• The Korean Journal of Emergency Medical Services
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• v.18 no.3
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• pp.19-35
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• 2014

Purpose: This study aimed to improve the quality of prehospital emergency care for elderly patients by determining current prehospital care status based on run sheets and level of knowledge, and prehospital care confidence toward the elderly through questionnaires answered by 119 emergency medical technicians (EMTs). Methods: This study was conducted with 4,946 elderly patients who were transferred to the hospital by 119 ambulances in D city from March 1, 2013 to February 28, 2014. This study was a descriptive study of 119 run sheets. The questionnaire was completed by 160 EMTs working in D city. All data were analyzed by using SPSS 21.0. Results: 74.2% was due to disease among the 4,946 elderly patients who were transferred by 119 ambulances, and a rest was due to injury. The mean knowledge score of the 119 EMTs regarding elderly patients was low. Their confidence on prehospital care of the elderly patients statistically significantly differed according to career at hospital and education. Conclusion: Theoretical knowledge, education on prehospital care of the elderly, and repeated technical prehospital care education and training accompanied by feedback assessment by 119 EMTs are needed.

• Fire Science and Engineering
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• v.24 no.2
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• pp.154-161
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• 2010

There have been various discussions to prevent violence to 119 emergency medical technicians, and the aims of the were as follow ; first, the staff dispatched to the scene should be reinforced so that the patients committing violent acts can be subdued. Secondly, self-defense devices should be provided to 119 emergency medical technicians so that they can use them in a dangerous situation and escape from it. And finally, 119 emergency medical technicians should be allowed to refuse to transport the patients when they or their guardians do violence to them in order to prevent potential violent cases. When countermeasures after violence is committed, it is important to secure evidence and determine strongly to bring charges to the offenders rather than agree to overlook the violence in order to correct them right. It is necessary to introduce a support program to help the victim technicians concentrate on their physical and mental treatment. Violence to 119 EMT should be punished so that the society will think it is natural to punish such offenders. In a safer environment, 119 EMT can perform their duties and it is very important to draw this consensus.

• The Korean Journal of Emergency Medical Services
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• v.19 no.1
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• pp.19-33
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• 2015

Purpose: The purpose of this study was to improve the quality of prehospital care provided to infants and toddlers (preschoolers) based on questionnaire findings. Methods: A total of 1,634 running sheets from 119 centers of D city from patients older than 1 month and less than 7 years of age from January 1, 2013 to December 31, 2013 were reviewed for 119 emergency medical technicians (EMTs) activity analysis. And a self-reported questionnaire about knowledge and competency in prehospital care of preschoolers was completed by 159 EMTs at fire stations in D city. Data were analyzed using IBM SPSS Statistics for Windows, Version 21.0. Results: Of 1,634 patients, 58.6% were call to 119 due to disease, 33.8% due to injuries and 7.5% due to traffic accident. Knowledge and confidence in treating preschoolers was significantly higher among paramedic EMTs than basic EMTs. The 119 EMTs surveyed indicated that training for preschooler prehospital care was most needed. Conclusion: In order to provide high quality prehospital care for preschoolers transported to emergency rooms, it is necessary to equip ambulances with the proper equipment. In addition, EMTs should be provided educational opportunities and clinical training.

• The Korean Journal of Emergency Medical Services
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• v.23 no.2
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• pp.7-18
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• 2019

Purpose: This study aimed to determine the core competencies for 119 emergency medical technicians (EMTs) and to provide evidence for the development and utilization of 119 EMTs, education and training programs. Methods: Data were collected with a questionnaire that consisted of items on the general characteristics of the subjects (8 items) and importance and satisfaction levels for 10 competencies, including 34 items on subfactors. The Borich Needs Assessment Model was used in designing the questionnaire. A locus for focus model was used to derive the top priority competencies for the improvement of core competency in the profession. Data were analyzed with by SPSS ver.21 (IBM, Armonk, NY, USA). Results: The core competencies for 119 EMTs were derived from technical competency, information competency, communication competency, problem-solving competency, self-development competency and interpersonal competency. In addition, among the sub-factors of these competencies, 16 abilities (including leadership), ability to apply technical knowledge, technical comprehension, conflict management ability, ability to create documents, problem handling ability, ability to think, technical selection ability, and computer literacy were included in the priority category. Conclusion: This study derived and presented the core competencies for 119 EMTs to enable them to meet the modern day requirements of their roles, which may contribute to enhancing their professionalism.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.3
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• pp.39-50
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• 2020

This study examined the effect of 119 emergency medical technicians' education over one year on the stroke knowledge and subjective perception of stroke care. A survey was conducted from February 17 through July 31, 2018, on 196 men and women who worked as 119 emergency medical technicians in G-do, C-do, and the provinces. The collected data was analyzed by SPSS 20.0 version for Windows. The findings of the study were as follows. First, the general characteristics of the 119 emergency medical technicians were found to have affected their stroke education and their need for professional education, awareness levels of knowledge concerning stroke and their subjective awareness levels of stroke patient care. Second, one-year education for the 119 emergency medical technicians was found to have impacted on their stroke knowledge and subjective awareness levels concerning care for stroke patients. Third, the knowledge of the 119 emergency medical technicians on stroke was found to have influenced their subjective awareness levels of stroke patient care. Therefore, the results suggested that regular education and proper management to improve their knowledge on stroke and subjective awareness.

• The Korean Journal of Emergency Medical Services
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• v.21 no.3
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• pp.59-71
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• 2017

Purpose: The purpose of the study was to evaluate the ergonomic risk factors of 119 emergency medical technicians (EMT) with musculoskeletal disorders, performing emergency medical services (EMS) procedures in a firefighter combat challenge. Methods: The evaluated EMT procedures were cardiopulmonary resuscitation (CPR) & intubation, trauma patient assessment, and intravenous (IV) injection. Measurement of working posture was done during training. Results: In CPR & intubation, OWAS-score was 2 (mean 1.9, maximum 4), requiring correction action, while REBA-score was 11 (mean 7.28, maximum 11), requiring immediate improvement. In trauma patient assessment & IV injection, OWAS-score was 4 (mean 2.9, maximum 4), requiring immediate correction action, while the REBA score was 7 (mean 7.5, maximum 11), requiring improvement. Conclusion: Both OWAS score and REBA-score showed improvement of posture and high-risk of musculoskeletal disorders. Occupational health management in EMS procedures during combat challenge and effective injury prevention program in fire stations are warranted.

• The Korean Journal of Emergency Medical Services
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• v.21 no.1
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• pp.45-58
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• 2017

Purpose: This study investigated the health status and health management program of 119 emergency medical technicians (EMTs). Methods: A self-reported questionnaire was completed by 794 EMTs in two cities from November 15 to December 20, 2016. The questionnaire collected the general characteristics of the subjects (10 items) and health-related information from 119 EMTs (14 items). Data were analyzed by using SPSS 23.0. Results: The mean value for the general health status of the 119 EMTs was 2.68. The general health status was lower for female 119 EMTs, older 119 EMTs, and married 119 EMTs; it was higher for 119 EMTs with more than 5 years of experience and for 119 EMTs with diseases. The mean value for work-related fatigue of the 119 EMTs was 3.26. This value was higher for female 119 EMTs (p<.05). 119 EMTs with more than 2 years of experience, and 119 EMTs with diseases (p<.01). The correlation between health program participation and general health status was significantly positive (r=.271), whereas the correlation between health program participation and work-related fatigue was significantly negative (r=-.375). The correlation between health program participation and program satisfaction was significantly positive (r=-.770). Conclusion: It is important to develop health management program for 119 EMTs and to offer them at all times. Moreover, the health status of 119 EMTs can be increased through improvements to working environments.

• The Korean Journal of Emergency Medical Services
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• v.24 no.3
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• pp.129-140
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• 2020

Purpose: This descriptive correlational study investigated the effects of post-traumatic stress and compassion competence on the quality of life of 119 Emergency medical technicians(EMTs). Methods: The data of 119 EMTs were collected between May 1 and September 30, 2020. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression with SPSS 24.0 program. Results: Post-traumatic stress was seen to be negatively correlated with the quality of life (r=-.456, p<.001) and compassion competence was positively correlated with quality of life (r=.250, p=.006). Participants' subjective health status (β=0.30, p<.001), post-traumatic stress (β=-0.39, p=.001) and compassion competence (β=0.29, p<.001) explained 38.5% of variance in the quality of life of the 119 EMTs. Conclusion: These findings indicate that post-traumatic stress and compassion competence are important factors to improve the quality of life of EMTs. Therefore, systematic programs for reducing post-traumatic stress and enhancing compassion competence levels should be developed.

• The Korean Journal of Emergency Medical Services
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• v.17 no.2
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• pp.9-20
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• 2013

Purpose: The purpose of this study is to provide basic data to improve prehospital emergency care for patients with labor pain, vaginal bleeding and rape experience by analyzing the reports of 119 emergency medical technicians. Methods: Data were prehospital reports of 190 patients having chief complaints of labor pain, vaginal bleeding and rape in Chungcheongnam-do from January 1, 2012 to December 31, 2012. Data were analyzed using SPSS 21.0 descriptive statistics and $x^2$-test. Results: From the 190 cases of labor pain, vaginal bleeding and rape, labor pain accounted for 57.9% including 75.5% of normal delivery; vaginal bleeding accounted for 35.8% including 26.5% of postpartum hemorrhage; and rape victims accounted for 6.3%. Cases with more than one vital sign accounted for 94.2%, but cases without primary assessment of the obstetrics and gynaecology accounted for 38.4% from gestation weeks, 78.0% from parity, and 87.4% from history taking relating to event. Patient care including emotional support was the first priority care accounted for 78.4% and 60% of care was keeping the patients warm. Conclusion : In order to handle various emergency situations properly, the records must be supplemented by obstetrical and gynaecological rape checklist and rape victims supporting system should be established.

• 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.