DOI QR코드

DOI QR Code

Prehospital care and improvement of 119 emergency medical technician for the insect bite patients

119 구급대원의 곤충교상환자에 대한 응급처치 현황 및 개선방안

  • Kim, Ji-Hye (Jungbu Fire Station, Daejeon Metropolitan City Fire Service Headquarter) ;
  • Lee, Kyoung-Youl (Department of Emergency Medical Service, Kongju National University)
  • 김지혜 (대전광역시 소방본부 중부소방서) ;
  • 이경열 (공주대학교 응급구조학과)
  • Received : 2013.04.24
  • Accepted : 2013.04.27
  • Published : 2013.04.30

Abstract

Purpose : This study aimed to improve quality of prehospital emergency care for the insect bite patients by figuring out its current situations and problems. Methods : This study was conducted to 219 insect bite patients who were transferred to the hospital by 119 ambulance in D-City from July 1, 2009 to June 30, 2011. This study was a descriptive study by 119 run sheets. A total of 171 emergency medical technicians(EMTs) working in D-city and C-province completed the questionnaire. All of data were analyzed by SPSS 18.0. Results : Among the 219 patients, bee sting accounted for 62.6% and wasp sting accounted for 20.1%. Some patients complained of dizziness, headache, dyspnea, and disturbance of consciousness. The 119 EMTs initially treated the patients with oxygen supply to 57 patients (31.1%). Knowledge toward insect bite was statistically significant (p=.000) between advanced EMTs and basic EMTs. The obstacle to the prehospital care, many EMTs answered that the obstacle was due to the lack of 119 EMTs. Conclusion : It is necessary to differentiate the patients' symptoms and provide the better prehospital emergency care to verify the exact symptoms and signs.

References

  1. Rueff F, Przybilla B, Bilo MB, Muller U, Scheipl F, Aberer W, et al . Predictors of severe systemic anaphylactic reactions in patients with Hymenoptera venom allergy : Impoertance of baseline serum tryptase-a Study of the European Academy of Allergology and Clinical Immunology Interest Group on Insect Venom Hypersensitivity. Asthma and Immunology 2009;124:1047-54.
  2. Kim MJ. Assessment of appropriateness for 119 emergency medical service. Unpublished master's thesis, Inje University 2010, Gimhae, Korea.
  3. Kim JC, Kim SC, Kim YS, Kim CH, Do HH, Lee BS, et al. Clinical Study of Anaphylactic Patients with Bee stings Who Visited the Emergency Department. Korean J Soc Emerg Med 2005;16(4):403-9.
  4. Kim MG, Kim JA, Rho NK, Kim BJ, Kim WS, Lee DY, et al. A Clinical Analysis of 29 Cases of Centipede Bite. Korean J Dematol 2006;44(9):1037-43.
  5. Yunginger JW In: Middleton E Jr, Ellis EF, et al, eds. Insect Allergy. Allergy: Principles & Practice. Vol II. 5th ed. St. Louis: Mosby. 1998;1063-72.
  6. Yocum MW, Butterfield JH, Klein JS, Volcheck GW, Schroeder DR, Sliverstein MD Epidemiology of anaphylaxis in Olmsted County: a population-based study. J Allergy Clin Immunol 1999;104:452-6. https://doi.org/10.1016/S0091-6749(99)70392-1
  7. Kim MJ, Choi GS, Um SJ, Sung JM, Shin YS, Park HJ, et al. Anaphylaxis; 10 Years' Experience at a University Hospital in Suwon. Korean J Asthma Allergy Clin Immunol 2008;28(4):298-304.
  8. Ju JG. Three Cases of Mosquito Allergy. Korean J Asthma Allergy Clin Immunol 1982;2(2):103-7.
  9. Lee GY, Kim EG, Jeong BJ, Lee YS, Kim DS. Immunological study on allergic antigenicity of German cockroach in Korea. Korean J Asthma Allergy Clin Immunol 1991;11(1):30-8.
  10. National Emergency Management Agency. Statstical yaerbook of rescue-aid. 2011. Available: http://www.nema.go.kr. 2012.
  11. Kang SY, Chang SI, Min KU, Moon HB, Choi BW, Kee MD. A Survey on the Bee Venom Allergy in Children of a Rural Area. Korean J Asthma Allergy Clin Immunol 1987;7(1):1-7.
  12. Kim YK, Jang YS, Jung JW, Lee BJ, Kim HY, Son JW, et al. Prevalence of bee venom allergy in children and adults living in rural area of Cheju Island. Korean J Asthma Allergy Clin Immunol 1998;18(3):451-7.
  13. Clark S, Long AA, Gaeta TJ, Camargo CA. Multicenter study of emergency department visits for insect sting allergies. J Allergy Clin Immunol 2005;116(3):643-9. https://doi.org/10.1016/j.jaci.2005.06.026
  14. Graif Y, Romano-Zelekha O, Garty BZ, Livne I, Green MS, Shohat T. Allergic reactions to insect stings : Results from a national survey of 10,000 junior high school children in Israel. J Allergy Clin Immunol 2006;117(6):1435-9. https://doi.org/10.1016/j.jaci.2006.03.004
  15. Gwon HR, Park HJ, Kim SS. Environment Emergency. Seoul: Daehakseorim, 2007.
  16. Korean Council of Professors for Emergency Medical Service. Emergency Care. Seoul: Daehakseorim. 2000.
  17. Jo BG, Lee IY, Lee WG. Dermatoses by Hazardous Animals. 1st ed. Seoul: Seoheung Publishing Company. 2008.
  18. Ahn HJ. Prehospital treatments of the patient with Hypoglycemia by 119 Emergency medical technicians : analysis of the curreent data and survey. Korean J Soc Emerg Med 2010;14(1):31-46.
  19. Yun SW, Lee KY. Prehospital Care and Knowledge of 119 Emergency Medical Technician to Trauma Patients. Korean J Emerg Med Ser 2011;15(2):27-42.
  20. Park HS, Kim SS, Kim HY, Nahm DH and Ahn SG. Clinical features of bee venom anaphylaxis. Korean J Asthma Allergy Clin Immunol 1999;19(3):492-7.
  21. Song HJ, Suh YJ, Yang YM, Jung JW, Lee YM, Suh CH, et al. Two cases of anaphylaxis due to bee venom acupuncture. Korean J Asthma Allergy Clin Immunol 2002;22(2):481-6.

Cited by

  1. Current prehospital care status, knowledge, and prehospital care confidence toward the elderly among 119 emergency medical technicians vol.18, pp.3, 2014, https://doi.org/10.14408/KJEMS.2014.18.3.019
  2. Prehospital care status and improvement plan of 119 emergency medical technician to anaphylaxis patients vol.20, pp.1, 2016, https://doi.org/10.14408/KJEMS.2016.20.1.057
  3. Analysis on prehospital care of emergency labor pain, vaginal bleeding and sexual assault patients by 119 emergency medical technicians vol.17, pp.2, 2013, https://doi.org/10.14408/KJEMS.2013.17.2.009