• 한국화재소방학회논문지
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• 제28권5호
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• pp.104-109
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• 2014

본 연구는 2급 응급구조사 병원임상실습교육의 효과와 만족도를 조사한 연구로써 2급 응급구조사 전문화 교육의 만족도를 높이고, 효과적으로 운영하기 위한 기초자료를 제공하는데 목적이 있다. 조사대상은 2013년 7월 29일부터 8월 22일까지 2급 응급구조사 병원임상실습교육에 참여한 70명의 2급 응급구조사로 하였으며 구조화된 무기명 자기기입식 설문지를 이용하여 조사하였다. 연구결과 대상자가 자가평가한 업무능력은 교육 전이 3.09점, 교육 후 3.73점으로 유의한 차이를 보였고, 교육만족도는 3.80점으로 나타났다. 대상자들이 생각하는 교육적정기간은 1주~2주가 64.3%였고, 2급 응급구조사 자격과정을 오래전에 수료했을수록 교육만족도가 높았다. 향후 2급 응급구조사 병원임상실습교육의 요구도, 문제점 등을 파악하기 위한 다각적인 연구가 필요하며, 수련을 담당하는 의료기관의 실습교육 모니터링을 포함하는 프로그램의 개발이 필요하다.

• 한국응급구조학회지
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• 제9권2호
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• pp.21-28
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• 2005

This study examines and analyzes EMTs works in hospital with 48 subjects working for hospitals at partial areas. It aims to provide basic materials for practice-centered learning to students at Dept. of Emergency Care and information of roles of EMTs. As a result of study, it was found that EMTs works included classification of severity of patients when they came to hosptial, supervision and move of serious case, move of patients and a member of cardiopulmonary resuscitation team as well as filling empty of medical staff and playing medical assistant under direct control of doctors and they played important roles in medical examination. These results showed that EMTs could extend their areas of service within hospital and they could have a positive influence on their seniors' employment.

• 한국화재소방학회논문지
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• 제21권3호
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• pp.104-112
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• 2007

교육, 훈련, 연구에 사용된 의료 시뮬레이션 교육으로서 마네킹 시뮬레이터(mannequin simulator)의 개발은 오랜 시간에 걸쳐 이루어지고 있으며, 심폐소생술, 심장 수술, 마취 임상 수기, 위기관리(crisis management)에 대한 효율성 평가로 이어졌다. 최근 한국의 여러 의과대학에서 시뮬레이션 교육을 도입하여 임상 수기 교육을 하고 있으며, 시뮬레이션 센터를 설립하고 있다. 선진국의 응급의학분야에서 응급구조사의 역할이 매우 중요하게 대두되고 있으며, 한국에서 응급구조사의 효율적인 교육과 역할 수행을 위해 마네킹 시뮬레이터를 이용한 교육이 매우 중요하다. 본 연구는 이러한 의학 분야 시뮬레이션이 의과대학 교육뿐 아니라 구조구급 분야에 종사하는 소방공무원, 간호사, 응급구조사 양성 교육 등 의료의 여러 영역에서 다양하게 이용되는 의료시뮬레이션 진화와 교육에 대해 소개하고자 한다.

• 한국응급구조학회지
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• 제19권3호
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• pp.51-68
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• 2015

Purpose: This study validated the influential relations between the effects of emergency care quality, credibility of 119 emergency medical technicians (119 EMTs), and perceived usefulness and attitude of emergency care, focusing on the moderating effect of protectors' characteristics (education, experience, age, and recognition of patient severity). Methods: This study was based on elaboration likelihood and technology acceptance models. In total, 172 protectors with experience in utilizing prehospital service were surveyed from April 1 to July 31, 2011. Results: The results showed that the emergency care quality and the credibility of 119 EMTs were the main determinants of the perceived usefulness and attitude of emergency care, irrespective of the protector's characteristics (p <.001). In addition, the findings showed that the protector's intention of emergency care had a moderating role. The impact of the quality of emergency care on its perceived usefulness was greater for high-level protectors (p <.001). By contrast, the impact of the credibility of 119 EMTs on the perceived usefulness of emergency care was greater for low-level protectors (p <.001). Conclusion: The protectors' characteristics have different influences on the relations between the effects of emergency care quality, the 119 EMT credibility, and the perceived usefulness and attitude of emergency care.

• 시큐리티연구
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• 제3호
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• pp.336-384
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• 2000

The current function of 119EMS(Emergency Medical Service) is simply to transport patients to hospitals due to the lack of medical personnel and medical equipments. In order to mark the current 119EMS system, that is to say, more many medical technician and paramedics, medical equipments supplementation, korean EMS communication system simplification and the re-arrangement of the existing fire organization, and so on. Also so various problems involving 119EMS should be solved political and financial support and the change in people's attitude toward the public fire service.

• 한국응급구조학회지
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• 제19권3호
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• pp.33-49
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• 2015

Purpose: This study aimed to investigate the work and job satisfaction of military emergency medical technicians (EMTs). Methods: We selected 122 military EMTs who participated in the refresher education in 2012. This study was conducted from November 12 to December 21, 2012. Results: The most frequent duties of military EMTs were scene assessment, cardiopulmonary resuscitation, surgical treatment, prehospital first-aid, transfer to the hospital, education, and call response. The air force and navy EMTs had better performance than the army EMTs. As for job satisfaction, the work itself ranked highest, whereas payment ranked lowest. Conclusion: The scope of the work of the military EMTs varied in the 14 fields of work but should be considered for further evaluation. In order to increase the job satisfaction of EMTs, their work conditions should be improved such as through salary increase and extra pay for those with professional certificates.

• 한국응급구조학회지
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• 제25권3호
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• pp.93-109
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• 2021

Purpose: This study aims to investigate the knowledge and attitudes regarding adverse drug reactions (ADR) of emergency medical services (EMS) students, so that suggestions for further education on ADR can be made. Methods: A survey on knowledge and attitude was created and modified according to Lee's and Kim's test tool. In total, 149 students' data were collected and compared with previous studies. Results: Knowledge of ADR was relatively low (54%) but attitude was relatively high (75%). Clinical experience was important in knowledge and attitude. Knowledge and attitude showed a positive correlation. Conclusion: Increased knowledge of ADR leads to a more active attitude towards it. Hence, modification of the education system to provide a more personalized education is required.

• 한국응급구조학회지
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• 제4권1호
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• pp.31-34
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• 2000

The real Emergency Medical Service (EMS) was introduced into Korea in the 1990s, but the role of the EMT in hospital has not been establish. This report is based on our experience for the purpose of introducing the role of the EMT in hospital. 1) EMT assisted a doctor in emergency department. 2) EMT served as a member of CPCR team in hospital during last 3 years. The survival rate of CPCR in hospital was higher than other result in Korea. 3) EMT performed his duties as a keeper of hemodynamically unstable or severely injured patients very well. 4) EMT transferred patients with safety. 5) EMT ran with rapid triage. We think that EMT will play an important role in hospital from now on.

• 한국응급구조학회지
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• 제3권1호
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• pp.91-101
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• 1999

The medicolegal problem can be occurred in all medical field. Especially pre-hospital stage can be more exposed to the legal claims due to the very nature of EMT business and characteristics of ER patient or their family member. All Emergency Medical Technician should be concerned about the law associated with emergency care for handling the medicolegal problem, so the legally risky situations that may be occurred in pre-hospital stage and ER practice. This study reviewed malpractice claim of emergency patients filed in at Association of malpractice patients' family and two tertiary level hospitals. Problems related to treatment and misdiagnosis. Especially issues concerning emergency medical service system including of inadequate transport, delay in triage and transport accounted for many cases of all claims. This alerts us to the seriousness of medical accidents of emergency patient. This paper suggests several items that all E.M.T and every member of ED health care team always have to remember the medicolegally risk situations, must be trained in understanding the patients' wants and desires and should have the knowledge of the law associated with emergency health care. Develop the system that can share the informations about the medicolegal events which were experienced by each ED health care institutes.

• 한국응급구조학회지
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• 제25권1호
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• pp.177-191
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• 2021

Objectives: This study aimed to combine the satisfaction survey results and suggestion for continuing education of the emergency medical technicians through a systematic review of continuing education of the emergency medical technicians. Methods: This review focused on previous studies published until 2020 that were associated with the continuing education of emergency medical technicians. We followed the guidelines set for each phase of the study and selected the 26 studies that met the selection criteria for the analysis. Results: The level of satisfaction with continuing education for emergency medical technicians was low. The most frequently suggested method for continuing education was patient case presentation. The answers to the desired training subjects of the continuing education program varied. Finally, studies on continuing education have not been published continuously. Conclusion: To enhance the satisfaction and competence of continuing education, we need to provide various programs that reflect the needs of emergency medical technicians attending maintenance training. In addition, various methods should be considered to improve the attendance rate for continuing education, and further investigations and research should be actively conducted on continuing education in the future.