• 한국응급구조학회지
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• 제18권1호
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• pp.29-41
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• 2014

Purpose : The purpose of the study is investigate the images towards emergency medical technician(EMT) perceived by secondary school teachers. Methods : The data was collected from July 30 to 31, 2012. The subjects were 337 secondary school teachers. SPSS Statistics 18.0 was used for internal consistency reliability, descriptive statistical analysis and factor analysis. Results : Those who contacted with EMT consisted of 57.6% which was higher than those who had not(42.4%). Before contact, the gender and teaching subject showed a significant difference of p =.027 and p =.002, respectively. The average on the image towards EMT showed a positive points of $5.68({\pm}0.73)$ out of 7 and the most positive image was 'practical-theoretical' of $6.33({\pm}1.12)$. Factor analysis of EMT image was analyzed based on 3 factors including sincerity($5.89{\pm}0.89$), professionalism($6.02{\pm}0.89$) and familiarity($4.51{\pm}1.42$)(p <.000). The degree of familiarity showed significant differences in gender(p =.005), majoring(teaching subjects)(p =.049) and prior contact(p =.020). Conclusion : In conclusion, previous contact and recognition towards EMT could make good image making in secondary school teachers by getting well-organized promotions and professional services. This contact will make a good future counseling to the students who want to be EMTs.

• 대한치위생과학회지
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• 제1권1호
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• pp.23-36
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• 2018

This research has been conducted from June 1, 2017 to August 25, 2017 for the dental hygienists working in Busan and Gyeongnam area, to provide necessary basic data for the purpose of revision of the relating laws from the analysis of their understanding and perspective on such laws through 262 subjects' questionnaire. Its analysis of their perspectives are as follows. 1. The common characteristics of the subjects are that 40.1% of them are under 25, and their working period was under three years with the 38.9%, and as for their marital status, 70.2% were single, the final education of 80.2% were associated degrees. Their working areas are centered in Gyeongsangnam-do province with 91.2%, the workplace type is for the dental clinic with 80.2%. 2. The comparison of the view point of the medical(technician) law according to the characteristics of the research subjects differed only whether or not the completion of the education, and as a result of the comparison according to the characteristics of those subjects understanding the details of the medical(technician) law, there was a significant difference saying "the current law has clear job description" depending on the working area or "the job duty is definite" depending on the job experience and job details. As for those saying "the job duty is definite", there was also significant difference depending upon marital status, final education and work details. There was no significant difference in all characteristics from findings of the necessity of legal system according to the subjects not understanding the medical(technician) law. 3. As a result of comparing the necessity of the medical(technician) law according to the characteristics of the research subjects, it was found that all the subjects accepted the necessity of the medical law revision including the dental hygienist in the medical person. The "necessity of the professional dental hygienist system" showed a significant difference depending upon the final education and medical institution type. Among the triggering factors in its amendment, there showed significant difference in the "cooperation of other organizations" and "solution of medical law problems" only in the final education. 4. As a result of comparison of the needs of the medical(technician) law revision according to the characteristics of the research subjects, it was found that the significant traits related to the age and job details showed "Legal responsibility would be increased" when the medical law is revised, in case that "it will help broaden the job extension", there showed a significant difference in career, final education, and working institution, and job details. "Legal protection is possible" showed significant difference except the age group and working area, and "it help the system settlement" showed in the final education. There was a significant difference in career, final education, and job details that "I can regulate the education and field practice", and the same in "my status will be improved" depending upon the final education, work area, and job details. Accordingly, in this research, for the establishment of more professional and comprehensive dental health service as suggested from the demand and necessity toward the medical(technician) Law by the dental hygienists.

• 한국화재소방학회논문지
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• 제26권5호
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• pp.54-60
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• 2012

이 연구는 소방 119구급대에서 근무하는 1급 응급구조사의 병원임상수련 실태를 조사한 연구이다. 조사대상은 소방에 근무하는 1급 응급구조사 42명으로 하였으며, 2012년 5월 11일부터 2012년 5월 12일까지 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과 1급 응급구조사의 업무범위를 한 번 이상 직접 경험한 경우는 56.5 %였고, 이들 중 기관내삽관 66.9 %, 후두마스크 8.4 %, 정맥로확보 76.6 %, 니트로글리세린 설하투여 61.2 %, 기관지확장제 흡입 50.0 %, 수액투여 73.8 %, 인공호흡기 사용 57.6 %, 포도당 주입 57.6 %를 경험하였으며, 1급 응급구조사 업무범위를 16개 의료기관별로 살펴본 결과 58.0 %가 한 번 이상 직접 경험하였다. 향후 1급 응급구조사의 교육 요구도에 대한 지속적 연구가 필요하며, 병원임상수련의 문제점 분석, 임상실습지침서의 보완과 실무중심의 교육프로그램 운영 및 관리에 대한 규정과 지속적인 평가가 필요하다.

• 한국응급구조학회지
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• 제20권1호
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• pp.57-70
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• 2016

Purpose: This study aims to analyze the current state of emergency care for patients with anaphylaxis and to identify problems and areas for improvement in prehospital care. Methods: This study was conducted using 119 emergency running sheets and medical records of 109 patients diagnosed with anaphylaxis. Questionnaires were also given to emergency medical technicians (EMTs) and emergency physicians. The data were analyzed using SPSS 21.0. Results: Prehospital emergency care included oxygen administration in 64.2%, an intravenous line in 15.6%, and medication injection in 11.0%. The most commonly administered medications were antihistamines in 66.7% and epinephrine in 8.3%. Of EMTs surveyed, 47.0% suggested an epinephrine injection and using direct medical control, while 53.8% of the emergency physicians suggested an epinephrine injection and using indirect medical control. Most emergency physicians 88.8% responded that epinephrine could be administered by EMTs. Conclusion: The data support epinephrine injection of patients with anaphylaxis by EMTs, but a larger sample size of EMTs is required. Education about the treatment of anaphylaxis should be improved for EMTs. The scope of paramedic responsibilities should also be redefined.

• 한국응급구조학회지
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• 제7권1호
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• pp.127-134
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• 2003

An analysis was performed to evaluate the prehospital advanced emergency care in Emergency Medical Service system(EMS) through the review of the 119 transfort chart of 190 patients who visited to Jecheon Seoul hospital emergency center at Chungbuk Jecheon via 119 system during the period from October 2002 to September 2003. The results were obtained as follows: 1. Among 190 patients, male were 127(66.8%) and female were 63(33.2%) and nontraumatic patients were 81(42.6%) and traumatic patients were 109(57.4%). 2. The analysis of prehospital care by Emergency Medical Technician(EMT) revealed that Airway maintenance and keeping oral airway(37.7%), oxygen supply(75.9%), Tourniquett or MAST(18.9%), Immobilization of neck or spine(94.7%), Immobilization of extremities (51.4%), wound bandage and dressing(25.0%), BCLS(12.1%) and Application of AED(2 patients). 3. The analysis of prehospital care by EMT revealed prehospital care was limited to keep of intubation or LMA, medication and IV insertion, insertion of gastric tube and ACLS. 4. There was no case of the notification to medical institute or consultation to doctor.

• 한국가톨릭병원협회지
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• 제9권1호
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• pp.15-16
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• 1978

• 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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• 제25권3호
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• pp.63-70
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• 2021

Purpose: The study aimed to collect data from patients who were rejected by emergency requests for transfer to a tertiary hospital through 119 EMT and to analyze the data in the hospital to improve the plan. Methods: We analyzed 4,702 cases of emergency requests made by patients who were rejected by 119 emergency assistance out of the 22,568 patients who visited the emergency medical center in the C area of G metropolitan city from January 2018 through December 2020. The collected data were analyzed using IBM SPSS Statistics Version XX (IBM Corp., Armonk, N.Y., USA). Results: The major medical department with the largest number of such cases was the department of emergency medicine, with 2,519 cases (53.6%). Simple bruises were the most common diagnosis, with 2,819 cases (61.2%). KTAS classification was the highest with 3,562 patients (75.8%) in grade 4. As for the results, 4,084 patients (86.9%) were discharged from the hospital. Conclusion: Most of the patients who were rejected by emergency requests were non-emergency patients and were discharged from the hospital. emergency requests must be rejected at public relations and sites. In addition, the law should be amended to specifically present the reasons for refusal of emergency requests.

• 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.

• 대한치과기공학회지
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• 제35권3호
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• pp.221-229
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• 2013

Purpose: The purpose of this study was to investigate the image and the awareness of dental laboratory technicians in health allied college students. Methods: The subject of this research are 431 health-related major students who are selected by convenience sampling from Seoul, Gyeonggi-do, Chungcheong-do, Jeolla-do and Gyeongsang-do. After a survey was conducted, the answer sheets from 401 respondents were analyzed except for 30 incomplete ones. The collected data is statistically analyzed by SPSS(Statistical Packages for Social Science 12.0. SPSS Inc., Chicago, IL, USA). Results: The findings of the study were as follows: As a result of general awareness about dental laboratory technicians, the health allied college students knew 83.0% about dental laboratory technician as a job. Respondents showed high recognition about dental laboratory technician as a job($3.62{\pm}0.31$), which showed that the health allied college students took a favorable view of dental laboratory in general. There were significant difference in dental laboratory technician image with age, gender(P<.05). Conclusion: It is required to develop programs such as proactive public relations or campaign via mass media that could enhance the public recognition about dental laboratory technician up to one of professional as required. It is also necessary that dental laboratory technicians make steady efforts for self-development to enhance their own job philosophy and skills in the level of quality, while they need various educations for building up their own favorable personality and positive ideas.