• Fire Science and Engineering
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• v.28 no.4
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• pp.104-111
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• 2014

The purpose of this study is to investigate the CPR within ambulance. The Subjects were 890 emergency medical technicians in fire department in Gyeonggido. After continuing education program, the emergency medical technicians completed the questionnaires from January to February, 2012. Questionnaire consisted of demographic characteristics, method of chest compression (one handed or two handed), chest compression - ventilation ratio, and hands only CPR. Data were analyzed by frequency analysis and Chi-square test, t-test. One-way analysis of variance (ANOVA) was followed by Scheffe post-hoc test to analyze changes in all parameters between all groups. One handed chest compression accounted for 14.0% and two handed chest compression accounted for 86.0%. Hands only CPR accounted for 71.7% and standard CPR (30:2) accounted for 28.3%. In order to perform the high quality CPR, as least three persons must be dispatched in the ambulance. The flexible management of manpower may improve the survival from the cardiac arrest. A systemic approach for educating and training EMT's in CPR is needed.

• Journal of the Society of Disaster Information
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• v.12 no.4
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• pp.389-402
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• 2016

This research is about Department of Emergency medical services students' cognition type of female 119 paramedics. The purpose of this research is to understand department of emergency medical servises students' cognition of female 119 paramedics and identify characteristics classified by types. To this end, applying Q-method, this research objectively analyzes 72 department of emergency medical services students' reaction who complete the field training about ambulance about female 119 paramedics. The result of the department of emergency medical services students recognized type of female 119 paramedics could be typed into four types. The type I is recognized as "Stamina limit type", the type II as "expert type", the type III as "guardian angel type", and the type IV as "feminine experience type". The type I has 28.3%, the type II has 12.7%, the type III has 6%, and the type IV has 3.8% explanation power, and these explain 51% of total variable. Generally department of emergency medical services students' cognition of female 119 paramedic is that they are expert in first aid but students' cognition is negative because of female 119 paramedic's limit of stamina, exposure to danger, and giving birth and infant care thus we should arrange solution of these cognition.

• The Korean Journal of Emergency Medical Services
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• v.17 no.1
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• pp.21-39
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• 2013

Purpose : The purpose of this study is to provide the basic data to improve pre-hospital phase emergency care for acute myocardial infarction (AMI) patients by analyzing AMI patients' clinical characteristics and emergency care situations. Methods : Data were collected through medical records of 385 AMI patients including ambulance records of 107 AMI patients transferred to the emergency medical center for three and a half years. Results : Regarding emergency care for AMI patients in pre-hospital phase, 47% of the care revealed moderate level or higher, and appropriateness of pre-hospital phase emergency care for cardiopulmonary complaints practiced by paramedics showed statistically significant improvement in recent years (p<.001). The time from onset of symptom to ballooning intervention by 119 emergency services was shorter than that in other cases. However, emergency care by paramedic was mainly basic life support. Conclusion : Since prognosis of AMI shows vast differences depending on prompt detection and medical intervention, cooperation between pre-hospital and in-hospital phase is highly required. 119 paramedics should be trained focusing on the accurate assessment and emergency care, and medical direction should be activated. In addition, regulation on 12-lead EKG, cardiac enzyme analysis, use of analgesics and thrombolytic agents should be legally implemented.

• Fire Science and Engineering
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• v.20 no.3 s.63
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• pp.85-95
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• 2006

Because the average span of human life is expanded by developing economy growth and medicine science elder population increases rapidly. According to that A first aid patient of demands grow, too so in a fire station. We have to prepare following these. First that the silver ambulance is in process of service is widely. second, medical teams and fire fighters construct unity Third, New curni culum makes under modern operating course. Forth, the problem that wireless paging system sets up and rums already. advances more effective. Fifth furthermore, we organize a private volunteer for an old age To connect that we enlarge total service for silver age. Through this fire fighting service. we are neloom to get more confidence and love.

• Fire Science and Engineering
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• v.28 no.3
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• pp.72-79
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• 2014

The purpose of this study is to draw the improvement plan through the analysis of problems of main stretchers that are being used by the 119 EMS. In order to find out the problems, we used the literature review and analysis, survey questionnaire and we also made full use of KJ method (Kawakita Jiro method, affinity diagram), graph method, and priority matrix method to produce the improvement indicators. The problems of main stretchers are summarized as follows. they are being recognized as part of the emergency vehicle, they have the imperfection of performance verification criteria, and they cause the injuries of paramedics and patients accidents in operation. The indicators such as the ease of operation, the high performance, the multi-function, the driving performance, the durability and the lightweight, was produced to improve the problems. The results of the interconnection analysis and the applying priority matrix method on the indicators are the ease of operation ${\rightarrow}$ the multi-function ${\rightarrow}$ the driving performance ${\rightarrow}$ the high performance ${\rightarrow}$ the durability and the lightweight in order of importance.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.12
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• pp.6461-6468
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• 2013

This research is conducted to investigate musculoskeletal diseases' that can be developed in paramedics body whose are in charge of emergency situations before they arrive at the hospital. The data were collected from 216 of paramedics from July 2, 2012 to July 31, 2012. As a result, 57.9% of participants have already felt the subjective symptoms of the muscular skeletal diseases, and 47.2% of them felt the pain on their waists and hips. These pains are highly related to their working situations. In the aspects of the muscuoskeletal diseases' symptoms, general characteristics, gender (t=16.579, p=.000), age (t=102.344, p=.000), education (t=5.363, p=.027), drinking (t=6.999, p=.030), and smoking (t=6.266, p=.009), have significance differences. Professional characteristics, career (t=67.684, p=.000), passengers of the ambulance (t=7.717, p=.004), qualification or license (t=25.480, p=.000), and position (t=74.615, p=.000), have also significance differences.

• The Korean Journal of Emergency Medical Services
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• v.11 no.1
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• pp.65-72
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• 2007

The purpose of this study was teacher's perception on young children's safety life, safety accident, and safety education and provided basic data of administrating teacher's education for young children's safety. Subjects of this study were teachers of young children attending for their education. 230 questionnaires were provided and 181 were collected and 170 were used for data analysis. Data collected were analyzed with SPSS WIN 2.0 program. The results of the study were as follows : 1. Regarding teacher's perception on types of young children's safety accident, play accident was high(70.0%). 2. With regard to teacher's perception on causes of accident, lacks of perception was high(64.1%). 3. Of transportation means in accident, 119 ambulance use was high(60.5%) 4. Regarding teacher' perception on accident prevention, direct attention of education by paramedics was high(48.2%).

• The Korean Journal of Emergency Medical Services
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• v.11 no.2
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• pp.87-101
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• 2007

Health and disease related characteristics of 226 selected by systematic sampling from 452 personal emergency response system(PERS) beneficiaries and actual conditions of using PERS by them are as follows. Over 86% of PERS beneficiaries have not good health conditions and 70.7% of them have chronic diseases. On social supports family was highest as 52.2% and cases having social workers' assistance were 15.2%, but 53 as 23.7% had not visit or call from anyone and showed very low social supports. 86.2% was given PERS within 3years and 79.1% had it by the recommendation from related agencies and 4.0% was by their demand. On wearing it, 78.3% didn't bring it with them and 92% of them answered they were not sick and then it was found that they didn't use it because they had not special emergency. On satisfaction with paging system's operation, 81.3% answered they were satisfied with it, 48.8% used it for 'acute and emergency diseases' and 29.3% called ambulance for 'appointed medical treatment'. Time required for ambulance to arrive at the field was within 10 min. in 87.8% and after 10 min. in 12.2% and emergency service for beneficiaries by fire service was very good. On satisfaction with use of PERS, 85.4% were satisfied with it, 81.9% who requested repair or replacement of radio paging got it back after one or two days of their request and they answered they were satisfied with A/S. 45.5% answered they powered off it because 'they didn't use it' and 12.1% had 'economical reason of phone charge'.

• Child Health Nursing Research
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• v.5 no.2
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• pp.136-150
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• 1999

The subjects, under 18 old, 2,694 children who visited ER during 1998, were surveyed by the Triage and other statitical data. The results were as follows 1. The male to female ratio was 1.7 : 1, and the toddler(1-4 old) was the majority. 2. Triage ; critical 1.3%, acute 14.6%, urgent 29.5%, nonemergent 54.6%. 3. The reasons of visiting ER ; 1) The children had diseases(46.5%), injury (36.9%), TA(5.6%) and toxication(1.0%). 2) In diseases, male to female ratio was 1.5 : 1 and in injury, male to female was 2 : 1. 3) Among the children having in TA, 12-18 old groups was the majority(34.9%). 4. The time of visiting : the 20:00 - 22:00 was the majority(16.9%). 5. By monthly and seasonal distribution ; Jan. (9.7%), Mar. and May(9% respectively, Dec. and July(6.7%) respectively. The children who visted ER in spring and autumn showed higher portion than those of summer and winter. 6. Results ; admission(27.4%), discharge(68.4%), operations(2.8%), and DOA and DAA(0.4%), The mortality of the infancy and toddler groups was 83.3%. The infancy group showed the highest rate of admission. 7. The time of staying in ER ; 1-2 hrs was the major group(23.3%) and the average was 4.6 hours. 8. By clinical departments ; Ped. was 34.4%, PS was 20.8%, Dental Surgery was 10.3% and Dermatology was 0.9%. 9. The types of visting ; the group who visited by themselves was 80%, transfer from the primary and secondary clinic was 17% and OPD was 3.0%. 10. The traffic means . by the own cars and taxi were 87.6%, by hospital ambulance was 6.1% and by 119 ambulance was 4.3%.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.5
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• pp.2117-2124
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• 2012

This is the study of actual condition and improvement on emergency medical treatment by 119 emergency medical service personnel. The subjects in this study were 299 emergency medical service personnel. Data were collected from May 1 to August 31 of 2010, and analyzed by SPSS 12.0 program. The major area of study of them were study of emergency medical services 41.5%, study of nursing 10.0%, fire fighting related studies 15.4%, health related studies 1.0%, and others 32.1%. The certificate of them were 1st class emergency medical technician(EMT) 38.1%, 2nd class EMT 33.8%, nurse 9.4%, first aid education 14.0%, and others 4.7%. Frequency of Prehospital emergency care, oxygen supply(274), splint apply(229), spinal immobilization(229), external bleeding control(223), medication(7), intravenous(4). Professionally trained EMT makes possible to secure high quality emergency medical treatment in the prehospital phase. Therefore, it is essential for the quality improvement of prehospital emergency care that well trained EMT ride on the ambulance together and take the responsibility for the treatment and transferring of emergency patients. In order to improve the proficiency of 119 emergency medical services personnel, it is also necessary to provide continuous job training programs for the prehospital emergency medical treatment.