• 제목/요약/키워드: Emergency Medical Services System

검색결과 239건 처리시간 0.026초

제세동 가능 심정지 환자의 병원전 응급처치 수행에 대한 분석 (Analysis to Performance of Prehospital emergency care for cardiac arrest patient showing shockable rhythm on EKG)

  • 고봉연;이정은
    • 한국응급구조학회지
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    • 제15권1호
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    • pp.79-88
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    • 2011
  • Purpose : Prehospital emergency care for shockable rhythm is one of major concerns of emergency medical services. But, in Korea, prehospital medical service systems are not yet well established. We tried to offer one of the fundamental data to develop of these system. Method : After application of exclusion criteria, 200 patients who had shockable rhythm from January to December, 2008 were included in this study. Restrospective review of Prehospital care Reports of these patients was done. Result : Total 200 cases of shockable rhythm and prehospital arrest were analyzed. The rates of assessment of vital signs were 89.0%, the rate of level of consiousness was 99.5%. Just 6.0% were communicated with medical director providing the prehospital care. The frequency of defibrillation was performed 58.5%. Conclusion : Survival rate was higher in defibrillation group than that of nondefibrillation group(20.5% vs 2.4%, p=0.000).

응급구조사의 직무만족도와 영향요인에 대한 문헌고찰 (Job satisfaction of emergency medical technicians and influencing factor: a literature review)

  • 신요한;국종원;김보균
    • 한국응급구조학회지
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    • 제25권1호
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    • pp.193-203
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    • 2021
  • Purpose: This study aimed to examine the degree of job satisfaction of emergency medical technicians and its influencing factors through systematic review of prior studies. Methods: Databases were searched including national assembly library, national digital science library, korea education research information service and korean studies information service system to conduct systematic literature review. Results: The included studies were published from 2004 to 2017. After applying the inclusion and exclusion criteria to the retrieved 92 studies, a total of 11 studies were included for the final analysis. The questionnaire developed by Slavitt, Stamps, Piedmont and Haase was the most common tool used from the included studies. In the study using 5 point Likert type scale, the average job satisfaction level of emergency medical technicians was 3.18. It was 2.86 based on 4 point scale. Conclusion: According to the study results, the satisfaction level of emergency medical technicians is around the medium level. Effective strategy should be developed to improve job satisfaction based on the findings of the influencing factors to emergency medical technicians' job satisfaction.

제주도 119구조·구급대의 활성화 및 전문화 방안 (A Study on the Activation·Specification of 119 Rescue & Care in JeJu)

  • 고재문;김태민;김효식;이영아
    • 한국응급구조학회지
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    • 제6권1호
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    • pp.153-168
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    • 2002
  • Since 1992, conventional fire fighting businesses have been converted into a metropolitan autonomous fire fighting system to be ready for a variety of disasters. However, the corresponding investment has been overlapped due to the non-integration of businesses to prevent any potential disasters, and a series of collaborative systems have been not functioning so well. In the meantime, our fire fighting sector has been trying to set up its own clean and faithful position by abolishing any inconvenient system or outsourcing private sectors, and expanded its work scope from conventional fire fighting even to rescue and emergency works. While focusing on handling disaster, the fire fighting sector has been widely trusted and reliable throughtout our nation. Moreover, our fire fighting sector has secured nation wide mobile organizations, technical personnel by field, special equipments and independent communication network. In addition, the fire fighting sector has knowledges, expertise and capabilities required for managing disasters, while in charge of almost every disaster management works including fire, explosion, collapse, disaster and flood. It becomes an organization for comprehensive disaster management under an absolute national trust, which is based on the system for prevention, preparation and countermeasure against a variety of disasters. Thus, our fire fighting sector must make many efforts and try to modernize conventional education and training. The ways to facilitate rescue and emergency works may include the nurture of technical fire fighting personnel along with modernized equipments, the reinforcement of rescue and emergency education, the facilitation of operating civil defense corps, the facilitation of operating volunteer fire fighting corps, the better arrangement of 119 briefing room for public healthcare in provincial offices, the sterilization of rescue instruments and equipments the better repair education for emergency rescue member, the establishment of regional emergency assistant system and the expansion of fire fighting personnel and equipments. In terms of reinforcing the functions and services of rescue 119 and emergency corps, we must review the following considerations: Building up security system along with operational expansion, building up a system for emergency medical treatment, building up a comprehensive information management system for rescue and emergency, constructing a provincial safety museum and so forth. For the ways to better the works of rescue 119 we can review the following considerations : Improving the education for fire fighting training corps under Jeju Provincial Fire and Disaster Management Department, providing rescue members with more opportunities for clinical practices, enhancing the morale of rescue members, installing a comprehensive briefing room for emergency rescue members, building up medical networks along with reasonable policies for information service, operating the consulting system for rescue 119 and so on. If these requirements are met, it is expected that the fire fighting departments in Jeju province can cope with every accident and disaster a little more rapidly and quickly in compliance with local needs, so that they can keep their own position as a public fire fighting organization which may be trusted by the public.

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NFC를 이용한 모바일 응급 의료 시스템 구현에 관한 연구 (A Study on Implementation of Mobile Emergency Medical System Using NFC)

  • 박주희
    • 한국항행학회논문지
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    • 제18권6호
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    • pp.633-639
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    • 2014
  • 최근 IT와 BT를 융합한 스마트 헬스케어를 통해 다양한 의료 서비스를 제공하는 연구가 활발하게 진행되고 있다. 짧은 시간에 최상의 응급 의료 서비스를 제공하기 위해서는 응급 상황 발생시 신속한 응급 조치가 필수적이다. 본 논문에서는 NFC 태그를 휴대하거나 NFC 기능을 적용한 스마트폰을 휴대한 사람이 의식을 잃는 사고를 당했을 때 효율적으로 응급 조치를 취할 수 있는 응급 의료 서비스 플랫폼을 제안한다. NFC를 이용하면 일상생활 중에서 낙상과 같은 사고로 의식이 없는 응급 환자에게 신체 접촉 없이 도움을 주는 것이 가능하다. 본 논문에서는 모바일 응급 의료시스템을 구현하여 환자가 스마트폰을 활용하여 응급 상황 발생시 주위 사람들에게 도움을 청하고 응급 조치 정보를 전달할 수 있음을 보였다.

우리나라 인적재해 유형별 손상 분석 (Analysis of Injury Types in Korean Disaster)

  • 신동민;이인수;백미례
    • 한국응급구조학회지
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    • 제8권1호
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    • pp.179-187
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    • 2004
  • The purpose of the study was to injury types in Daegu subway fire accident, Sampung department store collapse, Mokpo airport civil aircraft accident, and Buan sunken ship disaster. The conclusion obtained from these analyses are as following. 1. The total of victims were Sampung department store collapse(l440 people). Buan sunken ship disaster(355 people), Daegu subway fire accident(340 people), and Mokpo airport civil aircraft accident(110 people). 2. The total of dead people were Sampung department store collapse(502 people), Buan sunken ship disaster(287 people), Daegu subway fire accident(192 people), and Mokpa airport civil aircraft accident(66 people). 3. The total of injured people were Sampung department store collapse(938 people), Daegu subway fire accident(148 people), Mokpo airport civil aircraft accident(84 people), and Buan sunken ship disaster(67 people). 4. The major types of victims presented smoke inhalation such as coughing, dyspnea, and sore throat in Daegu subway fire accident. 5. The major types of victims presented crushing(multiple fractures), vertebral, and soft tissues injuries in Sampung department store collapse. 6. The major types of victims presented multiple fractures. In addition to, a lot of people showed vertebral injuries and shock symptoms in Mokpo airport civil aircraft accident. 7. The major types of victims presented drowning as well lots of hypothermia patients in Buan sunken ship disaster. There were a wide variety of types in human disaster. Therefore, the most important disaster training program need to each disaster aspect in the local emergency medical services system. Moreover, the emergency medical services personnel should be understand and training for injury types of each human disaster.

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긴급차량 우선신호시스템 운영상의 문제점 도출과 개선방안에 관한 델파이 연구 (Delphi studies on the operational problems of the Emergency Vehicle Priority Signal System and improvement measures)

  • 김진현
    • 한국응급구조학회지
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    • 제26권3호
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    • pp.185-199
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    • 2022
  • Purpose: Prompt arrival of emergency vehicles at the scene is important. Therefore, special cases for emergency vehicles are being applied. However, there remain obstacles that obstruct the prompt arrival during dispatch. Methods: First, a literature review revealed five categories of problems with the emergency vehicle priority signal system. Then, the first Delphi survey was conducted to confirm the validity of the five categories. Further, a second Delphi survey was conducted to identify additional problems, and we used a 5-point Likert scale for a third Delphi survey. Results: A total of 92 items were extracted from preceding studies. The validity of the five categories was confirmed in the first Delphi survey. Then, 123 additional items were derived from the second Delphi survey, and the final 50 items were selected from 93 items obtained from the third Delphi survey. Conclusion: This study revealed problems and improvement measures for improving the operation of the emergency vehicle priority signal system that were not proposed in previous studies.

신고 시간대에 따른 출동거리와 현장도착 시간 간의 상관 관계 (Correlation between En route distance and Role time on call received hours)

  • 유순규;엄태환
    • 한국응급구조학회지
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    • 제14권3호
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    • pp.5-11
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    • 2010
  • Purpose: This study was to clarify correlation between en route distance and role time on call received hours. Methods: Data on en route distance(dependent variable), role time(independent variable) from 387 prehospital care reports documented by EMS in Kyonggi Provincial Fire and Disaster Headquarters and Seoul Metropolitan Fire and Disaster Department between 21 and 10 June 2010 were randomly chosen for simple regression analysis using Windows SPSS 12. OK. This analysis was conducted nine times on unit hour divided to eight call received and overall. Results: Statistically significant regression equations( Y=2.414+1.206X for 09:00~11:59, Y=3.753+.662X for 12:00~14:59, Y=2.215+1.458X for 15:00~17:59, Y=2.600+.822X for 21:00~23:59, Y=5. 445+.263X for overall) were derieved from the data. Conclusion: These equations having linear relationship may be utilized as a method for system status management to effectively response to emergency call.

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알코올이 노르에피네프린에 의한 혈관 수축에 미치는 영향 (Effect of alcohol on norepinephrine-induced vasoconstriction)

  • 강명신;전민아;은서현;최혜경;박상웅
    • 한국응급구조학회지
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    • 제23권3호
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    • pp.165-173
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    • 2019
  • Purpose: Norepinephrine (NE) is a neurotransmitter of the sympathetic nervous system. It is used for treating hypotension on distributive shock, central nervous system injury, or sepsis. There are several reports that state that alcohol suppresses vasoconstriction by NE. Thus, our hypothesis is that the effect of NE is reduced in alcohol-drinking patients with distributive shock. We investigated whether alcohol suppresses NE-induced contraction and aimed at finding a solution to this problem. Methods: For this study, we used the aorta from male Sprague-Dawley rats (9-11 weeks) and an isometric contraction system. Results: Our results showed that alcohol suppresses NE contraction and does not affect epinephrine induced a contraction. Moreover, in the presence of alcohol, a 7:3 mixture of NE and epinephrine induced a contractile force similar to that induced by NE under normal conditions. Conclusion: We found that the vasoconstrictive force of NE decreased in the blood vessels in which alcohol was present, which was not because endothelial cells. The reduced contractile force was most similar to that induced by a 7:3 mixture of NE and epinephrine.

응급의료정보센터의 응급통신관리교육 요구도 분석 (An Analysis of Demand on EMD Education in Emergency Medical Care Information Centers)

  • 엄태환
    • 한국응급구조학회지
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    • 제8권1호
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    • pp.141-148
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    • 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.

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명절 연휴기간 내 광주응급의료정보센터 이용현황 분석 - 설과 추석을 중심으로 - (A study of utilization pattern on emergency patients in Gwangju Emergency Medical Information Center during the Lunar New Year and Chuseok holidays)

  • 김미선
    • 한국응급구조학회지
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    • 제13권1호
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    • pp.61-72
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    • 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.

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