• 한국응급구조학회지
• /
• 제13권1호
• /
• pp.61-72
• /
• 2009

Purpose : This study was conducted to understand the unforeseen phone calls placed through the 1339 emergency medical communication system by residents of the Gwangju/Jeonnam area during the Lunar New Year and Chuseok holidays. Methods : A descriptive research method was implemented using SPSS to analyze 9,047 reported and received consultation phone calls made during the 2008 Lunar New Year holiday (February 6-10) and the 2008 Chuseok holiday (September 13-15) for frequency and percentages. Results : Among the general characteristics of subjects during the Lunar New Year and Chuseok holidays, an examination of the distribution for gender showed more men than women and the distribution for age showed most subjects were thirties, followed by forties, and finally under ten years of age. According to the status of situational calls during the Lunar New Year holiday most were used for in the following order : providing resource information, misdialing and prank calls, and additional consultations. According to the status of situational calls during the Chuseok holiday most were used for in the following order : providing resource information, additional consultations, misdialing and prank calls. According to region most came from Gwangju Metropolitan City Bukgu, followed by Yeosu, Suncheon, and Mokpo in Jeonnam. According to callers, the majority were non-medical persons. According to time most were made between 9:01 and 12:00, while the fewest were made during 3:01 and 6:00. According to treatment department most were made in the following order : internal medicine, pharmacy, and pediatrics. Most medical resource information provided regarded areas outside the callers location. Conclusion : Emergency medical technician will play a central role in the emergency medical information system in the near future.

• 한국정보전자통신기술학회논문지
• /
• 제3권4호
• /
• pp.28-34
• /
• 2010

본 논문은 인체의 생체 신호를 이용하여 응급상황을 예측할 수 있는 의료정보 시스템을 제안한다. 기존의 응급상황 관리를 위한 연구들은 대부분 바디 센서 네트워크를 중심으로 연구되고 있다. 이들 연구의 문제점은 응급상황이 발생한 후에 단순히 응급상황만을 전달하기 때문에 실제 상황이 발생하여 응급조치까지는 시간이 걸리는 응급조치 지연문제를 가지고 있다. 이러한 문제는 환자들에게 심하면 치료 불능상태에서 사망에까지 이르게 할 수 있다. 이러한 문제를 해결 하기위해서는 응급상황이 발생하기 전까지의 사전 응급징후를 파악하여서 신속히 응급조치를 할 수 있도록 응급상황에 대한 예측이 필요하다. 이를 위해서 본 논문은 센서 네트워크 기술, 인터넷 정보검색 기술, 데이터 마이닝 기술 및 의료정보와 개인정보 보호를 위한 보안 기술을 융합하여 응급상황을 예측할 수 있는 의료정보 시스템을 제안하고자 한다.

• 한국응급구조학회지
• /
• 제8권1호
• /
• pp.141-148
• /
• 2004

The purpose of this study which was done by questionnaire survey on doctors, paramedics, radio operators, computer technicians, administrators in Emergency Medical Care Information Centers was to analyze demand on EMD education. The significant 101 data were collected in 12 Emergency Medical Care Information Centers from Dec. 17, 2003 to Jan. 31, 2004 and analyzed by using SPSS. The conclusions from this study were summarized as follows. Composition of respondents who work in Emergency Medical Care Information Centers were 40.7% 26-30 years old in age, 56.4% male in sex, 55.6% medical direction in duty, 76.2% paramedics in certificate. 54.5% out of the paramedics had two years present career, 62.3% had one year past career, 31.0% didn't receive EMD education, 39.0% wanted 5-8 hours continuing education. The paramedics received more EMD education on Introduction to Emergency Medical Concepts, Obtaining Information from Callers, Providing Emergency Care Instructions and wanted more continuing education on Providing Emergency Care Instructions, Key Questions & Pre-Arrival Instructions, Obtaining Information from Callers. This study will be helpful to build up an education system for EMDs such as continuing education, curriculum, certification.

• Spatial Information Research
• /
• 제4권1호
• /
• pp.43-54
• /
• 1996

응급의료체계의 있어서 가장 중요한 분야중의 하나는 응급환자를 병원단계까지 후송하는 응급 후송체계의 개선이라 할 수 있는데 이와 같은 응급후송체계의 개선을 위하여 GIS기법을 이용하여 시스템을 개발하였다. 본 연구에서 시범 지역으로 강남구과 송파구를 대상으로 PC ARC/INFO를 이용하여 스시템을 구축하였는데 시스템의 기본기능은 환자발생신고가 접수되면 환자의 위치 및 가장 가까운 응급출동기관의 위치, 후송예정 병원의 위치를 분석하여 지도상에 표시하고, 표시된 위치들의 최단경로를 찾을 수 있는 기능과 선정된 응급출동기관과 병원의 상세정보를 볼 수 있는 기능을 갖고 있다.

• 한국정보통신학회:학술대회논문집
• /
• 한국정보통신학회 2012년도 추계학술대회
• /
• pp.414-417
• /
• 2012

최근 전문의 응급의료센터 당직을 규정하는 것을 골자로 응급의료법이 개정되면서 응급의료센터 시스템에 많은 변화가 생길 것 이다. 응급환자가 응급의료센터를 찾을 경우 응급실 근무의사 ${\rightarrow}$ 해당과 인턴 ${\rightarrow}$ 1 2년차 전공의(레지던트) ${\rightarrow}$ 3 4년차 레지던트를 거쳐야 전문의 진료를 받을 수 있던 것을 응급실 근무의사 ${\rightarrow}$ 해당과 당직전문의 진료 또는 호출로 그 절차가 간소화됐다. 문제는 이런 시스템을 하려면 모든 진료과목에 대해 당직전문의를 배치해야 한다. 하지만 모든 병원이 모든 진료 과목에 대해 전문의를 배치하는 것은 어렵다. 본 논문에서는 모바일 기기를 이용하여 사용자 근처의 응급의료센터가 있는 병원과 해당 병원이 어떤 전문의가 있는지와 병원의 정보와 응급실의 사용현황을 개정되는 응급의료법을 위해 통합 응급실 관리 시스템을 설계한다.

• 한국응급구조학회지
• /
• 제5권1호
• /
• pp.7-14
• /
• 2001

The purposes of this study which was conducted by inquiring into some curricula for Emergency Medical Dispatchers(EMDs) are to introduce a curriculum into Korea and develop a textbook for training of the EMDs in Korea. The conclusions from this study were summarized as follows; (1) There are some professional demands in our Emergency Medical Dispatch field therefore, now it is necessary to set up an education system for the EMDs in Korea and give them a suitable name to this change. (2) Some historical turning points which are condensed from the developmental process in the USA. including "Medical Self Help" with no formal dispatch protocols, Medical Priority Dispatch System, Practice Standard, Dispatch Protocols will serve as a good reference for establishing and education system for the EMDs. (3) To effectively train the EMDs in Korea, we needed to be introduced to Emergency Medical Dispatch : National Standard of Curriculum from the U.S. Department of Transportation & the National Highway Traffic Safety Administration which is made up Basic Emergency Medical Concepts, Information Gatherin & Dispatch, Introduction to the Emergency Medical Dispatch Protocol Reference System(EMDPRS) & 32 Chief Complaint Types. (4) The introduced curriculum closely related to the medical director, the direct indirect medical control, the scope of practice in the USA, should be revised for the Emergency Medical Service System of Korea. But to reduce the developmental process & time, it is necessary to postpone the consideration on these factors until publishing a new textbook. (5) This study which gives the cornerstone about some developmental methods on textbook for EMDs will be helpful to build up an education system for EMDs such as Curriculum, EMD Certification, National Academy of Emergency Medical Dispatch to fit the Emergency Medical Service System of Korea in the future.

• 한국응급구조학회지
• /
• 제28권1호
• /
• pp.63-76
• /
• 2024

Purpose: To analyze trends related to demography and EMS and to provide supporting data for the appropriate deployment of EMS providers. Methods: In this cross-sectional study, data on patients transported by 119 EMS, demographics, and EMS factors were collected using the Korean Statistical Information Service (KOSIS) and the National Fire Agency annual report from 2017 to 2021. Results: During the study period, the total number of patients and those with severe disorders transported via 119 EMS showed an increasing trend. The total fertility rate and population during the same period tended to decrease, and the population density and number of households increased; however, there was a disparity between regions. The main demographic factors affecting the number of patients transported were population density and total fertility rate, while the main EMS factors were the number of ambulances and provision of emergency medical information services(hospital guidance, pharmacy information, and first aid guidance). Conclusion: From the perspective of EMS providers' force deployment, it is necessary to consider population density, population, number of households, total fertility rate, and number of emergency medical institutions and to strengthen the role of diverting the use of 119 EMS by minor patients by providing emergency medical information.

• Journal of Trauma and Injury
• /
• 제29권4호
• /
• pp.116-123
• /
• 2016

Purpose: To develop an inclusive and sustainable trauma system as the assessment of burden of injuries is very much important. The purpose of this study was to evaluate the estimates and characteristics of abdominal traumatic injuries. Methods: The data were extracted from the National Emergency Department Information System. Based on Korean Standard Classification for Disease 6th version, which is the Korean version of International Classification of Disease 10th revision, abdominal injuries were identified and abdominal surgeries were evaluated with electronic data interchange codes. Demographic factors, numbers of surgeries and clinical outcomes were also investigated. Results: From 2011 to 2014, about 24,696 patients with abdominal trauma were admitted to the hospitals annually in South Korea. The number of patients who were admitted to regional and local emergency medical centers was 8,622 (34.91%) and 15,564(63.02%), respectively. Based on National Emergency Department Information System, liver was identified as the most commonly injured abdominal solid organ (39.50%, 9,754/24,696, followed by spleen (17.57%, 4,338/24,696) and kidney (12.94%, 3,195/24,696). Conclusion: This study shows that the demand for abdominal trauma care is considerable in South Korea and most of the patients with abdominal trauma were admitted to regional or local emergency centers. The results of this study can be used as good source of information for staffs to ensure proper delivery of abdominal trauma care in trauma centers nationally.

• 대한간호학회지
• /
• 제31권4호
• /
• pp.538-547
• /
• 2001

Purpose: To evaluate the emergency medical protocols and need assessment through the case report Method: The study investigated the emergency call system through the 1339 emergency patients information center in 1997. Results: The emergency calls tend to follow general trends of the type of cases : abdominal pain (13.5%), unconsciousness(12.0%), traffic accidents (7.4%), bleeding (6.6%), respiration difficulty (5.9%). This was all collected through emergency medical protocols injury and poisoning (22.3%), symptom (51.6%), others (26.1%). Conclusion: The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review the cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

• 한국산업정보학회논문지
• /
• 제18권3호
• /
• pp.47-56
• /
• 2013

현대 의학기술의 발달로 병의원의 치료 및 건강관리기술은 사람들의 고귀한 생명을 연장하며 지키는 역할을 충실히 해내고 있다. 응급상황이 발생되어 병원전단계에서 적절한 응급처치와 함께 적시에 필요한 병의원으로 이송되지 못하거나 응급처치에 필요한 정보가 미비하여 응급환자에 대한 적절한 응급처치가 이루어지지 못하는 경우 심각한 손상을 입거나 생명을 잃는 문제가 발생할 수 있다. 본 논문에서는 다양한 여러 응급상황에 대한 경험적 지식을 활용한 효과적 응급의료정보시스템을 통해 응급구조사가 응급상황이 발생되었을 때 실시간으로 발생된 상황에 가장 적합한 응급처치를 수행할 수 있고 환자에 대한 병이력정보를 지식데이터베이스에 체계적으로 저장, 관리, 운영함으로써 해당 환자의 생명 안전과 건강 증진에 더욱더 적합한 응급처치가 이루어지도록 하였다.