A study on the improvement of first-aid activity space within the ambulance for the efficiency of 119 EMT's work

119구급대원의 업무 효율성 향상을 위한 구급차 내 처치공간 개선에 관한 연구

  • Hong, Sung-Gi (Department of Emergency Medical Technology, Dongnam Health College)
  • 홍성기 (동남보건대학교 응급구조과)
  • Received : 2013.10.25
  • Accepted : 2013.12.17
  • Published : 2013.12.31


Purpose: The purpose of this study is to provide the basic data for the ergonomic design of first-aid activity space(FAS) for a future ambulance suitable for the performance of 119 EMT. Methods: Questionnaire was filled out by the 124 EMT in 119 centers. The questionnaire consisted of 3 sub factors including the satisfaction and compatibility of the FAS. The satisfaction and compatibility was analyzed based on characteristics of the subjects. Results: The satisfaction rate of the FAS within the ambulance was an average of 2.23, and the compatibility category got an overall average score of 2.26. The lowest ranked criteria in the satisfaction and compatibility factor was the functionality of storage space showing 1.93 and 1.88, respectively. The best position of the paramedic seat was the top side of the patient, near the head, which is suitable for patient assessment and treatment. Conclusion: During patient transportation of 119 EMTs, for efficient work process, a layout design of the FAS should be based on ergonomics that satisfied the performance function.


First-aid activity space;Satisfaction;119 EMT


  1. The 119 EMS service quality of service control consignment business result. National Emergency Management Agency 2012. 11.
  2. Jun YK , Jo SO, Jeong TO, Jin YH, Lee JB, Yoon JC, et al. Evaluation of pre-hospital care provided by 119 rescuers in outof- hospital cardiac arrests transported to tertiary emergency department covering a rural area. J Korean Soc Emerg Med 2011; 22(5):391-9.
  3. Lee KY, Yun SW. Prehospital care of 119 EMT for non-traumatic cardiac arrest and improvement to increase advanced care rate. Journal of Korean Institute of Fire Science & Engineering 2011;25(5):21-31.
  4. Cho YS, Choi SC, Lee CA, Jung YS, Kim GW. Comparison of manual versus mechanical chest compression during simulative out of hospital cardiac arrest. J Korean Soc Emerg Med 2012;23(4):486-92.
  5. Kong HS, Lee WS. Job satisfaction improvement ways of fire official with a focus on 119EMT. Journal of Korean Institute of Fire Science & Engineering 2007;21(1): 19-34.
  6. Royal College of Art. Redesigning the emergency ambulance. Helen Hamlyn Centre for Design, 2011.
  7. Ferreira J, Hignett S. Reviewing ambulance design for clinical efficiency and paramedic safety. Appl Ergon 2005;36(1):97-105.
  8. Gilad I, Byran E. Ergonomic evaluation of the ambulance interior to reduce paramedic discomfort and posture stress. Hum Factors 2007;49(6):1019-32.
  9. Doormaal MT, Driessen AP, Landeweerd JA, Drost MR. Physical workload of ambulance assistants. Ergonomics 1995;38(2):361-76.
  10. Jones A, Hignett S. Safe access/egress systems for emergency ambulances. Emerg Med J 2007;24(3):200-5.
  11. Hignett S, Crumpton E, Coleman R. Designing emergency ambulances for the 21st century. Emerg Med J 2009;26(2): 135-40.
  12. NIOSH. Ambulance design could increase safety for emergency responders. Emergency Management Alert. March 17, 2009.
  13. NHS. Design for patient safety: Future Ambulances. 2007;1:1-35.
  14. Hair JF, Black B, Babin B, Anderson RE, Tatham RL. Multivariate data analysis. 6th ed. Upper Saddle River, NJ: Pearson Hall, 2006.
  15. Nunnally JC. Psychometric theory. 2nd ed. New York: McGraw-Hill, 1978.
  16. Yun SW, Lee KY. Prehospital care of 119 emergency medical technician to trauma patients. Korean J Emerg Med Ser 2011; 15(2):27-42.
  17. Lee HN, Cho KJ. Analysis on emergency care to the patients with acute myocardial infarction in pre-hospital and in-hospital phase. Korean J Emerg Med Ser 2013; 17(1):21-39.
  18. Coleman R, Harrow D. Ambulance design for patient safety: a comprehensive design study into how patient and ambulance staff safety can be improved. Royal College of Art, 2006.
  19. Biesbroek S, Teteris E. Human factors review of EMS ground ambulance design. 2012 Symposium on Human Factors and Ergonomics in Health Care 2012:95-101.
  20. Knapp S, Bernier J. The storage of ambulatory supplies. Worcester Polytechnic Institute 2011:1-103.