• Title/Summary/Keyword: 응급 구조

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Strategies for Improving Pre-hospital Emergency Medical Service (병원전단계 응급의료서비스 고도화 전략)

  • Chai, Seung-Gi;Jang, Dai-Hyun;Lee, Hyun-Woo;Han, Woo-Chul
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2011.01a
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    • pp.127-130
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    • 2011
  • 사회가 고령화, 초핵가족화 및 재난취약계층이 늘어나면서 요구호자에 대한 고품질 맞춤형서비스가 필요하게 되었고, 급성진환, 심뇌혈관 고위험 환자 및 자살 등 예방가능 사망률이 선진국에 비해 높음에 따라 신속하고 전문적인 구조 구급서비스가 요구된다. 따라서 본 논문에서는 응급환자가 발생하였을 때 병원 도착 전 환자의 정보를 이용하여 응급처치가 가능하도록 하고, 응급의료기관에서는 환자 진료준비를 사전에 할 수 갖출 수 있도록 하여 응급환자 진료의 효율성을 극대화하였다. 또한 사회적 인지도가 높은 119번호를 이용한 다양한 복합 응급신고 접수 시 유관기관과 통합적 대응체계를 구축하는 효율적 응급의료서비스 고도화 전략을 제시하고자 한다.

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기본인명구조술(1)-심폐소생술

  • Lee, Hui-Taek
    • 건강소식
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    • v.31 no.10 s.347
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    • pp.32-33
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    • 2007
  • 기본인명구조술은 의식이 없는 환자를 발견한 후 구조를 요청하고 기도유지, 구조호흡, 흉부압박을 시행하는 심폐 소생술의 초기단계이다. 이번 호에는 심정지가 의심되는 환자를 발견하였을 때의 행동요령과 심폐소생술에 대하여 알아보고자 한다. 심정지의 발생은 예측이 불가능하며 심정지가 발생한 후 4~6분이 경과하면 치명적인 뇌손상이 발생하므로 환자가 발생한 현장에서부터 목격자에 의한 심폐소생술을 시행함으로써 폐와 심장의 기능을 유지하고, 뇌의 생리학적 사망을 연장시켜 심정지 환자의 생명을 살릴 수 있다. 그러므로 환자발견 현장에서 빠른 시간 내에 심폐소생술을 시행하는 것이 중요하다. 응급의료 선진국에서는 현장에서의 빠른 응급처치로 인해 20%의 생명을 살릴 수 있는 반면, 우리나라는 4%에 불과하다.

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Survey and Improvement Scheme for Clinical Practice of Emergency Medical Technology Students in the Convergence Society (융복합 사회에서 응급구조(학)과 학생들의 임상실습 실태조사 및 개선방안)

  • Jung, Sang-Woo
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.287-299
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    • 2017
  • This study aims to suggest the improvement plan for clinical practice after examining the reality and the situation of clinical practice of EMT students. Clinical practice is as important as right to a variety of job experience in the convergence society and heating up according to appearance of NCS. Subjects were 115 EMT students. Data were collected for Jun. 16-17(2016), and analyzed by SPSS v. 18.0. Sophomores, who experienced only ER have a negative view about their future job prospect. On the other hand, juniors, who experienced ER and 119 rescue team have not virtually changed the way they view their future job prospect, supposedly due to the halo effect of the 119 rescue team clinical practices. Both groups wish to have opportunities to experience diverse clinical practices. This study suggests that will help students have a positive view about their job prospects by providing clinical practice institutions and solve the problem of difficulty in getting jobs.

Status of non-face-to-face learning at selected regional universities for paramedicine since the coronavirus infectious disease 2019 outbreak: a cross-sectional survey on undergraduates (코로나19 발생 이후 일부 지역대학 응급구조학과의 비대면 교육 현황)

  • Kim, Sa-Rah;Kim, Chul-Tae
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.1
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    • pp.71-85
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    • 2022
  • Purpose: This study aimed to investigate the current status of non-face-to-face education at universities for paramedicine and measure students' education satisfaction after the coronavirus infectious disease 2019 (COVID-19) outbreak. Methods: A cross-sectional survey was conducted for paramedic students at the Chungcheong and Honam areas using Google Forms. Convenience sampling was used. A structured questionnaire was created and modified according to Park and Choi's test tool developed to review online lectures and practical courses. Results: A total of 202 students responded to the survey. The satisfaction level of online lectures was 3.06±1.12 (n=202) out of 5. Students experiencing online lectures responded that it was difficult to focus on the class, and the overall quality and lecture delivery should be improved. They also experienced technical difficulties. The satisfaction level of practical course lectures was 3.24±1.04 (n=133) out of 5. It was higher than those of other types of classes because it was conducted by the more familiar face-to-face lecture. Conclusion: This study has shown that the universities and instructors have examined a variety of methods in paramedic education after the COVID-19 pandemic. However, further research and consideration are required to improve paramedic education during the COVID-19 pandemic.

대심도 철도에서의 응급의료체계 : 국내 유사한 교통체계에서 상황을 중심으로

  • Wang, Sun-Ju
    • Magazine of the Korean Society of Hazard Mitigation
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    • v.10 no.3
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    • pp.36-42
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    • 2010
  • 최근 포화된 도시 인구와 교통량에 대응하기 위하여 기존의 버스, 지하철 등의 대중교통 수단 이외에 광역화된 도시 영역을 빠른 시간 내에 대량의 승객이 이동할 수 있는 신개념의 교통체계로서 대심도 철도가 소개되고 있다. 철도가 광역화되고 인구 밀도가 높은 도시 영역을 빠르게 대량의 승객을 수송하기 위해서 지하 깊이 철도가 다니게 하는 것이 경제성, 효율성 측면에서 합리적일 수 있으나 편리성과 도입에 초점을 맞추다 보니 여기서 발생할 수 있는 여러 가지 안전 문제에 대한 체계적인 검토가 간과되고 있다. 대심도 터널 내에서의 다양한 교통사고와 화재를 포함하여 각종 자연 재해와 인적 재난이 대심도 교통수단의 안전에 영향을 줄 수 있다. 방재 측면에서 대심도 터널 자체의 구조와 기능, 교통수단의 기능 측면을 강조하다 보니 인명 피해, 즉 인간 그 자체의 안전에 대하여 간과하는 측면이 있어 본 내용은 국내 유사 교통 수단인 고속철도에서 심장마비 환자의 응그브이료 구축 사례와 대구 지하철 화재의 초기 응급의료 대응을 통하여 대심도 철도 사고나 응급환자 발생 시 대피와 구조의 어려움을 적절히 대처하고, 인명피해 저감 대책과 대심도 철도의 특성에 맞는 응급의료체계를 개발 방향에 대하여 제시하고자 한다.

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Factors influencing the resilience of firefighters (소방공무원의 극복력에 영향을 미치는 요인)

  • Kim, Jin Woo;Song, Hyo-Suk
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.1
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    • pp.37-48
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    • 2021
  • Purpose: The purpose of this study was to identify the degree of resilience, traumatic events, secondary traumatic stress, and calling reported by firefighters and to identify the factors affecting the resilience of firefighters. Methods: Data were collected using structured questionnaires and 200 fire officials working in D city were enrolled as the subjects. Data were analyzed using SPSS 24.0, and the analyses included descriptive statistics, independent t-test, ANOVA, Scheffé test, Pearson correlation coefficient, and multiple linear regression. Results: The difference in resilience according to general characteristics showed significant differences in health status (F=4.33, p=.014) and job satisfaction (F=6.13, p=.003). The factors affecting resilience were identified as calling (β=.25, p<.001), and the explanatory power for resilience was 19.2%. Conclusion: It is necessary to increase calling in order to increase resilience. Therefore, we suggest that professional education and programs that consider personal characteristics are needed to strengthen the calling.

The experience of distanced synchronous and asynchronous learning in paramedic students through focus group interviews (응급구조과 대학생의 원격수업 경험 분석)

  • Lee, Young-Ah
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.2
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    • pp.157-167
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    • 2021
  • Purpose: The study was a qualitative study to examine the synchronous and asynchronous distanced learning experience of online paramedic students during the COVID-19 pandemic. Methods: The subjects included 10 students enrolled in the department of emergency medical service at J City C University. Written consent was provided by the subjects prior to the study, and focus group interviews were then conducted with sufficient explanation. The interviews were recorded and were directly transcribed immediately after the interview. Research results were then derived through content analysis. Results: A total of 4 domains and 9 categories were derived from the experiences of paramedic students on distanced learning. The 4 domains included "distanced lectures type," "student's adaptation and non-adaptation," "change of evaluation," and "learning anxiety." Conclusion: Contents of each domain derived from this study are expected to be used as basic data for the design of the distanced learning in the future.

Effect of web-based virtual simulation learning on learning flow, problem-solving ability, and academic self-efficacy of paramedicine students (웹기반 가상시뮬레이션 학습이 응급구조과 학생의 학습몰입, 문제해결능력, 학업적 자기효능감에 미치는 영향)

  • Young-Ah Lee
    • The Korean Journal of Emergency Medical Services
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    • v.28 no.2
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    • pp.131-142
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    • 2024
  • Purpose: This study aimed to explore the use of web-based virtual simulations to improve the learning flow, problem-solving ability, and academic self-efficacy of paramedicine students. Methods: This study used a pre-post comparison design with 40 pamedicine students at one university. the participants were third grade students and participated in web based virtual simulation(vSim®). The difference between the pre-post was analyzed using a Paired Sample t-test with SPSS 26.0. Results: After web based virtual simulation using vSim® program than before, significantly higher learning flow(t=12.74, p<.001), problem-solving process(t=5.78, p<.001), academic self-efficacy(t=2.77, p<.001), Paramedic-Care Skills Confidence(t=6.30, p<.001). Conclusion: The results indicated the positive effects of web-based virtual simulation(vSim®) learning method and suggests implications for learners and instructors.

Comparison of Professional Self-Concepts and Care Perceptions between Emergency Medical Technician Trainees and Emergency Medical Technician Basics (2급응급구조사 교육생과 2급응급구조사의 전문직 자아개념 및 응급환자 돌봄 지각의 비교)

  • Lee, Chang-Hee;Jung, Jun-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5826-5838
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    • 2012
  • This study is explorative survey carried out to examine differences in professional self-concepts and emergency patient care perceptions between emergency medical technician trainees (namely, EMT-basic trainees or trainees) and emergency medical technicians basic (namely, EMT-basic or technicians). The subjects are some trainees and technicians. The trainees included 95 fire fighters who had enrolled educational programs for emergency medical technicians basic at K and A Fire Academy while the technicians were 78 fire fighter gathering from all regions of the country who had enrolled a short expertise program for emergency medical technicians basic at S University in C City.

Changes in the characteristics of patients transferred to the emergency room through private institutions during inter-hospital transport after the COVID-19 outbreak : A retrospective study (COVID-19 발현 이후 병원간 이송 시 민간 이송업체를 통해 응급실로 전원된 환자들의 특성 변화 : 후향적 연구)

  • Kim, Seong-Ju;Ji, Jae-Gu;Jang, Yun-Deok;Lee, Si-Weon;Yu, Jae-Kwang;Kang, Ji-Hun
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.1
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    • pp.125-134
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    • 2021
  • Purpose: The purposes of this study were to determine the changes in the pattern of patients who were transferred to the emergency room through inter-hospital private institutions and to determine how long transport takes following the COVID-19 outbreak. Methods: This retrospective observational study analyzed the emergency medical services reports of private institutions following the COVID-19 outbreak in South Korea. The study was conducted in Busan between January 19, 2019 and January 18, 2020, and between January 19, 2020 and January 18, 2021. Results: Upon comparing the patient transport times during the "Pre-COVID-19 period" and "COVID-19 period," a significant delay was noticed in the preparation for transfer of patients during the "COVID-19 period" (p<.05). There were significantly more patients with respiratory infections and patients who complained of general symptoms during the "COVID-19 period." Moreover, there was a higher frequency of patients who were transferred to a 'Level I' emergency room during the "COVID-19 period" compared to during the "Pre-COVID-19 period" (p<.05). Conclusion: Following the COVID-19 outbreak, there is a delay in patient transport to the emergency room through private institution inter-hospital transport and an increase in the number of patients complaining of respiratory infection symptoms. Thus, emergency medical services need additional administrative and economic support to transport infected patients.