• 한국응급구조학회지
• /
• 제25권3호
• /
• pp.145-162
• /
• 2021

Purpose: The 2018 General survey of emergency assistance was conducted to examine the working conditions and welfare, including educational direction, interests, and awareness of work, of the fire department emergency medical technicians (EMT). This would be used as basic data for future policy directions. Methods: Among the fire-fighting officers in 16 cities nationwide, emergency rescue workers engaged in first-aid activities were targeted. With prior consent, a survey was conducted through electronic documents. Of the total 1,227 people, responses from 1,151 were finally analyzed, excluding 76 who did not respond appropriately. Results: The working conditions and welfare of 119 firefighters were moderate, but in the fields of education and interest, the learning according to the regulations was high. In particular, satisfaction with the scope of work was found to be below average. However, it was positive that it will play a role as a social safety net in the future and will converge with cutting-edge science. Conclusion: Although this study was a total investigation of the EMT survey, conducting an EMT survey on all fire fighters in Korea is difficult. Further research is needed, particularly on first-class emergency medical personnel who play a major role in 119 paramedics.

• 한국융합학회논문지
• /
• 제10권5호
• /
• pp.85-94
• /
• 2019

본 연구는 체간안정화 운동인 복부 드로잉-인 기법을 융합한 가슴압박이 요통예방과 가슴압박 질에 미치는 영향을 분석하기 위해 119구급대원(응급구조사) 15명을 대상으로 동작분석, 근전도, 가슴압박 질을 분석하였다. 자료는 SPSS 21.0으로 정규분포(Kolmogorov-Smirnov 및 Shapiro-Wilk 검정)을 실시하였고 가슴압박 형태에 따른 전 후 대응표본 T 검정(paired T-test), 측정시점 차이분석은 일원배치 분산분석(one-way ANOVA), 사후검증은 LSD를 활용하였다. 연구결과 복부 드로잉-인 상태로 가슴압박을 하면 근활성도 및 가슴압박 성공률에서 유의한 차이를 보였다. 따라서 향후 구급대원의 요통을 예방하면서 가슴압박 성공률도 높일 수 있는 심폐소생술 교육에 대한 연구가 필요하다.

• 한국응급구조학회지
• /
• 제20권2호
• /
• pp.113-125
• /
• 2016

Purpose: The purpose of this study was to investigate factors influencing severity of occupational fall injury. Methods: A self-reported questionnaire was completed by 105 patients sustaining occupational fall injury between July 2010 and January 2013. The study instruments were developed by the National Traumatic Occupational Fatalities and National Electronic Injury Surveillance System. The questionnaire consisted of general characteristics of the subjects (30 items), workplace characteristics (12 items) and disaster characteristic (13 items). Results: Demographic factors, except age, did not affect the severity of injury. Injured patients aged 50-59 years tended to have more severe injuries than those aged 39 years. Type of transport vehicles, conditions, and the circumstances of the fall influenced injury severity. Patients transported by 119 ambulance suffered more severe fall injuries than those who were not. Electrical workers did not receive safety education wihin a year. Critical height in severe injuries was > 6 meters. Conclusion: Occupational fall injuries were influenced by patient age, types of transport vehicles, fall height, size of workplace, and safety education experience.

• 한국응급구조학회지
• /
• 제18권1호
• /
• pp.67-81
• /
• 2014

Purpose : The purpose of the study is to provide the basic data for preceptorship education program development by analyzing the recognition and acceptance concerning the introduction of preceptorship to ambulance ride practice of 119 EMT-paramedics in Korea. Methods : A self-reported questionnaire was filled out by 157 paramedics in the fire fighters from December 21, 2013 to February 12, 2014. The questionnaire consisted of 31 questions and the data were analyzed by SPSS version 21.0. Results : Most of the subjects answered the positive choice and were very interested in the introduction of preceptorship in the prehospital settings. Mean of preceptorship acceptance level was 3.64 points in 5 points Likert scale and 75.4% of the subjects were able to explain the preceptorship. 57.4% of the subjects considered that preceptorship was an effective training method. Conclusion : Most of the subjects agreed that the preceptorship is very important to the education of paramedic students. The preceptorship education program development will be the basis of ambulance ride practice.

• 한국응급구조학회지
• /
• 제25권1호
• /
• pp.243-249
• /
• 2021

A decrease in coronary blood flow leads to an imbalance between the supply of oxygen to the myocardium and its demand, and reversible or irreversible damage to the myocardium could occur depending on the severity of the resultant ischemia and the duration of the imbalance. This imbalance results in a cascade of ischemic reactions in the following order: metabolic abnormalities, diastolic dysfunction, systolic dysfunction, and electrocardiogram changes. Variant angina is caused by the closure of the coronary artery due to reversible coronary artery spasm, resulting in myocardial ischemia and subsequent chest pain as a clinical symptom. Variant angina may be observed as ST segment elevation in electrocardiogram measured when present in chest pain. However, 12-lead electrocardiogram performed after the patient's chest pain resolves does not help in the diagnosis. Since the duration of chest pain appears to be <15 minutes, it is important to perform the 12-lead electrocardiogram when clinical symptoms are present. If nitroglycerin is administered without performing 12-lead electrocardiogram by 119 pre-hospital paramedics, the chest pain would be resolved, making it impossible to identify changes in the ST segment. Before administration of nitroglycerin, changes in the ST segment must be recorded by performing 12-lead electrocardiogram.

• Journal of information and communication convergence engineering
• /
• 제20권3호
• /
• pp.204-211
• /
• 2022

This study evaluated the completeness of patient care report (PCR). A retrospective quality analysis was conducted using raw data of 122,140 EMS activity reports prepared by paramedics in Gyeonggi-do from April 1 to May 31, 2021. 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%. Advanced emergency care and online medical control (OLMC) reporting showed discrepancies in all items. As the severity of the patient's condition increased, the errors in the Patient care report (PCR) also increased, at a significant level (p= .00). Paramedics must be aware of the importance of completing the activity report.

• 보건행정학회지
• /
• 제28권4호
• /
• pp.411-422
• /
• 2018

Background: Whether there is a difference in outcomes for trauma patients transferring to the helicopter emergency medical service (HEMS) according to their previous team composition is controversial. The purpose of this study is to evaluate the effectiveness of trauma team-staffed-HEMS (TTS-HEMS) when transferring to a trauma center. Methods: A retrospective comparison was conducted on patients transported to a trauma center over a 6-year period by the TTS-HEMS and paramedic-staffed-HEMS (119-HEMS). Inclusion criteria were blunt trauma with age ${\geq}15years$. Patient outcomes were compared with the Trauma and Injury Severity Score (TRISS) (30-day mortality) and the Cox proportional hazard ratio of mortality (in hospital). Results: There were 321 patients of TTS-HEMS and 92 patients of 119-HEMS. The TTS-HEMS group had a higher Injury Severity Score and longer transport time but a significantly shorter time to emergency surgery. The prehospital data showed that the trauma team performed more aggressive interventions during transport. An additional 7.6 lives were saved per 100 TTS-HEMS deployments. However, the TRISS results in the 119-HEMS group were not significant. In addition, after adjusting for confounders, the hazard ratio of mortality in the 119-HEMS group was 2.83 times higher than that in the TTS-HEMS group. Conclusion: HEMS was likely to improve the survival rate of injured patients when physicians were involved in TTS-HEMS. Survival benefits in the TTS-HEMS group appeared to be related to the fact that the trauma team performed both more aggressive prehospital resuscitation and clinical decision making during transportation.

• 스마트미디어저널
• /
• 제13권5호
• /
• pp.33-44
• /
• 2024

충북은 지역별 인구구성과 산업시설, 응급의료기관의 분포 등에 있어 다양한 지역적 특색을 가지고 있다. 하지만 아직까지 심장정지 환자의 발생 특성과 관련한 지역별 특성 요인을 분석한 연구는 없는 실정이다. 따라서 본 논문은 충북지역의 병원 전 발생하는 심장정지 환자의 특성과 119구급대 이송 현황을 분석하여 충청북도 지역 특성에 적합한 병원 전 심장정지 환자 대응체계를 구축하는데 기초자료를 제공하고 수행하였다. 본 논문은 충북지역 급성 심장정지 조사 원시자료(2020년)를 기초로 구급차로 이송된 심장정지 환자 1,188명을 분석한 후향적 연구이다. 충북 도내 응급의료기관은 총 11개소로 시 단위 지역에 편중되어 있어 군 단위 지역에서의 병원까지 환자 이송 시간이 지연되고 있었다. 군 단위 지역은 특별구급대의 출동 빈도가 상대적으로 적었으며, 심장정지 환자 소생에 도움이 되는 심장정지 약물 투여 빈도도 낮게 나타났다. 결론적으로 응급의료서비스의 접근성 향상(소외지역의 구급차랑 배치, 응급의료기관 적정 배치 등), 외상성 심장정지 환자에 대한 예방 홍보 및 구급대원의 응급처치 전문성 강화를 위한 업무 범위 확대 등의 노력이 필요하다.

• 한국화재소방학회:학술대회논문집
• /
• 한국화재소방학회 2009년도 춘계학술논문발표회 논문집
• /
• pp.534-539
• /
• 2009

본 연구는 구급대원의 스트레스대응과 현장충격스트레스가 신체적 증상에 어떤 영향을 주는지를 증명하고자 하였다. 소방공무원 970명을 대상으로 설문 조사를 하였고, 자료수집은 2007년 1월부터 12월까지 실시하였으며, 자료분석은 SPSS 14.0과 AMOS 7.0 통계패키지를 사용하였다. 스트레스 대응이 신체적 증상에 미치는 영향을 분석한 결과, 스트레스 대응 1(p<.001), 4(p<.01), 2(p<.05) 순서로 신체적 증상 1에 유의한 영향을 주는 것으로 나타났다. 스트레스 대응 1(${\beta}$=.302), 4(${\beta}$=121)이 높을수록, 스트레스 대응 2(${\beta}$=-.070)이 낮을수록 신체적 증상1이 높아지는 것으로 나타났으며, 스트레스 대응이 신체적 증상 1을 설명하는 설명력의 정도는 16.5%이었다. 스트레스 대응 1(p<.001), 3(p<.001), 4(p<.001) 순서로 신체적 증상 2에 유의한 영향을 주는 것으로 나타났다. 스트레스 대응 1(${\beta}$=.261), 3(${\beta}$=129), 4(${\beta}$=129)가 높을수록 신체적 증상2가 높아지는 것으로 나타났으며, 스트레스 대응이 신체적 증상2를 설명하는 설명력의 정도는 16.3%이었다. 스트레스 대응 1(p<.001), 4(p<.001), 2(p<.05) 순서로 신체적 증상3에 유의한 영향을 주는 것으로 나타났다. 스트레스 대응 1(${\beta}$=.238), 4(${\beta}$=156)이 높을수록, 스트레스 대응 2(${\beta}$=-.081)이 낮을수록 신체적 증상 3이 높아지는 것으로 나타났으며, 스트레스 대응이 신체적 증상 3을 설명하는 설명력의 정도는 13.1%이었다.

• 한국융합학회논문지
• /
• 제8권10호
• /
• pp.105-114
• /
• 2017

본 연구는 구급대원으로 활동하는 응급구조사의 표준작전절차에 대한 융복합적인 인지도와 수행도를 알고자 하는데 그 목적이 있다. 이러한 목적을 달성하기 위하여 본 연구에서는 구급대원으로 활동하는 응급구조사 400명을 연구대상으로 표집하여 SPSS 20.0 Version을 사용하여 분석하였다. 연구 결과는 다음과 같다. 첫째, 연구대상자의 융복합적인 인지도는 호흡기 감염예방 부분이 가장 높았고, 손위생이 가장 낮았으며, 수행도는 치료장비 및 직원의 안전 부분이 가장 높았고, 손위생이 가장 낮았다. 인지도가 전체적으로 수행도 보다 높았다. 둘째, 일반적 특성에 따라 인지도는 연령, 성별, 상처 경험에 따라 통계적으로 유의한 차이가 있었으며, 수행도는 근무경력만이 유의한 차이를 보였다. 응급구조사의 융복합적인 인지도와 수행도 간에 정적 상관관계를 보이는 것으로 나타났다. 이 같은 결과로 구급대원으로 활동하는 응급구조사의 표준작전절차에 관한 인지도와 수행도를 복합적으로 높이기 위해 인지도를 선행으로 한 프로그램을 지속적으로 반복 교육 시 수행도를 증가시킬 수 있을 것으로 사료된다.