• 제목/요약/키워드: Emergency medical technology

검색결과 791건 처리시간 0.021초

병원 전 단계 응급의료서비스 개선을 위한 구급활동일지 (Analysis of Prehospital Care Report for Improving Emergency Service at Prehospital Phase)

  • 최길순;김윤경
    • 한국응급구조학회지
    • /
    • 제11권3호
    • /
    • pp.163-174
    • /
    • 2007
  • Purpose : This study analyzes prehospital care report of emergency service at prehospital stage, examines characteristics of activities of 119 paramedics and its users and aims to provide help for improving emergency system in future. Methods : Data collected were 119 prehospital care report and hospital records with 7,160 patients to emergency room by 119 ambulance from Jan. 1 to Dec. 31, 2006 and percentage and frequency of the data were obtained. Results : 1) Use of emergency room by 119 ambulance was increased in summer and autumn such as August(9.1%), September(11.2%) and October(13.5%) and it was more frequently used on Monday(17.3%), Saturday(17.2%) and Friday(16.1%) by telephone(98.6%). 2) Using emergency room was most in over sixties(51.8%), men(64.2%), community residents (78.3%), by report of family(50.3%) and at '09:01~12:00'(16.5%). 3) Symptoms of emergency room users included headache, chest pain, stomachache, lumbago and others as 40.6% and places where patients were found were at home(60.1%) due to chronic internal diseases at 49.2%. 4) Most of non-emergency patients(80.2%) arriving at hospital had normal pupil condition (88.4%) and clear consciousness(71.2%) and most of them left hospital after having first-aid treatment. 5) Physiological symptom tests evaluated by paramedics at prehospital stage included blood pressure(56.6%), pulse(22.9%), breathing(13.0%) and temperature(9.2%), and there was no SPo2 case. 6) Classification of severity by paramedics showed difference as emergency patients(18.0%) by paramedics and those(24.9%) by hospital. 7) First-aid treatments by paramedics at prehospital stage were promoting comfort(28.9%), hemostasis(7.7%), fixing cervical vertebrae(4.0%) and ensuring vein route(3.1%). 8) Selectors of medical agency were patients or guardians(86.2%) and emergency medical technicians(73.6%). Conclusion : To sum up the above research, it was found that percentage of using 119 ambulance by non-emergency patients was higher and paramedics performed basic first-aid treatment rather than professional first-aid treatment due to several conditions such as legal problems, range of allowance, etc. Therefore, it is considered that method to reduce frequency of ambulance by non-emergency patients and approaches to alleviate limitations of allowance of paramdeics to make them perform effective first-aid treatment at prehospital stage should be sought in the dimension of individual, organization and government.

  • PDF

DACUM 기법에 의한 1급 응급구조사의 직무분석 (Task Analysis of Paramedics of Korea Based on DACUM Method)

  • 배기숙;고봉연;이정은;이인모;최근명;김수태
    • 한국응급구조학회지
    • /
    • 제15권1호
    • /
    • pp.5-23
    • /
    • 2011
  • Objective : This study grasps specific task on paramedics who plays a great role in the emergency scene, thereby eliciting definition of job called paramedics and analyzing occupation by DACUM method. Thus, the aim is to suggest working-level guidelines on the task of paramedics. Methods : It targeted paramedics who are working at hospitals, fire stations, and industries in Seoul and Gyeonggi area from Oct. 11, 2010 to Nov. 30. A total of 608 copies of questionnaire were analyzed by DACUM method. A research tool on occupational analysis consisted of 8 pieces for duty, 43 pieces for task, and 149 pieces for task elements. In order to survey performance frequency, importance, and difficulty by element, each task was developed by this research team, and each task was analyzed and finally elicited through workshop of DACUM method. Results : The occupational definition of paramedics, which was defined through this DACUM, was elicited as 'professional job of performing emergency medical care on the scene, during transferring, or within medical institution in order to maintain life and prevent wound deterioration, targeting a person who is put in emergency situation.' Task element, whose performance frequency was indicated to be the highest, was in order of checking mental status($2.76{\pm}0.497$), checking vital signs($2.70{\pm}0.578$), and airway/c-spine immobilization($2.69{\pm}.546$). Especially, defibrillation stood at $2.23{\pm}.655$ points. Task element, whose performance frequency was low, was in order of caring sexual abuse victims($1.32{\pm}0.563$), performing cricothyrotomy($1.36{\pm}0.618$), and caring cardiac arrest victims($1.40{\pm}0.636$). Importance of task was in order of airway/c-spine immobilization ($2.88{\pm}0.338$), maintenance of respiration($2.88{\pm}0.351$), caring cardiac arrest victims($2.87{\pm}0.349$), and performing CPR($2.87{\pm}0.361$). Task element, whose importance is low, was indicated to be in order of enema($2.29{\pm}0.736$), urinary catheterization($2.35{\pm}0.664$), and nasogastric intubation($2.35{\pm}0.667$). Task element, whose difficulty was shown to be the highest, was indicated to be in order of caring cardiac arrest victims during pregnancy ($2.60{\pm}0.559$), caring cardiovascular injury($2.59{\pm}0.546$), and labor management($2.53{\pm}0.533$). Conclusion : Based on the results of this study, the job performance work table(Dacom chart) of paramedics is suggested to be used, thereby being applied to development in education and curriculum of paramedics. It is necessary to evaluate usefulness of the job performance work table by estimating effect of education for paramedics based on the job performance work table of paramedics.

응급구조과 학생의 죽음에 관한 의식 (The Death Orientation of Paramedic Student)

  • 이정은;고봉연
    • 한국응급구조학회지
    • /
    • 제15권3호
    • /
    • pp.45-55
    • /
    • 2011
  • Objective : The purpose of this study was to investigate the perception of death in paramedic student. The results of this study will help develop education program for death orientation, paramedic students education and practice. Methods : A total of 201 paramedic students filled out the questionnaire. The perception of death was examined using questionnaires designed for examining Death Orientation. The data were analyzed with SPSS 18.0 statistics program for frequency, percentage, average, standard deviation, t-test, ANOVA, cronbach alpha coefficient, factor analysis. cronbach alpha coefficient was .866. Results : The paramedic students' got a score of $2.35({\pm}.48)$ on the Orientation on death as average. The reason is that death is not yet pressing them at all and ahead of their lives they have many days to live. With respect to the Death Orientation, significant differences was found in experience of death(t=2.318, p=.021). Group of death experience was higher than group of no death experience. In view of the attitude on afterlife, students responded no afterlife(24.9%), unknown after death(22.4%). Conclusion : The results of this study suggest that paramedic curriculum should include education program on death and improve quality of prehospital care. Additional studies are needed to establish death education for paramedic.

영유아 부모의 아동안전 응급처치 교육프로그램 개발 및 효과 (Development and Implementation of Children Life Safety Support Education Program for Parent)

  • 이영아;고재문
    • 한국응급구조학회지
    • /
    • 제15권2호
    • /
    • pp.15-26
    • /
    • 2011
  • Purpose: The purpose of this study was to develop and implement the educational program of Life Safety Support for parent. Methods: This study was used to develop children life safety support education program. The education program was utilized as multimedia, practice and discussions to increase understanding and effectiveness of learning. The data for this study was collected from June to December, 2010. There were two forms of evaluations, pretest and posttest with an intervention of education program. The analysis of the collected data was analyzed by descriptive analysis, t-test and paired t-test using the SPSS 10.0 program. Results: 1. the experimental group, who was given an education program before the test, got higher marks on the Life Safety support knowledge than the control group. There was a significant difference in knowledge between experimental group and control group(t=6.678, p=.000). 2. the experimental group got higher marks on the action evaluation than the control group. There was a significant difference in the certainty of action(t=8.546, p=.000) between experimental group and control group. Conclusion: This study examined how Life Safety support education program increased effectiveness in the knowledge and action of children Life Safety support.

Felder-Silverman 학습유형에 따른 전문심장소생술 시뮬레이션 교육의 지속효과 (Continuous effect of advanced cardiovascular life support simulation education according to Felder-Silverman learning style)

  • 김유정;박미정;함영림
    • 한국응급구조학회지
    • /
    • 제20권3호
    • /
    • pp.21-35
    • /
    • 2016
  • Purpose: The purpose of the study was to investigate the continuous effect of advanced cardiovascular life support (ACLS) simulation education according to Felder-Silverman learning style. Methods: A self-reported questionnaire was completed by 94 students of emergency medical technology and nursing. There were 50 female students (53.2%) and 88 students (93.6%) had basic life support certification. The study instruments included knowledge, performance, and confidence. Data were analyzed using SPSS v. 20.0. Results: The learning style consisted of reflective type (51.1%), sensory type (76.6%), visual type (63.8%), and sequential type (64.9%). There was a significant difference in continuous effect on performance by learning type. Conclusion: It is necessary to identify the learning style of students before simulation education in order to maintain continuous effect of ACLS education.

입-입 인공호흡(Mouth-to-mouth ventilation)을 위한 감염방지 도구의 병원성 세균 여과 효과 (Effect of a pathogenic bacteria filtration instrument for infection prevention during mouth-to-mouth ventilation)

  • 심규식;김은미
    • 한국응급구조학회지
    • /
    • 제20권3호
    • /
    • pp.49-56
    • /
    • 2016
  • Purpose: The purpose of this study was to investigate the effect of a pathogenic bacteria filtration instrument for infection prevention during mouth-to-mouth ventilation. Methods: Two kinds of face shields were used for the study. One rescuer blew the filter through a bag valve mask and the filter was then cultured for bacteria. The mask was tested both on the front and back side. Results: Two kinds of face shields including the KF shield and CM shield were tested. The KF shield has received national certification and it prevented transmission of bacterial infection but the CM shield showed the opposite result and did not prevent bacterial transmission. Pathogenic bacteria were found on the back of the CM shield. Conclusion: A certified face shield is very important to prevent bacterial transmission. Face shields should be demonstrated and used by paramedic students.

응급구조과 학생의 자아존중감과 대학생활적응이 진로준비행동에 미치는 영향 (Effects of self-esteem and adjustment to college life on career preparation behavior of paramedic students)

  • 최길순;이창희
    • 한국응급구조학회지
    • /
    • 제16권3호
    • /
    • pp.91-102
    • /
    • 2012
  • Purpose : This study was designed to examine the effects of self-esteem and adjustment to college life on career preparation behavior in 209 paramedic students attending two colleges in G Metropolitan City and provide the basic materials of career development program. Methods : Data were collected from Sep. 7 to 12, 2011 and SEI Form B made by Coopersmith, adjustment to college life by Baker and Siryk, and career preparation behavior by Kim were adopted and revised. Results : There was significant difference in self-esteem and adjustment to college life between gender, but there was no difference in career preparation behavior. Self-esteem and career preparation behavior were graders difference, but there was no in adjustment to college life. There were positive correlations between self-esteem and adjustment to college life. The most significant influence on career preparation behavior of paramedic students was academic adjustment, followed the social and emotional adjustment. Conclusion : For the effective career preparation behaviors, career guidance methods and programs that induce academic, social and emotional adjustment to be available in adjustment to college life of gender and grade.

응급구조(학)과 학생의 스트레스, 우울, 대처방법 및 임상실습 만족도 (Stress, depression, coping styles and satisfaction of clinical practice in EMT-paramedic students)

  • 고봉연;이정은
    • 한국응급구조학회지
    • /
    • 제16권3호
    • /
    • pp.77-89
    • /
    • 2012
  • Purpose : The purpose of the study was to investigate the relationship between stress, depression, coping styles, and satisfaction of clinical practice in paramedic students. Methods : The study was conducted to 221 paramedic students who have experienced clinical training from March until June in 2012. Questionnaires consisted of level of stress, depression, coping styles, and satisfaction of clinical practice. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Results : The mean score of stress was $2.69({\pm}.69)$, depression was $19.09({\pm}9.41)$, coping styles was $3.17({\pm}.47)$, and satisfaction of clinical practice was $3.61({\pm}.58)$. Stress had a significant positive correlation with depression and a negative correlation with active coping and satisfaction of clinical practice. Depression had a significant positive correlation with passive coping and a negative correlation with satisfaction of clinical practice. Active coping had a significant positive correlation with passive coping and satisfaction of clinical practice. Conclusion : There was a positive effect on decreasing stress and depression in paramedic students, and encouraging positive coping when the students received counseling and instruction for clinical practice.

응급구조학과 학생의 실습이 주관적 안녕감 및 삶의 영역별 만족에 미치는 영향: 경험에 대한 개방성의 조절 효과를 중심으로 (Influence of field practice on subjective well-being and domains of life satisfaction in paramedic students: focused on control effects of openness to experience)

  • 임낭연;이상구;김영화
    • 한국응급구조학회지
    • /
    • 제20권2호
    • /
    • pp.65-79
    • /
    • 2016
  • Purpose: This study was performed to evaluate the influence of field practice on subjective well-being and domains of life satisfaction in paramedic students. Methods: A self-reported questionnaire was completed by 143 paramedic students from March 5 to 31, 2016. The questionnaire consisted of subjective wellbeing, openness to experience, and domains of life satisfaction. The statistical analysis was done with SPSS/WIN 22.0. Results: The number of field practice had a lesser influence on degree of life satisfaction and positive emotions. Field practice did not influence negative emotions. Those who were open to experience tended to have higher degrees of personal satisfaction and competence irrespective of field practice. Conclusion: Openness to experience can enhance the life satisfaction and competence against the stressful conditions paramedic students experience in field practice.

A Systematic Review of the Mechanical CPR and Manual CPR on Out-of-Hospital Cardiac Arrest Occurring in High-rise Building

  • ChanHo, Lee;ByounGgil, Yoon;HongBeom, Ahn;YongSeok, Kim
    • International Journal of Advanced Culture Technology
    • /
    • 제10권4호
    • /
    • pp.434-443
    • /
    • 2022
  • CPR in High-rise building is one of the challenging tasks to 119 paramedics, evacuating patient from the narrow and vertical area. This study was built to compare the method of mechanical CPR and manual CPR is to maximizing on-scene treatment time, and minimizing the hand-off time in cardiac arrest, transporting patient as fast as possible. The electronic data research (Science, Pubmed, Medline, Medline and 55 academic DB interworking) was conducted, and five articles were included by reviewing and excluding through the Covidence program and Review Manager version 5.4(Cochrane Collaboration). OHCA occurring on the higher floor indicates lower in survival. A total studies uniformly reported mechanical CPR is more effective during the high-rise building evacuation, than manual CPR in rate, depth, and hands-on time of chest compression. Use of mechanical CPR device is more suitable in case of High-rise building OHCA to improve the survival rate which is affected by high-quality CPR.