• The Korean Journal of Emergency Medical Services
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• v.23 no.2
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• pp.99-107
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• 2019

Purpose: This study aimed to identify the position for the most accurate head-up cardiopulmonary resuscitation (CPR) by comparing saddle position CPR (SPCPR) and traditional CPR (TCPR). Methods: Sixty certified persons who completed a basic life support provider course between May 1 and June 21, 2019 were enrolled in the study. The participants were asked to perform 2 minutes of CPR, and the depth of chest compression, rate, position, full release, and hands off time were assessed. Accuracy was evaluated based on data collected from a smart phone application connected to the manikin via bluetooth and analyzed using frequency, percentage, t-test, analysis of variance and ${\chi}^2$. Results: The accuracy of chest compression was statistically significantly higher for SPCPR, 63.03%[${\pm}8.75$] for SPCPR and 55.50%[${\pm}10.17$] for TCPR [t=3.074, p=.003]. The depth of chest compression was statistically significantly greater for SPCPR, 4.51cm[${\pm}0.45$] for SPCPR and 4.16cm[${\pm}0.61$] for TCPR [t=2.503, p=.015]. The rate of chest compression was statistically significantly higher for TCPR, 105/min[${\pm}10.79$] for SPCPR and 111/min[${\pm}11.57$] for TCPR [t=-2.008, p=.049]. Accuracy of position of chest compression was statistically significantly higher for SPCPR, 96.10%[${\pm}13.73$] for SPCPR and 79.93%[${\pm}30.34$] for TCPR [t=2.659, p=.011]. Accuracy of full release was higher with SPCPR, with 86.30%[${\pm}30.53$] for SPCPR and 71.10%[${\pm}36.05$] for TCPR, but the difference was not statistically significant [t=1.762, p=.083]. Conclusion: Saddle position CPR was found to be more accurate than TCPR in the performance of manual head-up CPR.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.10a
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• pp.303-305
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• 2022

This study aims to investigate organizational commitment and turnover intention that are affected by workplace harassment. The participants of this study were paramedics working at hospitals and the questionnaire used in the study consisted of a total of 51 questions; 13 on general characteristics, 20 on workplace harassment, 12 on organizational commitment, and 6 on turnover intention. In this study, the correlation between workplace harassment, organizational commitment, and turnover intention was analyzed. The analysis showed a significant negative (-) correlation between workplace bullying and organizational commitment (r= -.457, p< .001), and a significant positive (+) correlation between workplace bullying, and turnover intention (r= .389, p< .001), and a significant negative (-) correlation between organizational commitment and turnover intention (r= -.775, p< .001).

• The Korean Journal of Emergency Medical Services
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• v.27 no.3
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• pp.71-83
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• 2023

Purpose: The purpose of this study is to investigate the impact of paramedic students' five-factor personality characteristics and stress coping behavior on the stress of emergency room practice. Methods: This study conducted a survey targeting 2 grade - 4 grade paramedic students who had experience practice at emergency room at N University and B University located in Cheonan, South Chungcheong Province. Results: 'Agreeableness' was the highest at 33.88±6.31 and 'Neuroticism' was the lowest at 27.82±7.43. Among stress coping methods, 'active coping' was higher at 3.39 than 'passive coping' at 3.21, and the subarea with the highest score was 'wishful coping'. When looking at clinical practice stress by sub-domain, 'practical training environment' was the highest at 2.96, and 'interpersonal conflict' was the lowest at 2.14. There was a negative correlation between clinical practice stress and friendliness (r=-.220, p=.014) and a positive correlation with active coping (r=.210, p=.019). The influential factors were friendliness (β=-.267) and active coping (β=.258). Conclusion: The paramedic students who participated in this study showed a high level of agreeableness among the five personality traits and used a active coping style to cope with stress. Agreeableness has been shown to lower clinical practice stress, and active coping is classified as the most appropriate coping style, so research is needed to guide people to utilize friendliness and active coping well.

• The Korean Journal of Emergency Medical Services
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• v.28 no.1
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• pp.97-112
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• 2024

Purpose: This study compared the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curricula of 119 emergency medical technicians (EMTs). Methods: First, we identified the educational content, training hours, and teaching and evaluation methods of the existing patient assessment curriculum based on the National Competency Standard learning module. Second, we surveyed 30 EMTs affiliated with 119 services using the Analytic Hierarchy Process (AHP) method. Subsequently, we compared the differences between the current curriculum and the AHP analysis results. Results: Currently in operation, the "Advanced EMT Course" comprises three learning modules: assessment of patient status, scene size-up and triage, and assessment using monitoring devices. Among these, content related to the assessment of patient status received the most allocated time and was deemed the most important according to the AHP survey results. Conversely, while less time was allocated to scene size and triage compared with assessment using monitoring devices, the former was assessed as more important than the latter in the AHP results. Furthermore, scenario-based team training and procedure-focused individual practice were evaluated as relatively important teaching methods, while practical examination using a checklist was deemed the most appropriate evaluation method for all learning content. Conclusion: To improve the patient assessment curriculum, we propose adjusting teaching hours and introducing new teaching and evaluation methods based on the results of relative importance. The proposed improvement plan will contribute to enhancing the competency of 119 EMTs.

• Journal of The Korean Society of Emergency Medicine
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• v.29 no.6
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• pp.585-594
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• 2018

Objective: This study was designed to report on the progress of the fire at Jecheon sports complex and to assess the adequacy of Disaster Medical Assistant Team (DMAT)'s activities in response to the fire disaster. Methods: We conducted a retrospective review based on camera recordings and medical records that were recorded at the disaster site for assessment of activities. We cooperated with firefighters, police officers, local hospital medical staffs and public health personnel in Jecheon in order to classify patients in the disaster field and to understand the patients' progress. Results: At 15:53, the first request for emergency rescue came to the 119 general emergency call center, and a request for DMAT activation came at 16:28. DMAT arrived at the site at 17:04 and remained active until the following day at 00:43. The total number of casualties was 60, including 27 minimal (Green) patients, 29 expectant (Black) patients, three delayed (Yellow) patients, and one immediate (Red) patient. There were 32 patients who received on-site care by DMAT. Two patients were transferred from a local hospital to Wonju Severance Christian Hospital for hyperbaric oxygen therapy. Conclusion: Twenty-nine victims were found in the sports complex building, and there were 31 mildly to moderately injured patients in this fire disaster. The main cause of death was thought to be smoke suffocation. Although DMAT was activated relatively quickly, it was not able to provide effective activity due to the late rescue and difficulty with fire suppression.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.552-561
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• 2019

The purpose of this study was to verify a model for the structural relationships of safety education provided by a marine leisure sports experience center to first-aid coping skills and experience satisfaction. 307 male and female customers who used a marine leisure sports experience center located in the city of S-si, K-do Province, were investigated from June 15 to August 30, 2017. The collected data were statistically analyzed by SPSS/PC+ 20.0 and Amos 16.0. The findings of the study were as follows: First, the safety education offered by the marine leisure sports experience center was found to have affected first-aid coping skills(t=3.425, p<.001). Second, the safety education by the marine leisure sports experience center was found to have exerted an influence on experience satisfaction(t=3.751, p<.001). Third, the first-aid coping skills of the marine leisure sports experience center was found to have had an impact on experience satisfaction(t=6.781, p<.001). The measurement model for the hypothesis test in this study was found to be appropriate(GFI=.978, NFI=993, CFI=984). Given the findings of the study, more extended safety education is expected to be effective, as customers who use marine leisure sports experience centers will be able to enjoy marine leisure sports more safely and improve their quality of life when they are compulsorily required to receive safety education.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.3
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• pp.1301-1312
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• 2013

The purpose of this study was to examine the relationship of the critical thinking disposition of paramedic students to their satisfaction with hospital clinical practice and intention of recommendation. As for data analysis, the statistical packages SPSS WIN 20.0 and AMOS 20.0 were employed, and frequency analysis, factor analysis, multiple regression analysis and structural equation modeling were utilized. Besides, Cronbach alpha coefficients were calculated to check item internal consistency. The level of significance was all set at .05. A survey was conducted to collect data from May 12 to August 25, 2012, and the answer sheets from 305 respondents were gathered and analyzed. The critical thinking disposition of the paramedic students was found to have a significant impact on their satisfaction with clinical practice, and the hypothesis about that was accepted. Their critical thinking disposition was found to exert a significant influence on their intention of recommendation as well, and the hypothesis about that was accepted. Finally, their satisfaction with clinical practice was found to affect their intention of recommendation in a significant way, and the hypothesis about that was accepted. The findings of the study suggested that in order to nurture professional and competent paramedics, the content of clinical practice should systematically be managed on a regular basis, and prolonged research efforts should be directed into program development.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2018.10a
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• pp.78-79
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• 2018

Recently, medical technology and IT technology have been trying to converge to overcome limitations of the time and the space in medical technology application. In this study, an app was developed to support remote medical direction for emergency medical services. The developed app allows doctors in remote locations to receive real-time emergency patient situations from emergency paramedics. It can also guide the patient's condition diagnosis and emergency treatment and enable rapid response from the emergency room.

• Proceedings of the Korean Information Science Society Conference
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• 2004.04b
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• pp.322-324
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• 2004

응급상황은 일상생활의 어디에서나 잃어날 수 있다 응급상황의 발생을 감지하고 이에 대처하기 위한 e-health 시스템을 개발한다 생체신호를 측정하기 위하여 입는 형태의 Bio-Shirt를 제작한다. 측정된 신호는 블루투스 무선통신으로 PDA로 전송된다. PDA에서는 전송 받은 데이터를 분석하여 간단한 상황 판단 알고리즘을 실행한다. 또한 CDMA 모뎀을 통하여 웹 서버 형태로 구축된 ECMR로 사용자의 생체데이터를 전송한다. ECMR에서는 관리자가 사용자의 건강상태 및 응급상황 여부를 감시하고 위급상황으로 판단한 경우에는 구조센터나 담당의사 등과의 연락을 취한다. 프로토타입으로 개발한 e-health 시스템을 보인다.

• The Korean Journal of Emergency Medical Services
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• v.11 no.3
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• pp.65-79
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• 2007

Purpose : It was to find out demand and supply of EMT from 2007 to 2045 and to expand scope of practice of paramedic in Korea. Methods : This study was conducted by applying a projection formula to the data from admission quota for EMT of the Ministry of Education & Human Resources Development, rate of successful candidates of annual report of the National Health Personnel Licensing Examination Board etc. Results : The number of EMTs were 6,043 paramedics, 5,378 EMT-Bs until 2006 and two produce constants derived from simple estimation were paramedic 0.81, EMT-B 0.86. On the American basis of 5.6 EMTs per 10,000, the number of paramedics under the present act will reach the basis around 2015(5.02), the number of paramedics under the amended act will reach the basis around 2030(5.50). Conclusion : There was relationship between scope of practice of paramedic in the act and demand-supply of paramedic, this necessitates surveys, studies, amendment of the act, legalization for expanded scope of practice of paramedic.