• 한국응급구조학회지
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• 제24권2호
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• pp.123-131
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• 2020

Purpose: This study aimed to find out the effectiveness of gum elastic bougies for intubation in comparison to stylet according to airway type using a manikin. Methods: The study subjects were 52 paramedic students who intubated using a Macintosh laryngoscope and compared stylet and gum elastic bougie use in a 7.5 mmID endotracheal tube, on a manikin with either normal or difficult airway. Difficult airway was made Philadelphia neck collar. Collected data included intubation time, accuracy and ease of intubation, later analyzed by frequency analysis, descriptive analysis, independent t-test, chi square test, paired t-test, and McNemar test using SPSS Statistics 18.0. Results: There was a significant difference in intubation time according to intubation device and airway type (p=.000). There was no significant difference in accuracy of intubation according to intubation device or airway type (normal airway p=1.000, difficult airway p=.052). There was a significant difference in ease of intubation scale according to intubation device and airway type (p=.000, p=.000). Conclusion: Based on the speed and ease of intubation, gum elastic bougie is recommended for intubation in patients with difficult airways such as those with cervical injury.

• 한국응급구조학회지
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• 제10권3호
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• pp.49-59
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• 2006

Purpose: This research is intended to investigate the EMT students' Knowledge, attitude and behavior and then identify the predictors of the EMT students' attitude. Method: The purpose of study was to examine EMT students' knowledge and attitude toward the elderly using a survey of 286. the instruments in this study were palmore's FAQI(1998) and the 20 item semantic differential scale developed by sanders et al. (1984). Results: The results of this study were as follows : 1. The measuring of respondents' knowledge of the elderly revealed they scored an average of 10.17(${\pm}3.30$) of the full score 25. It also said their success rate to choose the answer on the elderly was 39.59%. 2. Attitudes toward the elderly weren't significantly different EMT students. 3. EMT students educational level and religion were found to impact their attitudes toward the elderly. 4. The feelings from their previous co-living experience with the elderly were significant factors. EMT students attitudes toward the elderly had an significant effect on co-living experience and the feelings in education programs toward the elderly. Conclusion : A well-designed program is essential to change the attitudes toward elderly because The feelings in education programs for the elderly are very important. with more knowledge of the elderly, the attitudes toward the elderly is expected to be more positive. Therefore, it is necessary to improve the enough knowledge of the elderly.

• 한국응급구조학회지
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• 제17권3호
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• pp.101-113
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• 2013

Purpose: The purpose of this study was to provide an appropriate direction for effective field practice program by analyzing the influencing factors on satisfaction of field instructor in ambulance ride practice of paramedic students in Korea. Methods: The questionnaires were filled out by 204 paramedic students from July 22 to September 13, 2013. The collected data were analyzed with SPSS WIN 19.0 program. Results: The stepwise multiple regression analysis revealed that the most powerful predictor of satisfaction of field instructor was sincerity of directions. A combination of sincerity of directions (38.2%), achievement(15.4%), improvement of knowledge(3.9%) 4-week field practice(3.0%), 2 week field practice(1.6%), 4 grade(1.8%) pre-expectation of field practice(1.8%) accounted for 65.6% of the variance in paramedic students. Conclusion: We proposed the effective field practice program as well as sincerity of directions of field instructors. It is necessary to discuss before ambulance ride practice within the faculty and the field instructors.

• 한국응급구조학회지
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• 제19권1호
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• pp.7-17
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• 2015

Purpose: We gathered information for the development of a blood pressure measurement education program by analyzing the accuracy of reading taken using a blood pressure simulator by Korean paramedic students. Methods: Data from 131 students were collected in November 12-20, 2013, and April 2-4, 2014. A 27-item questionnaire was administered, the accuracy of measurements confirmed using a blood pressure simulator (BT-CEAB), and the data analyzed (SPSS v 21.0). Results: The accuracy of systolic and diastolic blood pressure readings (${\leq}2mmHg$) was relatively low (27.5%). The mean blood pressure knowledge score was 67.61 points; significant differences were noted considering the sex (p = .001), hours of practice (p =.007), numbers of practice (p = .001), and reported self-confidence (p = .026). The blood pressure measurement accuracy group did not show a significant difference in its knowledge of blood pressure (p = .198). Conclusion: Most subjects needed several practice sessions to master the skill of measuring blood pressure. The feedback provided by individual assessment and the practice education program will serve as the basis for clinical and prehospital practice.

• 한국응급구조학회지
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• 제19권3호
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• pp.87-101
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• 2015

Purpose: The purpose of this study was to provide an appropriate direction for an effective field practice program by analyzing the factors related to practical procedures in the ambulance ride practice of paramedic students in Korea. Methods: Questionnaires were answered by 202 paramedic students from March 28 to April 15, 2014. The collected data were analyzed with SPSS WIN 18.0 program. Results: The general level of procedural exposure during ambulance ride practice was 59.0% on average. Considering the practice of specific areas, vital sign checking, patient assessment, and oxygen supply showed relatively high percentages of 92.3%, 77.4% and 72.6%, respectively, whereas the areas of fluid and drug, airway, and cardiopulmonary resuscitation recorded relatively low percentage of 25.8%, 24.1% and 50.2%, respectively. The level of direct practice was significantly high in the group that included the largest number of paramedics. Conclusion: For an effective field practice, the place of practice needs to have various cases of patients to ensure a wide experience of procedures during the practice, and ambulance workers with a high level of expertise should be selected to ride with students.

• 한국응급구조학회지
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• 제23권2호
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• pp.125-138
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• 2019

Purpose: This study aimed to assess college students' knowledge, attitude, and health behavior regarding cancer based on 10 national cancer prevention recommendations and to examine the relation between these variables. Methods: The participants were 189 college students in J city. Data were collected with a questionnaire consisting of items on cancer-related knowledge, attitude toward cancer, and implementation of 10 national recommendations on cancer. The data were analyzed using independent two-sample t-test, one-way analysis of variance, $Scheff{\acute{e}}$ multiple comparison test, Pearson's correlation coefficients, and multiple regression(stepwise) analysis with SPSS/WIN 21.0 program (IBM, Armonk, NY, USA). Results: The mean scores for knowledge, attitude, and health behavior were 23.83 points (out of a possible 32), 33.10 points (out of possible 50), respectively. Attitude was positively correlated with health behavior and accounted for 37.7% of cancer prevention health behavior. Conclusion: The findings of this study suggest that the related factors should be considered in the development and implementation of systemic education programs that can encourage and promote cancer prevention health behavior among college students.

• 한국응급구조학회지
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• 제22권3호
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• pp.91-100
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• 2018

Purpose: This study aimed to assess the attitude toward cadaver donation and change of intention toward cadaver donation after participation in cadaver dissection among paramedical students, and then to provide basic data to extend wholesome culture toward cadaver donation. Methods: This study was conducted among 298 freshmen via questionnaire survey. The attitude toward the cadaver donation questionnaire consisted of 12 items on a 5 Likert scale. Data were collected before and after participation in cadaver dissection with the agreement of subjects. The data were analyzed using SPSS version 24.0. Results: This study showed that attitude toward cadaver donation was significantly different according to gender (p=.027) and major (p=.035). The attitude score toward cadaver donation was 3.45 points. The rate of positive intention toward cadaver donation before participation in cadaver dissection was 46.5%. The rate of change of intention toward cadaver donation after participation in cadaver dissection was 25.9%. Among 25.9% of subjects, the intention of 56.3% was changed from positive to negative, and the intentions of 42.1% changed from negative to positive. Conclusion: The results of this study the need to provide an educational program to improve the understanding and knowledge toward cadaver donation before participation in cadaver dissection among paramedical students.

• 한국응급구조학회지
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• 제22권3호
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• pp.7-34
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• 2018

Purpose: The purposes of this research were to study the validity of the National Examination based on smart based test(SBT) by 7 types of healthcare occupation. Methods: We conducted a questionnaires survey among 1,219 people including 210 professors for all 7 types of healthcare occupation and 573 clinical specialists ; 436 students from random sampling participated and the reliability of the questionnaire was tested using Cronbach's alpha. Results: Professors from 7 types of healthcare occupation were investigated for their opinions on the introduction of the SBT system ; 65.9% of the professors answered positively on the introduction of the SBT National Examination System, while 40.1% of the clinical experts answered likewise. In particular, professors and the clinical experts recognized altogether that the multimedia questionnaire, being effective for the evaluation of clinical and practical competence of the subjects, enabling the evaluation of various areas and strengthening the school education in clinical practices, the 42.0% of the students from 7 departments answered that the future direction of the national test is in the SBT test system with significant difference (p=.000) found in students majoring in order of Emergency Medical Services, Radiology and Physical therapy, compared to students from other majors, showing the positive response to the SBT system. Conclusion: The results of this study comprehensively evaluated the positive recognition of development of multimedia items and SBT system in national examination of 7 types of healthcare occupation in professors, field specialists and students.

• 한국응급구조학회지
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• 제3권1호
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• pp.55-64
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• 1999

This study was conducted to acquire the basic materials for effective field training to identify performance activities of emergency medical technology students. The method used in the study was a descriptive survey using a skill checklist. The subjects for the study were 43 emergency medical technology students who were 2nd grade in D college. The collected data were analyzed using the SPSS computer program, yielding frequencies and percentage. The results of study were as follows; 1. In 'emergency treatment skill', 26.6% of subjects are revealed as 'performed' in 'ambulance practice' and 22.1% of subjects are revealed as 'performed' in 'clinical practice'. 2. In 'airway management', 41.9% of subjects are revealed as 'performed' in 'ambulance practice' and 14.1% of subjects are revealed as 'performed' in 'clinical practice'. 3. In 'oxygen therapy', 52.8% of subjects are revealed as 'performed' in 'ambulance practice' and 35.6% of subjects are revealed as 'performed' in 'clinical practice'. 4. In 'ventilation skill', 17.8% of subjects are revealed as 'performed' in 'ambulance practice' and 10.7% of subjects are revealed as 'performed' in 'clinical practice'. 5. In 'vital sign check', 61.1% of subjects are revealed as 'performed' in 'ambulance practice' and 56.3% of subjects are revealed as 'performed' in 'clinical practice'. 6. In 'patient assessment', 40.7% of subjects are revealed as 'performed' in 'ambulance practice' and 20.0% of subjects are revealed as 'performed' in 'clinical practice'. 7. In 'basic life support(CPR)', 1.7% of subjects are revealed as 'performed' in 'ambulance practice' and 11.9% of subjects are revealed as 'performed' in 'clinical practice'. 8. In 'airway obstruction', 6.4% of subjects are revealed as 'performed' in 'ambulance practice' and 1.1% of subjects are revealed as 'performed' in 'clinical practice'. 9. In 'electrical therapy', 0.7% of subjects are revealed as 'performed' in 'ambulance practice' and 20.0% of subjects are revealed as 'performed' in 'clinical practice'.

• 한국응급구조학회지
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• 제23권3호
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• pp.7-16
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• 2019

Purpose: The present study was conducted to identify the factors influencing the perfromance of the emergency medical technicians (EMTs) utilizing smart advance life support (SALS) and to provide appropriate feedback to improve SALS performance. Methods: The study subjects were recruited from 119 EMT members working in G city participating in SALS project. A total of 155 data were used in the analysis. Results: Of the three areas, the mean score of importance was the highest (4.53±0.48). followed by educational needs (4.24±0.66), and SALS performance (4.08±0.55). Importance was identified as a significant factor influencing SALS performance (β=.187, p<.047).The length of education. work scope. amd role of level 1 EMTs vary significantly depending on the type of qualifications they have as emergency medical professionals, while the supply of level 1 EMTs has already reached a point of saturation. Accordingly, the current regulation on allowing level 2 EMTs with at least three years of experience to take the level 1 EMT test presents serious inequity for students just graduating from their emergency medical services program. It is also a factor that degrades the professionalism of level 1 EMTs. Conclusion: Based on the results of this study, it was found that mediation and education programs need to be implemented to highlight the importance of the tasks performed in SALS situations in order to improve performance.