• The Korean Journal of Emergency Medical Services
• /
• v.11 no.3
• /
• 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.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.2
• /
• pp.48-57
• /
• 2020

This study examined the influence of the quality of work life on the organizational effectiveness and customer orientation in 119 paramedics. This study also offers basic data for improving the quality of emergency medical services in the future. A survey was conducted from February 3. 2019 through May 7, 2019, on 308 male and female fire officers in Daegu, North Gyeongsang Province. The collected data was analyzed using SPSS 20.0 version, and frequency analysis, correlation analysis and multiple regression analysis were carried out. First, there was a positive correlation among the QWL of the 119 paramedics, their OE and CO. Second, the QWL (personal, management dimension) of the 119 paramedic's was a factor that affected OE and job satisfaction. Third, the QWL (personal, management dimension) of the 119 paramedics had an impact on the CO. (ED note: please check all this and it was not clear. It may be correct now.)Forth, the impact of the OE of the 119 paramedics on the CO exerted a significant influence on the OE and job satisfaction. Given the findings of the study, the QWL of 119 paramedics should be improved to heighten paramedics' welfare to promote the quality of emergency medical services.

• Journal of the Korea Society of Computer and Information
• /
• v.25 no.10
• /
• pp.159-168
• /
• 2020

The purpose of this study is to confirm the general characteristics of 119 paramedics who are treating early emergency patients and to confirm the relationship between job stress and job satisfaction and to examine the effect of stress on satisfaction, a questionnaire survey was conducted on 365 paramedics in four Chungcheong provinces. The reliability of the job stress tool was Cronbach α = .87. The job satisfaction tool was Cronbach α = .84. The collected data were analyzed by SPSS WIN 18.0 program. There were differences among the sub - variables of general characteristics, but the general characteristics excluding academic ability were less correlated with job stress, and job satisfaction was higher when the subjects' age, number of dispatches and field hours were smaller. Job stress was found to be low when stress was high on first aid, dispatch, transport, medical guidance, conflicts and emergencies excluding partners. To reduce job stress of 119 paramedics, it is recommended to provide institutional support and education to improve the ability to recruit new emergency personnel and to provide emergency medical care and guidance because of diversification of dispatch methods and appropriate stress management.

• The Korean Journal of Emergency Medical Services
• /
• v.11 no.3
• /
• pp.65-79
• /
• 2007

Purpose : It was to find out demand and supply of EMT from 2007 to 2045 and to expand scope of practice of paramedic in Korea. Methods : This study was conducted by applying a projection formula to the data from admission quota for EMT of the Ministry of Education & Human Resources Development, rate of successful candidates of annual report of the National Health Personnel Licensing Examination Board etc. Results : The number of EMTs were 6,043 paramedics, 5,378 EMT-Bs until 2006 and two produce constants derived from simple estimation were paramedic 0.81, EMT-B 0.86. On the American basis of 5.6 EMTs per 10,000, the number of paramedics under the present act will reach the basis around 2015(5.02), the number of paramedics under the amended act will reach the basis around 2030(5.50). Conclusion : There was relationship between scope of practice of paramedic in the act and demand-supply of paramedic, this necessitates surveys, studies, amendment of the act, legalization for expanded scope of practice of paramedic.

• Korean Journal of Occupational Health Nursing
• /
• v.19 no.2
• /
• pp.128-139
• /
• 2010

Purpose: The purpose of this study is to examine the work experiences of nurses working as 119 paramedics and to provide basic information to develop administrative and institutional support system for the nurses. Method: The data were collected from December, 2007 to July, 2008 and analyzed using the phenomenological method provided by Munhall and Boyd. Participants of this study were 7 nurses currently working as 119 paramedics and who were willing to fully express their experiences. The grand mal question used in this study was "How is your work experience as an 119 paramedic?" Result: Narratives of the participants were analyzed and divided into 3 categories such as 'recognizing', 'withdrawal', and 'confrontation'. Conclusion: The results showed even if the participants think of their tasks fulfilling and be proud, they have some difficulties due to restrictions of tasks and work environment. Based on the findings, we suggest developing educational programs to improve their task abilities, establishing safety policy and compensatory reward system according to their accomplishments, and providing counseling opportunities for their traumatic experiences with difficult emotion.

• The Korean Journal of Emergency Medical Services
• /
• v.23 no.2
• /
• pp.87-97
• /
• 2019

Purpose: This study aimed to compare and analyze statistical data on 119 ambulance runs and ambulance crew, which are the components of the emergency medical services system in Korea and Japan. Methods: Data from National Fire Agencies of both Korea and Japan were collected and statistically compared. Results: With regard to the ratio of 119 ambulance runs, Korea's ratio has been gradually and continuously growing beyond that of Japan (Korea 4708.11, Japan 4706.47) since 2014. The ratio of firefighting ambulances in Korea was 2.59 ($2.59{\pm}0.10$), and was 4.76 ($4.76{\pm}0.12$) in Japan. The ratio of 119 ambulance crews in Korea was 15.55 ($15.55{\pm}2.03$), and was 47.24 ($47.24{\pm}1.06$) in Japan. Among the ambulance crews, the ratio of paramedics was 33.81 ($33.81{\pm}5.85$) in Korea and was 38.86($38.86{\pm}4.10$) in Japan. Conclusion: The ratio of 119 ambulance runs in Korea has already exceeded that of Japan, but the numbers of 119 ambulance crews and paramedics qualified for special emergency treatment are still insufficient. Therefore, supply and demand policy that promotes the development of the firefighting ambulance service system is necessary.

• Journal of the Korea Safety Management & Science
• /
• v.23 no.3
• /
• pp.89-96
• /
• 2021

This study analyzed the physical changes in 119 paramedics transporting equipment at the emergency site and performing post-cardiopulmonary resuscitation through experiments. First, the average heart rate increased by about 25 times comparing CPR was performed without physical load and with personal protective equipment after moving equipment. In the third quartile, it increased to about 27 times. Second, when CPR was performed without physical load, and CPR was performed after moving the equipment with personal protective equipment, both the body temperature was raised and the rising body temperature was measured within normal body temperature. Third, the change in respiration rate increased by 7 times on average comparing CPR was performed without physical load and CPR was performed after moving the equipment while wearing personal protective equipment. In the third quartile, it increased to about 11 times. Finally, the change in blood pressure increased by 26.6 mmHg on average comparing CPR was performed without physical load and with wearing personal protective equipment after moving the equipment, and increased by 31.2 mmHg on average in the third quartile.

• Journal of information and communication convergence engineering
• /
• v.20 no.3
• /
• pp.204-211
• /
• 2022

This study evaluated the completeness of patient care report (PCR). A retrospective quality analysis was conducted using raw data of 122,140 EMS activity reports prepared by paramedics in Gyeonggi-do from April 1 to May 31, 2021. In all, 67,830 cases of normal transfers were statistically analyzed using IBM SPSS Statistics version 22, and statistical significance was set at p<0.5. The 119EMT_2 certificate was omitted in 50,037 (73.8%) cases, followed by time-related items in 1,227 (1.8%) cases. In the primary assessment of vital signs, systolic blood pressure was omitted and erroneous in 1,218 (1.9%) and 1,129 (1.8%) cases, respectively. In the secondary assessment, the completeness of all vital sign items was approximately 70%. Advanced emergency care and online medical control (OLMC) reporting showed discrepancies in all items. As the severity of the patient's condition increased, the errors in the Patient care report (PCR) also increased, at a significant level (p= .00). Paramedics must be aware of the importance of completing the activity report.

• The Korean Journal of Emergency Medical Services
• /
• v.26 no.1
• /
• pp.21-36
• /
• 2022

Purpose: This descriptive research study aimed to investigate the knowledge and perception of the natural disaster medical system by relevant disaster medical response teams in Jeonnam region, and provide baseline data for a disaster education program based on analysis of priorities of educational demand. Methods: Online questionnaires were distributed to 200 research participants including paramedics from five fire stations in J province, 22 public health centers, two disaster base hospitals, ERU (Emergency Response Units), and DMAT (Disaster Medical Assistance Team). The questionnaires elicited basic information about respondents, their knowledge and perception on disaster preparation and response, cooperation system, and educational and training needs. Results: The top priority items selected were: other disasters for paramedics, first aid for the rapid response team, and command system for DMAT. Conclusion: Customized education and training programs must be developed to suit each organizational need. Detailed operational guidelines must be established and with them a unified educational curriculum should be put into practice.

• The Korean Journal of Emergency Medical Services
• /
• v.26 no.2
• /
• pp.73-85
• /
• 2022

Purpose: The purpose of this study is to understand currently active Korean paramedics' disaster response abilities, including immediate response, severity classification, patient treatment, and patient transfer, in a disaster situation with multiple casualties. Methods: A structured questionnaire consisting of a total of 25 questions was used, including 5 questions on the subject's general characteristics and 20 questions on disaster-related emergency response abilities. Results: Among the disaster response abilities of the participants, the patient transport ability scores were high and the cooperative support ability scores were low. In terms of general characteristics, there was a significant difference in age, and it was high in the 40s, and there was a significant positive correlation between each competency. Conclusion: These results suggest that there is an urgent need to develop a systematic and specialized educational system with components inside and outside fire departments related to multiple casualty disasters to improve overall abilities.