• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.22 no.3
• /
• pp.65-73
• /
• 2021

This study aimed to provide the basic data for the development of a simulation training program for new infectious diseases by analyzing the knowledge and educational needs of 119 paramedics regarding COVID-19 infection control. Data was obtained through a structured questionnaire survey of 186 paramedics from November 15th to 30th 2020. The study showed that 98 of the 119 paramedic subjects (52.7%) had not been educated regarding COVID-19. The knowledge level was 18.21±1.98 out of 25 points, with environmental control securing the lowest correct answers. The highest need for education was in the areas of prevention of transmission and spread, and employee safety control. The total average for educational needs was 3.81±.28 (4 point scale) with the highest educational need in the area of prevention of the spread and dispersion of the disease and employee safety management. There was a statistically significant difference in the knowledge of the general characteristics according to gender (t=-1.999, p=.047) and the educational demand was related to career (t=-1.999, p=.047) and, education levels (t=2.336, p=.021). Accordingly, it is necessary to plan a new infectious disease simulation education program that addresses the low-scoring areas and items with high educational needs which include the propagation path and spread prevention, environmental management, and employee safety management as per the findings of this study.

• The Korean Journal of Emergency Medical Services
• /
• v.26 no.1
• /
• pp.101-118
• /
• 2022

Purpose: This is a descriptive research study that aims to identify factors affecting fatigue by examining the degree of emotional labor, job stress, and fatigue of 119 emergency medical technicians (119 EMTs). The correlation between emotional labor, job stress, and fatigue was also confirmed. Methods: A total of 139 EMTs working in the Daejeon area participated in this study. Data were collected from July 6-15, 2021. Results: When the number of dispatches was high and the job was dissatisfying, the degree of emotional labor was high. In addition, the shorter the work experience and the lower the job satisfaction are, the higher the job stress is. The degree of fatigue was significantly higher in female than male 119 EMTs, and when they had short work experience and were dissatisfied with their job, the degree of fatigue was higher. Moreover, there was a significant correlation between emotional labor, job stress, and fatigue of the 119 EMTs. Conclusion: To reduce emotional labor, job stress, and fatigue of 119 EMTs, appropriate interventions for each factor and institutional improvements are required.

• The Journal of the Convergence on Culture Technology
• /
• v.8 no.5
• /
• pp.541-546
• /
• 2022

This study is to analyze the effect of rapid rise in the rescue activity of suffering on the increase of reactive oxygen species. There is no study that tested the change rate of reactive oxygen species according to the rapid rise in 119 rescue workers, so we want to check the symptoms that appear in rescue workers' bodies. There were 5 subjects, and B, C, and E showed similar values before and after diving: 0.41µmol/L, 0.11µmol/L, and 0.87µmol/L, respectively. However, in subject D, the level of active oxygen rise before and after diving was significantly higher at 1.41µmol/L, which is believed to be due to increased anxiety caused by poor underwater visibility and increased fatigue during rapid ascent after underwater rescue activities. Subject A showed a significantly low increase in active oxygen before and after diving at 0.07µmol/L. The reason seems to be that A is 54 years old and has the most diving experience among the test subjects, and it seems that it is the result of receiving less stress from the poor watch due to the abundant experience of rescue activities as a 119 rescue worker and the skillful underwater activities. Fatigue and anxiety were both high at 4. It is thought that the psychological tension during underwater activities increased fatigue, and the turbidity of the underwater vision raised anxiet.

• The Korean Journal of Emergency Medical Services
• /
• v.22 no.3
• /
• pp.55-66
• /
• 2018

Purpose: This study was conducted to investigate the disaster response competencies of 119 emergency medical technicians (EMTs). Methods: The subjects of this study were 226 119 EMT's at the fire station located in G province. The questionnaire consisted of 5 sub-factors and 29 items for measuring disaster response competencies and the collected data were analyzed using SPSS program. Results: Disaster response competency comprising immediate response, patient triage, patient treatment, patient transport, and collaboration support were 3.48, 3.64, 3.52, 3.64, and 3.16, respectively. Advanced EMTs scored significantly higher in patient triage (p<.001), treatment (p<.001), and transport (p=.022) competency than basic EMTs. Conclusion: In order to improve disaster response competency, it is necessary not only to enhance individual ability but also to continue disaster management training with related organizations.

• The Korean Journal of Emergency Medical Services
• /
• v.16 no.3
• /
• pp.29-43
• /
• 2012

Purpose : The goal of the present study is to provide the basic information to medical control which is the most important improving factor of pre-hospital medical treatment. Method : A total of 749 records of direct medical control were collected from 119 EMTs in emergency medical information center of Daejeon, Chungcheongnam-do and Chungcheongbuk-do from March 1, 2010 to February 28, 2011. Results : The 119 EMTs should record the level of qualification of EMT and general patient history taking precisely when they receive direct medical controls. The doctors should take medical controls within the task range of qualification of EMTs. Conclusion : It is necessary to establish the guideline of medical direction and protocol of prehospital emergency care. The quality improvement of pre-hospital emergency services will be possible by the guideline and protocol.

• The Korean Journal of Emergency Medical Services
• /
• v.26 no.3
• /
• pp.71-91
• /
• 2022

Purpose: This study aimed to provide baseline data for implementing advanced life-support for 119EMTs. This is done with an in-depth examination of the emergency care experiences of the 119EMTs on-site and during transportation. Methods: Interviews were conducted with twelve 119EMTs, and the data were analyzed using the phenomenological method. Results: The 34 topics had 19 sub-components and were analyzed according to seven categories: 'A work environment where you cannot focus only on emergency care on-site and during transportation', '119EMTs struggling with manpower shortage', 'Current status of education blocking the upward standardization of 119EMT', 'Implementation of professional emergency care was held back due to the limited legal scope of 119EMT', 'Medical oversight makes it difficult to implement emergency care due to low flexibility', '119EMTs who cannot choose hospital selection and find it difficult to receive help', 'An evaluation system not reflecting reality at all that only leaves high scores'. Conclusion: This study was undertaken to implement specialized emergency care for 119EMTs; not only the necessity of reviewing the expansion of the work scope of 119EMTs but also the necessity of effective 'Medical Oversight system' reorganization raised as well.

• The Korean Journal of Emergency Medical Services
• /
• v.24 no.3
• /
• pp.89-106
• /
• 2020

Purpose: This study attempts to improve the status of emergency care for major trauma patients transferred by 119 paramedics by analyzing the status of emergency care and the obstacles to the spinal motion restriction (SMR) for major trauma patients. Methods: A total of 600 rescue logs were collected from major trauma patients transported by 119 paramedics in the C fire department from Jan. 1, 2015, to Dec. 31, 2017. And then, 280 questionnaires were collected from the 119 paramedics in C fire department from May 3 to Jun. 3, 2019. Data were analyzed using SPSS 24.0 version. Results: Among 499 spinal motion restriction adaptive patients, the spinal motion restriction rate was 51.1% (255 individuals). Lack of human resources and quality control problems were among the obstacles to spinal motion restriction. Conclusion: The 119 paramedics should improve their activeness and skills in performing emergency care, and since training and experience are of crucial importance, they should expand various education systematized according to demand.

• Fire Science and Engineering
• /
• v.17 no.4
• /
• pp.42-56
• /
• 2003

This research made a survey to 119 EMT laying stress on general contents connected with job in a frame of mutually organic cooperation system between the processes, composing Emergency Medical Care Transportation Policy in Korea, as a step before hospital, of happening emergency patients, 119 first-aid service of the spot, transportation of patients, construction of communication network etc.. As a result of analysis to that, it is found that there must be systematic devices which makes EMT not to be caught on medical dispute, a modernization of emergency equipments, professional first-aid agents, a proper personnel arrangement. Consequently, it suggests policy plan focusing on structural and functional aspect to improve an Emergency Medical Care Transportation system into a realistic one.

• Fire Science and Engineering
• /
• v.29 no.3
• /
• pp.70-80
• /
• 2015

This research was conducted to improve the image of female emergency workers in a fire service organization by studying the perception trends of the increasing number of female paramedics. This human resource can be utilized more effectively by using the study results as baseline data. We conducted a survey from May 1 to June 30, 2013. The survey was analyzed using Q methodology and the program QUANL. For the Q sample, 31 emergency rescue paramedic students who had experienced ambulance field education were selected. As a result, four types of female paramedics were found; "superwoman," "hero" (who pushes against limits of stamina), "delicate guardian angel," and "skillful desk worker." The explanation powers were as follows: type I: 42.2%; type II: 4.8%; type III: 4%; and type IV: 3.6%. The sum of the figures explained 54.7% of the total variables. Generally, the students recognized female paramedics as professionals, but physical strength, baby care, and caring were considered as burdens. This requires changes in the organization's perception of female paramedics and an institutional strategy.

• The Korean Society of Law and Medicine
• /
• v.20 no.2
• /
• pp.141-171
• /
• 2019

Nurses are medical personnels under the Medical Service Act and perform medical practice such as medical assistance at medical institutions. The nurse, a medical personnel, provides emergency medical service to emergency patients in the pre-hospital emergency medical system as a 119 rescuer based on the Act on 119 Rescue and Emergency Medical Services. The scope of practice of nurses is comprehensively defined in the Medical Service Act and specified through precedents. In contrast, The scope of work of emergency medical technician is listed in detail. It is understood that nurses in the pre-hospital emergency medical service system have a wider scope of practice than emergency medical technician. In particular, the scope of practice of nurses as emergency medical personnel in the pre-hospital emergency medical system should be interpreted differently within the medical institution, considering the urgency of the patient, being transferred to the emergency medical institution, and the specificity of medical direction through tele-communication.