• The Korean Journal of Emergency Medical Services
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• v.25 no.1
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• pp.57-72
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• 2021

Purpose: The purpose of this study was to provide basic data for developing strategic programs based on the types of perception to aid in the coping strategy of 119 emergency medical technicians who experienced have violence. Methods: The subjects were 119 emergency medical technicians working out of hospitals in Korea. Data were collected from March 10, 2019, to June 30, 2019. Q samples of 37 statements and P samples of 36 persons were taken using PC QUANL software. Results: As a result of the study, four types of coping with violence experiences were identified; these four types explained 53.79% of all variables from the examination. The types were labeled as the cooperation seeking and manual emphasis type, emotional suppression and stability seeking type, active response and business continuation type, communication empathy and recovery effort type. Conclusion: The Fire Department requires institutional measures to lower violence during field activities, and it will be necessary to develop a policy according to the type of perception of coping behaviors.

• The Korean Journal of Emergency Medical Services
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• v.25 no.1
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• pp.73-84
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• 2021

Purpose: The purpose of this study was to investigate the educational satisfaction of trainees in implementing violence prevention education by workers in the emergency room and insufficient education. Methods: The participants of the study were 65 emergency room employees in S area. Results: First, education was helpful if you actively participated in education, and if you did not actively participate in education, education was shown to be of little or no help (χ²(p)= .000 p-value<.05). Second, formal education (53.3%) was identified as the problem of preventive education currently in place of education, and statistics show that the biggest problem with applying emergency room violence prevention education at worksites is a lack of active support (41.7%) from the police and hospitals. Third, 48.3 percent of the respondents thought that the education methods invited experts were appropriate for emergency room violence prevention education. Conclusion: The problem with the current emergency room violence prevention education is that it is necessary to establish a connection program between hospitals and police stations and give lectures by experts in violence prevention education to apply the contents of the educational curriculum in the workplace with one time and formal education.

• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.101-118
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• 2022

Purpose: This is a descriptive research study that aims to identify factors affecting fatigue by examining the degree of emotional labor, job stress, and fatigue of 119 emergency medical technicians (119 EMTs). The correlation between emotional labor, job stress, and fatigue was also confirmed. Methods: A total of 139 EMTs working in the Daejeon area participated in this study. Data were collected from July 6-15, 2021. Results: When the number of dispatches was high and the job was dissatisfying, the degree of emotional labor was high. In addition, the shorter the work experience and the lower the job satisfaction are, the higher the job stress is. The degree of fatigue was significantly higher in female than male 119 EMTs, and when they had short work experience and were dissatisfied with their job, the degree of fatigue was higher. Moreover, there was a significant correlation between emotional labor, job stress, and fatigue of the 119 EMTs. Conclusion: To reduce emotional labor, job stress, and fatigue of 119 EMTs, appropriate interventions for each factor and institutional improvements are required.

• The Korean Journal of Emergency Medical Services
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• v.26 no.3
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• pp.201-208
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• 2022

Purpose: The purpose of this study is to analyze the current status of disasters and initial first aid in the construction industry, and to suggest the deployment of emergency medical technicians and reinforcement of first aid training in the construction industry. Methods: Among industrial accidents in 2020, the accident characteristics and initial first aid that occurred at construction sites were analyzed, and the emergency dispatch of 119 paramedics was analyzed through the SPSS method. Results: The incidence of serious accidents was high at small and medium-sized construction sites with less than 50 workers, and the incidence of falls was high, and there were few first responders who could provide first aid in the beginning. Therefore, it is necessary to improve first aid response capabilities at small construction sites. Conclusion: In order to improve the ability to respond to first aid at construction sites, it is necessary to deploy first responders and strengthen first aid education.

• The Korean Journal of Emergency Medical Services
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• v.26 no.3
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• pp.7-19
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• 2022

Purpose: The purpose of this study was to confirm the exploratory factor analysis and reliability analysis of the burden of 119 emergency medical technicians. Methods: The data collection period was from November 2, 2022 to November 6, 2022. This study had 316 subjects, and the collected data were analyzed using exploratory factor analysis and Cronbach's α coefficient using IBM SPSS statistics 27.0. Results: The reliability was .924. The exploratory factor analysis yielded the following information: the first factor was lack of violence policy, the second factor was conflict between the organization and the paramedics, the third factor was lack of psychological support, and the fourth factor was lack of education and communication. The explanation power of 4 factors was 54.31%. Conclusion: This study is significant as it performs exploratory factor analysis as a preliminary step in the development of a burden measurement tool.

• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.37-56
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• 2022

Purpose: This study aimed to identify and present suitable recognition types of policy alternative for before and after response, according to the recognition types of problems in response to violence. Methods: This study investigated 36 EMT's of 17 cities and provinces nationwide. The study was approved by the Kongju National University Institute Review Board (KNU_IRB_2021-17). Data were collected from May 1, 2021 to August 30, 2021 and analyzed by Q factor analysis using the PC-QUNAL program. Results: Recognition types of the problem in 119 EMT's response to violence were described as "I type; lack of professional manpower," "II type; inadequate policy on violence," and "III type; lack of awareness on the emergency field." Recognition types of policy alternative on response to violence by 119 EMT's were described as "Itype; training and public relations oriented," "II type; work environment improvement," "III type; violence handling specialization demand," and "IV type; recovery support seeker." Conclusion: This study provides the foundation required to develop and implement the policies regarding the response to violence; therefore, contributing to EMT's provision.

• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.139-150
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• 2022

Purpose: This protocol aims to improve the simplicity of the existing two-person cardiopulmonary resuscitation (CPR) by focusing on chest compressions and artificial respiration, and classifying the roles within the scope that can be observed. Methods: In this study, the protocol was developed by forming an expert group consisting of a professor from the emergency and rescue department, a professor from the nursing department, and a first aid officer from the fire department. In addition, if the number of panels is 15 and the derived content validity ratio (CVR) value exceeds 0.49, a reference point that satisfies content validity at 95% reliability is presented. Results: All 11 performance items exceeded the CVR value of 0.49 to meet the reference point, and the CVR range of this protocol is 0.625 to 1.000. Conclusion: In order to improve the quality of three-person CPR, verification of simulation models and continuous protocol revision should be conducted by individuals specializing in various fields.

• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.119-127
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• 2022

Purpose: This study aimed to examine the necessity of administrative compensation insurance and claims cases during the emergency medical service process among administrative compensation insurance cases and suggests problems and improvement measures. Methods: We compared the details of administrative compensation insurance claims of 15 cities and provinces, excluding Seoul and Kwangju, from 2017 to 2020 by requesting details disclosure of the comprehensive deduction for administrative compensation in 17 cities and provinces across the country. Results: A total of 69 cases were compensated through the administrative comprehensive compensation deductions. There were 53 cases of damage that occurred at the field stage, 14 cases at the transfer and hospital stage, and two other cases. Conclusion: The 119 paramedics, which are the perpetrators, should be active in field activities and free from the psychological pressure caused by increased workload and litigation. Active compensation administration is required for damage cases occurring in the firefighting activities context.

• The Korean Journal of Emergency Medical Services
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• v.27 no.1
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• pp.91-100
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• 2023

Purpose: In patients with major trauma, mortality varies by age. This study aimed to identify predictors of death according to age. Methods: Data from the Community-Based Severe Trauma Survey in Korea were analyzed using a retrospective case-control design. Factors associated with death were identified by age using independent-samples t-tests, Welch's test, and χ² tests. Results: There were statistically significant differences in mortality by sex (p=.006), location (p=.029), mechanism of injury (MOI) (p<.001), intention (p<.001), transportation (p<.001), surgery (p<.001), and Injury Severity Score (ISS) (p<.001) in the ≤44 years age group; by location (p<.001), MOI (p=.004), intention (p<.001), transportation (p<.001), surgery (p<.001), and ISS (p<.001) in the 45-54 years age group; by location (p=.040), MOI (p<.001), transportation (p<.001), transfusion (p<.001), surgery (p<.001), and ISS (p<.001) in the 55-64 years age group; by location (p=.015), intention (p<.001), surgery (p<.001), and ISS (p<.001) in the 65-74 years age group; and by location (p=.002), intention (p<.001), transfusion (p=.020), surgery (p<.001), and ISS (p<.001) in the ≥75 years age group. Conclusion: In patients with major trauma, predictors of mortality varied by age.

• The Korean Journal of Emergency Medical Services
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• v.28 no.1
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• pp.21-34
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• 2024

Purpose: This study aimed to observe change in factors over time in the first cohort of the 2018 Children and Adolescent Panel Middle School. In addition, this study attempted to examine the causal relationship and influence between variables by setting a time gap between independent and dependent variables. Methods: Frequency and descriptive statistical analyses were conducted to determine the general characteristics of the study participants. Hierarchical regression analysis was conducted to analyze the effects of smartphone dependence on health, sleep quality, and depression. After inputting the control variables (Model 2), the influence of the variables was identified based on the input model. Results: Smartphone dependence positively impacted depression in both male and female students and negatively impacted sleep and health. Conclusion: Smartphones are closely associated with teenagers' lives. Additionally, as adolescents experience various psychological anxieties owing to rapid physical changes, there are concerns that psychological dependence may increase, considering that adolescence is the most emotionally unstable period. Therefore, the results of this study consistently prove that smartphone dependence has a causal relationship with emotion-related variables, such as emotional stress, depression, and anxiety.