• Title/Summary/Keyword: 119구급대

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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.

A Case of Resuscitation of an Electrocuted Child by a 119 Paramedic (감전으로 심정지된 소아환자 소생 1례)

  • Lee, Jae-Min;Kim, Dae-Won;Yun, Hyeong-Wan
    • Fire Science and Engineering
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    • v.34 no.4
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    • pp.135-140
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    • 2020
  • The purpose of this study was to prevent electric shock to children. children are at high risk of electrocution by accidents. In the present case, a 2-year-old child was electrocuted after inserting metal chopsticks into a home outlet. In this case, professional advanced cardiac life support (ACLS) was properly performed by a 119 paramedic, resulting in the return of spontaneous circulation (ROSC) in the child. There are very few successful cases of resuscitation of patients involved in electric shock accidents in Korea, and we report a case of ROSC and discharge and proper resuscitation by a 119 paramedic.

The Problems of the Emergency Rescue and First-aid and the Plan of Improvement in Korea (우리나라 긴급구조$\cdot$구급체계의 문제점과 개선방안)

  • Jung Gi-Sung
    • Fire Science and Engineering
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    • v.19 no.2 s.58
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    • pp.81-92
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    • 2005
  • It is natural that The government should be responsibility for the fulfillment of obligation to prevent a notional life, accurate rescue and first-aid from various calamities. Although, The government policy is established a foundation that is reventing a national life and a property from the calamity with deciding of the fire line, that is not satisfied with taking precautions against a calamity. In case of the calamity there is always pointed the confrontation procedures, especially, In case of crisis The government is lacking to come to an developed country on account of system of the emergency rescue and first-aid. The prevention and provision are the most important thing with reference to a confrontation of the calamity. But calamity is happened without warning, so We should establish line of prompt rescue and first-aid lately that is very important thing. The First, We should get the single line of the rescue and first-aid through a integration and elimination in terms of a law of the emergency rescue and first-aid, but also we strengthen a line of a scene confrontation ability and speciality. To raise awareness of improving a rescue and ability of first-aid, through reinforcing the human and material equipment of The 119 rescue party to charge of emergency rescue and first-aid in effect.

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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A Survey on Prehospital Emergency Medical Service for the Improvement of Acute Coronary Syndrome Assessments - Focus on the Jecheon.Danyans Area - (급성관상동맥증후군 환자의 병원 전 119구급의료서비스 실태 및 개선방안 -충북 제천.단양을 중심으로-)

  • Roh, Sang-Gyun
    • Fire Science and Engineering
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    • v.22 no.3
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    • pp.293-299
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    • 2008
  • From January, 2004 to July, 2007, 97 patients were diagnosed with Acute coronary syndrome(ACS) in Emergency Medical Center in Jecheon City in Korea. Among 97 patients, the prehospital assessment rates were as follows ; blood pressure check(27.80%, pulse rate check(33.0%), respiration check(23.7%). In hospital emergency care, oxygen supply was 52.6%, absolute bed rest was 12.4%, electrocardiogram(EKG) check was 4.1%, and nitroglycerin and intravenous fluid therapy was 0%. Therefore, ACS patients have not received sufficient prehospital cares till now. In order to improve the proficiency of the first aid emergency medical technicians(EMTs), it is necessary to provide the continuing On-the-job training(OJT) programs for prehospital emergency care.

Cases and problems of comprehensive administrative compensation deduction for firefighters: focused on emergency medical service case (소방공무원 행정종합배상공제 사례 및 문제점 - 구급사례 중심으로 -)

  • Kim, Jun-Ho;Hong, Young-Pyo;Kim, Gyoung-Yong
    • 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.

Transport Activities and Improvement strategies of 119 Rescue (119 구급대의 후송활동 및 개선방안)

  • Jeon, So-Youn;Kim, Hak-Soo
    • The Korean Journal of Emergency Medical Services
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    • v.3 no.1
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    • pp.102-115
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    • 1999
  • This study was performed to investigate transport activities and strategize improvement of 119 rescue. We reviewed emergency care records of users who were transported by 119 rescue of six agencies in Chungnam from July 13, 1998 to August 8, 1998. The results were as follows ; 1. In sex distribution of users, the male was 65.0%. And the highest age group among users was above sixties(21.6%), then thirties in second order(19.3%). Accident was 50.8% as occupied first cause of transport, and then acute disease 22.8%. The highest requester for 119 rescue call was patient's families(47.1%) and average number of 119 rescue users per day was 20.9. 2. The nonurgent state of users was 58.9%. The frequency of users was 26.0 persons at sunday in most frequently, weekend and holiday was more common than ordinary day, and most frequent weather state was cloudy(23.8 persons). 3. Total running distance of 119 ambulance was 7.0km in average. Call time by users was 20-24 hours most commonly(21.9%). In then running time by each transport stage, 8 minutes were taken from 119 call receipt to scene arrival, 13 minutes from scene arrival to hospital. The kinds of pre-hospital care by 119 rescuer was vital sign check(81.2%), wound dressing or fracture fixation(41.2%), airway maintenance and O2 supply(30.4%).

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A Research of Prehospital 119 Emergency Medical Service for Stroke Patients (병원 전 뇌졸중 환자의 구급의료 실태 분석)

  • Song, Hyun-Mok;Roh, Sang-Gyun
    • Fire Science and Engineering
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    • v.26 no.3
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    • pp.14-20
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    • 2012
  • This study analyzes the influencing factors of prehospital 119 Emergency Medical Service for Stroke Patients in prehospital. From July, 2010 to June, 2011, 123 patients were diagnosed with Stroke in Emergency Medical Center. Among 123 patients, the prehospital assessment rates were as follows : blood pressure checked 73.2 %, pulse checked 73.2 %, respiratory checked 64.2 %, $SpO_2$ checked 79.7 %, pupil reflex test 88.6 %, Electrocardiogram checked 14.6 %, blood sugar checked 19.5 %. Prehospital emergency medical care, Oropharyngeal airway insertion 2.4 %, Manual airway maneuvers 17.1 %, endotracheal intubation 2.7 %, oxygen supply 35.4 %, and suction and intravenous fluid therapy 0 %. The property of mental status evaluation by 119 Emergency Medical Service was nearly perfect, but the patients assessment and emergency medical care were not.

Analysis of traffic accidents involving 119 emergency (119 구급대 구급차 교통사고 현황 분석)

  • Lee, Jeong-Ho;Shin, Dong-Min
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.1
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    • pp.35-47
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    • 2018
  • Purpose: The purpose of this study was to investigate both the occurrence status of emergency vehicles traffic accidents and contents of the experiences of emergency medical technicians (EMTs) in fire station. Methods: A self-reported questionnaire was completed by 451 EMTs in fire stations in 6 cities provinces from February 9, 2017 to February 27, 2017. Results: Of 451 EMTs, 207 (45.9%) had traffic accidents experience. Regarding environment-related features, results indicated hour (12~18 hours), place (national highway), traffic flow (smooth), weather (clear), season (winter), and day (Friday). Regarding correlation analysis of differences in the number of ambulance traffic accidents pursuant to general features of accident-experienced drivers as a human factor, there were no significant differences in recruitment, driving careers of regular cars, driving careers of fire engines, and class but there were significant differences in fire-fighting careers. Accident experience in the group with careers over 6 years and less than 10 years higher than in the other groups. Conclusion: Efforts to expand fire engine driving education programs for the prevention of traffic accidents involving 119 emergency vehicles are required.

Emergency Care Conditions where the Nurse is posted in the 119 Relief Squad (119구급대의 간호사 배치여부에 따른 응급처치 실태)

  • Kim, Young-Im;Jung, Hye-Sun;Lee, Chang-Hyun;Kim, Gum-Sook;Park, Jung-Young
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.411-422
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    • 2000
  • The purpose of this study is to identify the difference of emergency care conditions where the nurse is posted in the 119 relief squard or not. The data composed a total of 777 cases of emergency activity of one police stand in Seoul during March, June. September and December in 1998. The results of this study were as follows: 1. The age of the subjects was 20-60 age 54.3%, over 60 age 35.4% with an average age of 50.2. Among them men were 55.0%, the unemployed were 60.8%. The place of the occurrence of an accident was the house, 49.7% and the cause as illness was 59.6%. 2. The main symtom was pain the 36.2% the main consciousness state was alert 76.9%: The state of the patients as chronic was 59.6%. 3. The consulting hospital of the 119 relief squad as a third medical center was 79.9%. The distance to the medical center as less than 5 km was 77.2%, and an average transfer distance was 5.38 km. The cases of doctor guided emergency care was 0.9%, the cases that had posted nurses in 119 relief squads was 48.6%. 4. The case of the best emergency care operation was difficulty in breathing, 62.1% and the second was unconsciousness, 46.1 %. The more serious the consciousness state, the higher the rate of emergency care operation. There wasn't any difference in emergency care operation concerning transfer distance. 5. The cases that had the posted nurses was 19.1%, the cases of no nurse was 11.7% among the cases of emergency care operation during transfering; the cases that had posted nurses had the higher emergency care operation. (p<0.05). Airway maintenance was 14.8% in cases that had the posted nurses, while in the cases of no nurse, 10.9%; and oxygen inspiration was 16.0% in cases that had the posted nurses while in the cases of no nurse 7.6% (p<0.01); spinal fixation was 6.6% in cases that had the posted nurses while in the cases of no nurse 4.6%(p<0.05). With these results, we can conclude that the cases that had the posted nurse showed higher emergency care operation.

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