therefore, this paper proposed a deep learning-based emergency vehicle priority signal system using collected sound data by installing sound sensors on traffic lights and conducted an experiment to classify frequency signals that differ depending on the distance of the emergency vehicle.

• The Journal of the Convergence on Culture Technology
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• v.9 no.5
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• pp.237-244
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• 2023

The aim of this study was to explore the satisfaction and needs of 119 paramedics with regard to continuing education and to develop and implement a continuing education program that can enhance their competence in accordance with the purpose of continuing education. The differences in satisfaction with continuing education according to general characteristics were significantly different depending on age, qualification, and clinical experience, and in terms of continuing education topic needs, 'Advanced Trauma Life Support' was the highest need among all groups, and additional desired continuing education topics were the management of mentally ill patients and various field case-based education, indicating a high preference for practical topics that are helpful in emergency patient care work. Therefore, it is believed that efforts should be made to improve the operation of continuing education from various angles, taking into account the general characteristics of continuing education recipients, and improving the quality of continuing education by reflecting the needs of continuing education recipients and selecting practical topics for continuing education.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.1
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• pp.42-52
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• 2020

Objectives : Firefighters are always under stress due to their job environment, and they are likely to become psychologically vulnerable due to continuous exposure to traumatic events, which is a stressful situation that requires emergency standby at all times. The aims of this study were to examine mental health factors for each division of firefighters and to see the relationship between sleep and somatization symptoms among them. Methods : General characteristics and related inspections were conducted through self-reporting questionnaires for 1,264 firefighters working at Chungbuk fire stations. Several mental health factors were investigated by the Insomnia Severity Index, Severity of somatic symptoms, Impact of Event Scale, Perceived Stress Scale, Resilience Scale, Alcohol Dependent Screening Scale, and the Center for Epidemiologic Studies Depression Scale Depression Scale and Mini-International Neuropsychiatric Interview. Results : Among the mental health variables, the relationship between insomnia and somatization varies significantly depending on types of work. It was reported that the first aid team was significantly higher than the fire suppression and rescue team. Post-traumatic stress, depression and drinking also differ significantly depending on types of work. The first aid team reported more posttraumatic stress than the fire suppression team and more depressed mood than the rescue team. The administration part had more alcohol consumption than the fire suppression or first aid team. Resilience was significantly higher in the rescue team than the first aid team. No significant differences between the types of work about stress and suicide risks. Insomnia, stress, and post-traumatic stress were significant predictors of somatization among firefighters. Above all, insomnia was significant mental health variable affecting somatization. Conclusions : Various mental health factors were different according to the types of work in firefighters. The First aid team was more vulnerable to mental health variables such as insomnia and somatization than other divisions. Insomnia is the most important cause of somatization in firefighters, so it is recommended that they be treated for insomnia and to prepare institutional policies.

• Journal of forensic and investigative science
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• v.2 no.2
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• pp.50-66
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• 2007

An Emergency Medical Technician (EMT) is a well-trained emergency responder to provide emergency medical services to the critically ill and injured patient. In various situations, EMT may destroy potential physical evidences associated with the crime scene or determination of real cause of death. This study was aimed to evaluate the educational need of forensic medicine in Korean EMT. Questionnaires were administered to 592 EMTs during March 2007. The response rate was 60.3%(357 EMTs). In questionnaires there were 13 questions regarding the general characteristics, 16 questions about roles of EMTs related with forensic circumstances, 9 questions about the education related to forensic medicine. Questionnaires rated on a 4-point Likert scale or 5-point Likert scale. Most of 119 rescue EMTs had experienced with situations related to crime or unexpected sudden death. EMTs had arrived to the scenes earlier than police and complained of some difficulties related with deficit of forensic knowledge. EMTs wanted to receive continuous educations about forensic medicine. In order to reduce dissatisfaction with EMTs roles and to improve crime scene preservations, Emergency Medical Services policies should provide regular educational curriculum by forensic pathologists and promote legal responsibilities for 119 rescue EMTs.

• Journal of Digital Convergence
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• v.13 no.11
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• pp.197-204
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• 2015

This study aims to identify the effects: quality of chest compressions, height and weight of pregnant women cardiac arrest while lying $30^{\circ}$ inclined to the left has on the quality of chest compressions administered by 119 EMT. For the purpose of this study, 62 members of 119 EMTs in M, N, S, Y cities and G cities of J province agreed to join in the test and the test was conducted from June 15 to 16 in 2015. Two mannequins (Resusci Anne$^{(R)}$) were used for the study and the chest compression process was recorded with the use of the Laerdal PC Skill Reporting System$^{(R)}$. As a result, it was discovered that for patients with a $30^{\circ}$ left inclination, who were below 170 cm in height and 65 kg in weight, the proper frequency and depth of compression were unsatisfactory. With this in mind, training programs and instruments that can improve the quality of chest compressions depending on a person's (patient's) height and weight should be developed.

• Fire Science and Engineering
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• v.29 no.3
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• pp.70-80
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• 2015

This research was conducted to improve the image of female emergency workers in a fire service organization by studying the perception trends of the increasing number of female paramedics. This human resource can be utilized more effectively by using the study results as baseline data. We conducted a survey from May 1 to June 30, 2013. The survey was analyzed using Q methodology and the program QUANL. For the Q sample, 31 emergency rescue paramedic students who had experienced ambulance field education were selected. As a result, four types of female paramedics were found; "superwoman," "hero" (who pushes against limits of stamina), "delicate guardian angel," and "skillful desk worker." The explanation powers were as follows: type I: 42.2%; type II: 4.8%; type III: 4%; and type IV: 3.6%. The sum of the figures explained 54.7% of the total variables. Generally, the students recognized female paramedics as professionals, but physical strength, baby care, and caring were considered as burdens. This requires changes in the organization's perception of female paramedics and an institutional strategy.

• Fire Science and Engineering
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• v.28 no.4
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• pp.81-88
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• 2014

This study identified the complaint ratio of musculoskeletal symptom by 119 EMTs and investigated the work risk extent through ergonomics evaluation about the patient transport works, which cause work-related musculoskeletal disorders (WMSDs) to 119 EMTs. For this, the complaint ratio of musculoskeletal symptom utilized questionnaire tool based on KOSHA Code H-30-2008 and the risk extent about the patient transport work evaluated by using ergonomics evaluation tools such as OWAS, RULA and REBA. According to the study result, 60.9% of 119 EMTs experienced musculoskeletal symptom. Among them, the symptom on back was the most common (36.1%). The work, which mostly causes WMSDs, has been found as patient transport work (48.4%). Among the patient transport motion, loading/unloading of ambulance cot to/from ambulance and the lifting of patient by stretcher were OWAS risk-level 3 and RULA/REBA risk-level 3 to 4. Among the patient transport environment, carrying patient on stairway using emergency mini-stretcher, moving patient in vehicle using spine board and piggy-back carrying or cradle carrying patient on stairway or slope way were OWAS, RULA, REBA risk level 3 to 4. It is suggested that immediate improvement in work postures for these works should contribute to prevention against WMSDs to 119 EMTs.

• Journal of the Korea Convergence Society
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• v.8 no.8
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• pp.127-136
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• 2017

The purpose of the study was to investigate the awareness of basic emergency care by private ambulance drivers. A self-reported questionnaire was completed by 300 private ambulance drivers in Seoul, Gyeonggi, and Incheon from February 20 to April 1, 2013. The questionnaire consisted of basic life support related airway management(3 items), respiratory management(9 items), circulation(4 items), consciousness(4 items), and infection control(3 items). The awareness of infection control accounted for 87% and emergency care including airway, breathing, consciousness, and respiration was 60%. The knowledge of emergency care was 15.20(maximum 23.0 points). Consciousness was 2.55(maximum 4.0), airway management was 2.08(maximum 3.0), respiration was 5.35(maximum 9.0), circulation was 2.56(maximum 4.0), and infection control was 2.64(maximum 4.0). In order to improve the quality of private ambulance drivers, it is important to develop the emergency care program and expansion.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.5
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• pp.2360-2367
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• 2013

The purpose of this study was to improve the paramedics skills to manage advanced airway by comparing speed and success rate between endotracheal intubation and laryngeal mask airway(LMA) insertion in a moving ambulance. Sixty subjects were randomly recruited and samely divided into control group and experimental group. And they were asked to join a practical experiment using dummy model. Data analysis was done by SPSS WIN 14.0 Version. As a result of this research, in terms of difference in speed according to patient's intubation posture, the speed of control group was indicated to be good in sniffing position(t=-4.038, p<.001). There was no difference in speed between two groups in neutral position. In the neutral posture given the endotracheal intubation, tooth fracture occurred in 16 people(53.3%). There was no difference in success rate between two groups. As for a change in self-confidence before and after experiment, the post self-confidence was indicated to have been enhanced in both groups. In conclusion, it is effective to use LMA in the traumatic patient who is unable to receive endotracheal intubation in sniffing position. It is very important for the paramedics to receive the continuous training of the airway management skills.