• Title/Summary/Keyword: 응급 구조

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The effect of SIM-PBL eduction on critical thinking disposition and self-efficacy in paramedic students (문제기반학습 연계 시뮬레이션(SIM-PBL) 교육이 응급구조과 학생들의 비판적 사고경향과 자기효능감에 미치는 영향)

  • Cho, Hye-Young
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.3
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    • pp.61-71
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    • 2013
  • Purpose: This study was conducted to evaluate the effects of the simulation education integrated with problem based learning on critical thinking disposition and self-efficacy on paramedic students. Methods: The study subjects were 48 students. Pre and post design with nonequivalent control group was assigned. The experimental group received the one week education for 4 weeks(4 sessions in total) with 90 minutes for each session. The control group received a regular skill training curriculum. Results: The experimental group showed significantly higher improvement of self-efficacy and critical thinking disposition preference compared with the control group. Conclusion: These findings indicate that simulation education with scenario was effective in improving the critical thinking disposition and self-efficacy in paramedic students.

An evaluation study of 1339 emergency medical dispatch based on ICD-9 (국제질병분류기준을 이용한 응급의료 전화상담 내용 분석)

  • Kang, Kyung-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.129-140
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    • 2002
  • Purpose : To evaluate the emergency medical protocols and assessments through the case reports. Method : We studied retrospectively investigates the emergency calls through the 1339 emergency patients information center in 1997. Results : The emergency calls show an order : abdominal pain(13.5%), unconsciousness(12.0%), traffic accidents(7.4%), bleeding(6.6%), respiration difficulty(5.9%) by emergency medical protocols, and injury and poisoning(22.3%), symptom (51.6%), others (26.1%). Conclusion : The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review emergency medical dispatching cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

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The Basic Design on Dispatch Life Support Pre-arrival Instruction Protocol (응급통신소생술 도착전지시 프로토콜 기본설계 방안)

  • Back, Hong-Sok;Kim, Jung-Hyun;Oh, Yong-Gyo;Cho, Hyun
    • The Korean Journal of Emergency Medical Services
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    • v.4 no.1
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    • pp.17-29
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    • 2000
  • As technology advances rapidly, emergency medical dispatching systems must also advance. Optimal emergency medical dispatching requires the courage to practice medicine at dispatch. Modern emergency medical dispatch provides appropriate resource responses with the use of an (Advanced Medical priority Dispatch System(AMPDS) in U.S.A. The AMPDS is a systematic protocol for all aspects of the dispatch process. Based on the AMPDS chief complaint list, we initiated a basic design on pre-arrival instruction protocol and completed the scripted pre-arrival instruction protocol, using Cardiopulmonary resuscitation(CPR) protocol. Implementation of this study creates computerized emergency medical dispatching system for future enhancements, such as the AMPDS.

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Analysis for the Effect on Satisfaction after Education of Cardiovascular Pulmonary Resuscitation in Emergency Medical Information Center (일부지역에서의 응급처치 교육전후의 효과분석)

  • Kim, Jin-Woo;Jo, Jean-Man;Kim, Chang-Kook;Lee, Mi-Ok
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.55-78
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    • 2005
  • The purpose of this study is to analyze the effect on satisfaction after education of cardiovascular pulmonary resuscitation(CPR) in Daejon Emergency Medical information Center in Korea. The major instruments of this study were Korean Self-Analysis Student Opinionnaire. Questionnaire contains 12 items which measure student's satisfaction or attitude factor. To take the analysis of data, the total of 308 students were investigated in Medical Information Center in Dae-jon Metropolitan City from 2004. 2. September to 2004. 16. September. The data were analyzed by the path analysis SPSS program. The result are as follows: 1. After education of CPR, there was significant satisfaction of CPR knowledge P=0.0011). 2. After education of CPR, there was significant satisfaction of CPR skill(P=0.00001).

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The Necessary of Portable X-ray Equipment for Emergency Medical Service System and Sports Injures (응급의료체계와 스포츠손상에서 휴대용 X-ray 장치의 도입 필요성)

  • Cho, Dong-Heon;Koo, Kyung-Wan;Jo, Jeanman
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.189-197
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    • 2004
  • The fate of a emergency patient is decided upon the extent of first aid in one hour after accident. Suitable diagnosis and treatment can raise the possibility of patient's life and reduce the recuperation time. We surveys papers which were The Korean Society Of Sports Medicine(1993-2004 yeas 405papers)and The Korean Society Of Emergency Medicine (1990-2004 yeas 797 papers). This paper got the following results through analyses of problems in emergency medical service system and of injures from sports. First, portable X-RAY equipment is needed to apply it to emergency. Second, it should have small and light structure compared with old equipments and have high voltage generator unit for X-RAY using inverter. Third, it should be able to send the shot data that is digital detector type without film to doctors in emergency center.

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A Study on Improvement of EMS Fund Using in Korea (우리나라 응급의료기금 운영실태 및 문제점)

  • Baek, Hong-Sok
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.2
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    • pp.101-110
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    • 2005
  • In Korea, EMS Fund Operation seems to move the opposite direction to right way. The most initial EMS fund was consumed loan for some emergency patients without any particular results. Since 2002, the use of EMS fund also has shown a tendency to shift one side. By the results, it was 44.3% to support emergency medical centers, so called hospital EMS system and 28.4% to purchase ambulances and helicopters, and 1.6% to operate Central Medical Center, prehospital base in the EMS fund consumed in 2004. It was never supported for the environmental improvement and development of universities, colleges, and private EMS units having the primary responsibilities. The initial EMS fund using should be used for prehospital base, e.g., prehospital staffs, communications, and facilities and balanced development between public and private EMS units than any other fund using.

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Improvement of the pre-hospital emergency medical service system in China (중국의 병원 전 응급의료체계 개선방안)

  • Wang, Chengying;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.2
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    • pp.53-66
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    • 2012
  • Purpose : Emergency medical services in China are increase in demand by people and under the greater pressure than ever before. So it is, necessary to advance the pre-hospital system in order to promote the development of emergency medical services. Methods : This is based on China-related articles, books, journals, reports, statistical data and other literature. Results : First, pre-hospital emergency medical care with the introduction of specialist training program should be established. Second, to strengthen pre-hospital emergency services and to develop the EMS guidelines. Third, the "120" reporting systems unification and awareness activation. Fourth, the preparation of the EMS facilities equipment system. Fifth, the rapid transport system establishment to the selected medical institutions. Conclusion : It is necessary to strengthen the emergency medical personnel at the scene, rapid transport, rapid patient triage and to improve the survival rate of the patients.

Analysis of direct medical control conducted to 119 emergency medical technicians in an emergency medical information center (119구급대원에게 시행한 일개 응급의료정보센터의 직접의료지도에 관한 분석)

  • Seo, Ha-Yan;Lee, Kyoung-Youl
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.3
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    • pp.29-43
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    • 2012
  • Purpose : The goal of the present study is to provide the basic information to medical control which is the most important improving factor of pre-hospital medical treatment. Method : A total of 749 records of direct medical control were collected from 119 EMTs in emergency medical information center of Daejeon, Chungcheongnam-do and Chungcheongbuk-do from March 1, 2010 to February 28, 2011. Results : The 119 EMTs should record the level of qualification of EMT and general patient history taking precisely when they receive direct medical controls. The doctors should take medical controls within the task range of qualification of EMTs. Conclusion : It is necessary to establish the guideline of medical direction and protocol of prehospital emergency care. The quality improvement of pre-hospital emergency services will be possible by the guideline and protocol.

The perception types of clinical training experience in paramedic students (응급구조과 학생들의 임상현장실습 경험에 대한 인식유형)

  • Lee, Ga-Yeon;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.1
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    • pp.59-73
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    • 2017
  • Purpose: This study aimed to enhance the efficiency of clinical training education by understanding paramedic students' perceptions of their hospital clinical training experiences. Methods: The subjects were 31 third paramedic students who participated in a population survey from June 25 to August 13, 2016. A Q card and Q sample distribution chart were created, and the P sample was selected by Q classification. The collected data were analyzed by factorial analysis using PC QUANL. Results: Four different perceptions were identified from the survey, which explained 44.1% of the variables. The four types were classified as Self-improvement-oriented (Type 1), Training-site avoidant (Type 2), Confidence acquiring (Type 3), and Over-willed (Type 4). Conclusion: Paramedic instructors and clinical training managers may want to consider these four perception types when planning clinical training and education programs to improve job performance.

The Study on Subjectivity of Job Values about Senior Student of EMT Dept (일부 응급구조과 3학년생의 직업 가치관에 관한 연구)

  • Oh, Jin-Hwan;Lee, In-Soo
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.133-144
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    • 2005
  • Purpose : The purpose of this study was to explore the structure and characteristics of job values about senior student of EMT Dept. Method : A Q-methodology was used to identify factors in job values. A Q-sample was collected from in-depth and objective interviews and literature reviews. A P-sample was composed of 31 EMT students. Result : Results revealed three factors; Self achievement-oriented, stability-oriented, and aptitude-oriented. The 'self achievement-oriented' factor was characterized by preference of achievement, worth, and activity in choosing occupation. The 'stability-oriented' factor was focused on security of retirement age, pay, compensation, and lifelong job. The 'aptitude-oriented' factor was showed aptitude, interesting in choosing occupation. Conclusion : We evaluated that these results was used as useful data for the development of curriculum and guidance of choosing occupation.

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