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Comparison of Educational Effects of Difficult Endotracheal Intubation in the 119 Rescue Service

119구급대의 어려운 기관내삽관 교육 전·후 비교

  • Received : 2010.09.10
  • Accepted : 2010.12.23
  • Published : 2011.01.28

Abstract

The purpose of this study was to examine the effect of difficult endotracheal intubation education in the 119 rescue services. The subjects in this study were 60 members of the 119 rescue services that was under the umbrella of the Fire Service Headquarters of J province. A SPSS 14.0 program was utilized to find out the effect of tough tracheal intubation education on their relevant knowledge, self-confidence, academic self-efficacy and technical Performance in consideration of general characteristics. The findings of the study were as follows: 1. They showed a significant improvement in all the knowledge, self-confidence, academic self-efficacy and technical Performance after they received that education. 2. As for connections between general characteristics and knowledge before and after that education, there were significant differences in their knowledge according to gender and career of working in the hospital, and their rank and career of working in the hospital made a significant differences to their self-confidence. Their academic self-efficacy significantly differed with rank, career of working in the hospital and academic credential. There were significant gaps among them technical Performance Case 1 according to career of working in the 119 rescue services, and technical Performance Case 2 significantly varied with age and academic credential. There were significant gaps in technical Performance Case 3 according to career of working in the 119 rescue services and career of working in the hospital after that education was provided, and technical Performance Case 4 significantly varied with age and rank before and after the education was conducted. In conclusion, the kind of education programs that aim at stirring up the interest of the 119 rescue services in advanced airway and helping the members learn about tracheal intubation accurately with confidence is urgently required.

Keywords

Difficult Endotracheal Intubation;119 Rescue Services;Self-confidence;Self-efficacy;Technical Performance

References

  1. 이근, 임용수, 염석란, 기도 유지 및 호흡처치 전문화 교육과정 개발, 보건복지부, 국립의료원, 중앙응급의료센터, 2007.
  2. P. E. Pepe, M. K. Copass, and T. H. Joyce, “Prehosptal endotracheal intubation: rationale for training emergency medical personnel,” Annals of Emergency Medicine, Vol.14, pp.1085-1092, 1985. https://doi.org/10.1016/S0196-0644(85)80927-6
  3. J. S. Bradley, G. L. Billows, M. L. Olinger, S. P. Boha, W. H. Cordell, and D. R. Nelson, “Prehosptal oral endotracheal intubation by rural basic emergency medical technicians,” Annals of Emergency Medicine, Vol.32, pp.26-32, 1998. https://doi.org/10.1016/S0196-0644(98)70095-2
  4. M. R. Sayre, J. C. Sakles, A. F. Mister, J. L. Evans, A. T. Kramer, and A. M. Pancioli, “Field trial of endotracheal intubation by basic EMTs,” Annals of emergency medicine, Vol.3, No.2, pp.228-233, 1998.
  5. Aoyama Kazuyoshi, Visual Manual of Clinical Basic Techniques Tracheal Intubation, Yodoshs, pp.2-55, pp.98-181, 2004.
  6. 대한응급기도관리연구회, 최신응급기도관리, 군자출판사, 2008.
  7. 전국응급구조학과교수협의회, 내과전문응급처치학, 한미의학, 2010.
  8. Dinel Limmer, Michale F and O'Keefe, Emergency Care, Prentic Hall, 2009.
  9. 김아영, 박인영, “학업적 자기효능감 척도 개발 및 타당화 연구”, 교육학연구, 제39권, 제1호, pp.95-123, 2001.
  10. http://www.kuksiwon.or.kr/
  11. Benjamin Gulli and MD Les Chatelain, Emergency care and transportation of the sick and injured, American Academy of Orthopaedic Surgeons, 2005.
  12. D. S. Park, M. J. Choe, and S. S. Park, “Comparison Before and After Emergency Patient Evaluation Education of Emergency Medical Technology Students and Its Effects on Their Technical Performance,” Journal of The Korean Society of Emergency of Medicine, Vol.13, No.3, pp.19-27, 2009.
  13. D. S. Park, Y. H. Yun, and J. S. Kim, “Education Effect in Basic CPR for the Dental Hygiene Students,” Journal of Dental Hygiene and South Korea, Vol.8, No.4, pp.381-386, 2008.
  14. S. S. Park, D. S. Park, J. H. Go, Y. A. Kim, and J. S. Park, “A Change of the ability of CPR After educations for Some Health College Students and the factors Effects CPR Performance,” Journal of The Korean Society of Emergency of Medicine, Vol.12, No.3, pp.17-25, 2008.
  15. 김정숙, 봉사-학습이 고등학생의 자아존중감, 학업적 자기효능감 및 학업성취도에 미치는 영향 -또래교수프로그램을 중심으로-, 박사학위논문, 서울여자대학교 대학원, 2008.
  16. 김미경, 학업스트레스 대처훈련이 고등학생의 학업스트레스와 학업적 자기효능감 및 학업성취에 미치는 효과, 석사학위논문, 강원대학교 대학원, 2008.
  17. Ng Y, Wong JianHaoK and Ong M, “Comparing Intubation Success Rates of the GlideScope Video laryngoscope vs Macintosh Direct Laryngoscope by Novice Operators: A Mannequin Simu-lated Difficult Airway Study,” Annals of Emergency Medicine, Vol.50, No.3, p.54, 2007. https://doi.org/10.1016/j.annemergmed.2007.05.011
  18. Pei-Chin Lin, Jimmy Ong, Chia-Ling Lee1, Tsung-Ying Chen, Yi Lee1 and Hsien-Yong Lai, “Comparisons of the GlideScope and Macintosh Laryngoscope in Tracheal Intubation by Medical Students on Fresh Human Cadavers,” Tzu Chi Medical Journal, Vol.21, No.2, pp.147-150, 2009. https://doi.org/10.1016/S1016-3190(09)60027-6
  19. M. Toofan, N. Bhakta, R. Greenberg, C. Rush, D. Kjar, and D. Drigalla, “Endotracheal Intubation Success in an Ambulance by Emergency Medical Out-of-Hospital Personnel Using Direct and $GlideScope{\circledR}$ Laryngoscopes,” Annals of Emergency Medicine, Vol.54, No.3, p.63, 2009.
  20. 이근, 신상도, 김재광, 현장 이송단계의 응급의료의 적절성 분석, 보건복지가족부, 중앙응급의료센터, 가천의과대학교, 2009.

Cited by

  1. Advanced airway management for the prehospital traumatic patient vol.14, pp.5, 2013, https://doi.org/10.5762/KAIS.2013.14.5.2360

Acknowledgement

Supported by : 동아대학교