• Title/Summary/Keyword: 구급 일지

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An Analysis of the 119 EMS System using the Standardized Record on the Efficient Emergency Medical Information Delivery Media (효율적인 응급의료 정보전달매체로서의 119구급활동일지 분석)

  • Rho, Sang-Gyun
    • Fire Science and Engineering
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    • v.24 no.1
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    • pp.64-71
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    • 2010
  • Records of 255 patients was analyzed statistically according to the contents of the record form. T patients' records were collected through the visit of emergency department in one hospital by the 119 Emergency Medical Services system from January 1 to February 8, 2009. In conclusion, the total entry was the investigation of 119 ambulance run report in 62.1% of subjects. The highest record of receiving hospital item was 100.0% and the lowest record of medical control item was 0.4% of subjects. Increasing the entry of 119 ambulance run report in efficient emergency medical information delivery media needed to suggest that increasing the number of specialists on the staff, medical staffs have an active interest and feedback, rule to item arrangement of prehospital ambulance run report, continuous education in the importance of record.

Local Imbalance of Emergency Medical Services(EMS): Analyses on 119 EMS Activity Reports of Busan (구급서비스의 지역 불균형: 부산시 119 구급활동일지 분석)

  • Lee, Dalbyul
    • Journal of the Korean Association of Geographic Information Studies
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    • v.23 no.3
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    • pp.161-173
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    • 2020
  • This study analyzed local imbalances in the supply and demand of emergency medical services in Busan using the 119 emergency activity reports of the Busan Fire & Disaster Headquarters. The data for EMS activity reports in 2017 was converted into Jimgyegu units. The spatial distribution of the indicators representing the local imbalance of emergency demand and supply (number of reports, number of reports relative to the population, average coefficient of variation and outlier of on-site arrival time, and number of dispatches outside the jurisdiction) was analyzed using Hotspot analysis of GIS spatial statistics analysis. As a result of the analysis, the hot spot area and the cold spot area where both supply and demand of emergency services are concentrated were clearly distinguished. This means that the supply and demand of emergency services in Busan are locally unbalanced. In particular, there was a difference in the demand and supply of emergency services in the original downtown and its surrounding areas, and in the outskirts of Busan.

Completeness of Emergency Medical Service Activity Report by Paramedics (119 구급대원의 구급활동일지 기록 충실도)

  • Yun, Seong-Woo;Lee, Hyo Ju
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.381-383
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    • 2022
  • This study evaluated the completeness of emergency medical service (EMS) activity reports. In all, 67,830 cases of normal transfers were statistically analyzed using IBM SPSS Statistics version 22, and statistical significance was set at p <0.5. The 119EMT_2 certificate was omitted in 50,037 (73.8%) cases, followed by time-related items in 1,227 (1.8%) cases. In the primary assessment of vital signs, systolic blood pressure was omitted and erroneous in 1,218 (1.9%) and 1,129 (1.8%) cases, respectively. In the secondary assessment, the completeness of all vital sign items was approximately 70%. As the severity of the patient's condition increased, the errors in the EMS activity report also increased, at a significant level (p=.00). Paramedics must be aware of the importance of completing the activity report.

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Development of Smart App to Support the Paramedics Activities (구급 활동을 지원하는 스마트 앱 개발)

  • Eum, Sang-Hee;Kim, Gwang-Nyeon;Kim, Gi-Ryon;Nam, Jae-Hyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.1
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    • pp.49-53
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    • 2018
  • In the recent years, an attempts have been made to convergence medical technology and IT technology to overcome the limitations of temporal, spatial in the medical technology applications. Emergency care is primarily intended to provide primary care and stabilization to the patient, thereby saving the patient's life and minimizing the risk until hospital care. In this study, we developed an application S/W to support emergency services for emergency medical services. Paramedics can easily keep a log of emergency activities and monitor the patient's condition in real time with this application S/W on smart devices. In particular, medical signals and information emergency status of emergency patients can be measured or photographs of affected areas can be taken. In addition, this report can be delivered to remote medical doctors for rapid emergency measures and immediate hospital response.

A study on the emergency rescue archives (응급 출동 기록 분석에 관한 연구)

  • Park, Jihyun;Yang, Raeeun;Yun, Sowon;Jang, Seungah;Lee, Junghoon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.9-10
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    • 2022
  • 본 논문에서는 재난관련 스마트시티 플랫폼의 효율적 운영을 위한 기본단계로서 공개 데이터 사이트에서 다운로드받은 구급활동 일지 기록을 분석하여 환자들의 연령분포, 환자들의 상태, 월별발생추이, 출동 거리 등에 대한 기초자료를 추출한다. 공개에 동의한 환자들의 경우 사전에 자신의 의료 혹은 건강정보들을 기록해 놓음으로써 구급활동 절차를 많이 감소시킬 수 있으며 이 데이터 분석에 의해 추가될 구급 지구대의 위치와 구급차량의 수 등 다양한 의사결정을 수행할 수 있다.

The Regional Characteristics of 119 Ambulance Dispatch, the Distance and Response Time to the Scene (119 구급서비스 지역별 출동특성 및 출동거리와 현장도착시간과의 관계)

  • Lee, Kyoung-youl;Moon, Jun-dong;Choi, Eun-sook
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.482-492
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    • 2016
  • Purpose This study is to investigate regional characteristics of 119 ambulance dispatch and the relationship between the distance and response time to the scene. Methods This study was retrospectively conducted 119 running sheets with 1,321 patients who had been transferred to the hospital by 119 ambulance during ambulance attendant training. The training was performed at two, five and three fire station in Seoul, Daejeon and Chungnam respectively, from June 24, 2013 to July 19, 2014. Results Almost the emergency medical services provided were no more than basic first aid in all regions. The patients transferred by 119 ambulance in Seoul were more than other region. The time of call to scene and scene to hospital were the slowest in Chungnam. The major reason of call 119 was due to disease in Seoul and Daejeon, however due to injury in Chungnam. Conclusion Our study suggests that learning from ambulance attendant training course could diverse from region to region. It is, therefore, needed that standardization of ambulance attendant training course, appropriate logistics and resource allocation for providing universal quality of emergency medical services.

The Effect of Medication in the Patients with Bee-Sting (약물투여가 벌자상환자에게 미치는 효과)

  • Cho, Byung-Jun;Moon, Soo-Jae;Kim, Seon-Rye
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.350-356
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    • 2015
  • The purpose of this study is effect factors of Pre-Hospital Medication in the Patients with Bee-Sting. This study is to identify the necessity of using epinephrine in prehospital stage from the perspective of early management of anaphylaxis following a bee sting. Methods: Patients suffering from a bee sting who used the 119 rescue between 2013 from 119 center data were included. Age, sex, month of injury, time factors, vital signs, medication, signs, distance factors, presence of cardiac arrest, AVPU triage by EMT were extracted. The severity of bee sting injury was divided into mild, moderate, and severe according to the presenting symptoms and signs. Results: The severe patients treated by using oxygen, IV, ECG, Medication. Anaphylaxis is a serious allergic reaction of rapid onset that may lead to death. One of Anaphylaxis patients lived by using epinephrine. Most patients collapsed at the scene of mount. Bee sting injuries occurred primarily during summer to the farmer. Nine patients collapsed at the scene. Bee sting injuries occurred primarily from June to October. Conclusion: The primary treatment for anaphylaxis is epinephrine. Epinephrine in pre-hospital stage is factors of essential for patients. Also epinephrine will permit to be equipped in the EMT-P and use of epinephrine by law.

A Development of Support Smart Application for Emergency Rescue Activities (스마트 구급 활동 지원 앱 개발)

  • Eum, Sang-hee;Kim, Gi-Ryon;Kim, Gwang-nyeon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.238-240
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    • 2017
  • In the recent years, An attempts have been made to convergence medical technology and IT technology to overcome the limitations of temporal, spatial, and medical technology applications. In this study, we developed an application s/w to support emergency services for emergency medical services. The developed smart application for emergency rescue activities support can easily identify emergency situation and emergency diary. Then, it can be transmitted to a remote medical guidance doctor so that emergency treatment and hospital response can be performed quickly.

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The Effect Factors of Survival rate in the Patients with Cardiac Arrest (심정지 환자의 생존율에 미치는 영향요인)

  • Cho, Byung-Jun;Kim, Seon-Rye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.760-766
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    • 2014
  • This study was performed to determine the effect factors in the survival of cardiac arrest patients. This study involved 4,092 cardiac arrest patients of K province, who were transported by 119 during 2010. The data collection involved using 119 rescue daily reports, cardiopulmonary arrest patients emergency treatment detail reports and 119 paramedics survival data. In conclusion, 119 rescue's interventions in the patients with pre-hospital cardiac arrest have significantly increased survival rates. 119 rescue's interventions included early defibrillation, oxygen supply, airway open, and intravenous access affected significantly survival rate. Therefore there is need to increase 119 rescue's interventions performance to improve survival rate of cardiac arrest patients.

Analysis of Predicted Instructions about Shockable Cardiac Arrest Patients by Dispatcher at 119 Emergency Situation Management Center (제세동이 가능한 심정지 환자를 119구급상황관리센터 상황요원이 예측한 지령 분석)

  • Jeong, Eun-Kyung;Jeong, Ji-Yeon
    • Fire Science and Engineering
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    • v.27 no.6
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    • pp.122-128
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    • 2013
  • This study analyzed the emergency activity daily reports and emergency instruction sheets of the research subjects and proceeded with the shockable cardiac arrest cases transported to 119 emergency units for two years before the hospital from January 1, 2010 through December 31, 2011. The most frequently predicted instruction by the dispatchers at the 119 Emergency Situation Control Center was 74 cases of fainting (33.3%). Among varied types of predicted instructions, 112 cases (50.5%) like fainting, chest pain, general prostration and others were not able to be predicted while predictable instructions involved with cardiac arrest such as consciousness disorders, difficult breathing, cardiac attacks and convulsion were 110 cases (49.5%). In such cases, success rates of cardiopulmonary resuscitation (CPR) trials by eyewitnesses at predictable instructions involved with cardiac arrests were significantly higher. As mentioned, situation agents must categorize types of cardiac arrests accurately by posing questions over assessments regarding patients' consciousness and respiration in detail. The patients categorized by such methods must guide eyewitnesses to be able to do CPR. Moreover, not only emergency medical technicians who receive predictable instructions involved with cardiac arrests given by dispatchers (49.5%) but also filed emergency medical technicians who are not able to reach a precise conclusion to non-cardiac arrests on unpredictable instructions on cardiac arrests (50.5%) must prepare for situations related to cardiac arrests before being dispatched to the field.