• 제목/요약/키워드: 119 EMT's

검색결과 31건 처리시간 0.022초

The study on improving concept design of 119 paramedic helmet in Korea

  • Shin, Dong-min;Cho, Byung-Jun
    • 한국컴퓨터정보학회논문지
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    • 제23권2호
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    • pp.71-75
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    • 2018
  • In this paper, we propose an optimized size for paramedic helmets as personal safety equipment for emergency medical technician. This identified priorities for advanced loT technologies that need to be attached to paramedic Helmets. Paramedic helmets with advanced technology have been developed others, but they have not been developed for Korea. The products of kinds do not exist in Korea. Based on the average size of Korean men's heads, this derived an optimized size for paramedic helmets. The optical width of this product would be 205 mm. The length would be 265 mm. The height would be 155 mm. The verified that this size meets the requirements of the authorizing certification institution. What paramedic most need in helmets is various kinds of functionality. The communication and information transmission features. In this study, many personal safety equipment for paramedics, including the extraction of an optimal size of strong emergency head-protection helmets to protect the head of the human body on helmets based on an design. We anticipate this result to be a basis for developing an even more sophisticated and functional paramedic helmet than those that currently exist.

심정지 환자 이송 시 구급대원의 자동제세동기 사용현황 (Use of Defibrillator(AED) on Prehospital Cardiac Arrests)

  • 고봉연;최용철;이재열
    • 한국응급구조학회지
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    • 제10권2호
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    • pp.53-62
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    • 2006
  • Purpose: There has been an increase in the number of prehospital cardiac arrests due to the increasing number of cardiovascular diseases and the increase in the average age of the population. We performed this study to identify the proper resuscitation technique and AED to be used to increase the survival rate in prehospital cardiac arrests. Methods: This studied 159 victims with prehospital cardiac arrests(VF or VT rhythm) by EMT's Reports from January to August, 2005. Results: 108 of 159 victims(67.9%) were shocked by AED. Eighty of 159 victims(50.9%) were recorded with AED shock in prehospital cardiac arrests. A number of shocks is averaged 2.19; 46.2% of one-shock and 86.1% of 1-3 shock. EMS first-tier response interval from time of dispatch to scene arrival was 5.88 minutes, from scene arrival to scene start was 7.36 minutes, from scene start to hospital admission was 9.91 minutes and from scene arrival to AED shock was 6.84 minutes. EMT provided advanced care to prehospital cardiac arrests: 97.5% in CPR, 10.1% in advanced airway management, 67.9% in AED shock. Conclusion: With the increase in cardiovascular disease and old age, the number of prehospital cardiac arrests has risen gradually. However, there were lack of CPR by bystander, defibrillation and advanced cardiac life support(ACLS) in prehospital stage. To improve the adequacy of basic life support and to increase the performance of ACLS, especially AED, we must create challenges to develop new protocols in prehospital care.

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응급구조(학)과 학생의 여성119구급대원에 대한 인식 유형 연구 : Q방법론적 접근 (A Study on Perception types of Emergency Medical Technology major Student's concerning the Female 119 Paramedics: Focusing on a Q-Methodology Approach)

  • Lee, Jaemin;Han, Seungtae;An, Juyeong
    • 한국재난정보학회 논문집
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    • 제12권4호
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    • pp.389-402
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    • 2016
  • 본 연구는 응급구조(학)과 학생이 인식하는 여성119구급대원에 대한 인식유형 연구이다. 본 연구의 목적은 응급구조(학)과 학생의 여성119구급대원에 대한 인식을 파악하고 유형별 특성을 확인하기 위해 시행되었다. 이를 위해, 본 연구에서는 Q 방법을 적용하여, 구급차동승 현장실습 교과목을 이수한 응급구조(학)과 학생 72명을 대상으로 여성119구급대원에 대한 주관적인 반응을 객관적으로 분석하였다. 연구결과, 응급구조(학)과 학생들의 여성119구급대원에 대한 인식유형은 네 가지로 유형화될 수 있었다. 제 I 유형은 '체력한계형', 제 II 유형은 '전문가형', 제 III 유형은 '수호천사형', 제 IV 유형은 '여성적 경험형'으로 인식되었다. 각각의 설명력은 제 I 유형 28.3%, 제II유형 12.7%, 제 III 유형 6%, 제IV유형은 3.8%로 전체변량의 51%를 설명하는 것으로 나타났다. 전체적으로 응급구조(학)과 학생의 여성119구급대원에 대한 인식은 응급처치에 대한 전문가이지만 체력적 한계, 위험성 노출과 출산 및 육아에 대하여 인식이 긍정적이지 못한 것으로 조사되어 해결방안이 마련되어야 할 것이다.

119구급대원의 신체적 특성과 심정지 임신부 자세에 따른 가슴압박 질 비교 -30° 왼쪽 기울기 자세의 마네킨 모델- (The Physical Characteristics of 119 EMTs and a Comparison of the Quality in Chest Compressions according to Posture in Pregnant Women Cardiac Arrest -A Mannequin Model lying with a 30° Incline to the Left-)

  • 박대성
    • 디지털융복합연구
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    • 제13권11호
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    • pp.197-204
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    • 2015
  • 본 연구는 119구급대원을 대상으로 심정지 임신부에 시행하는 $30^{\circ}$ 왼쪽 기울기 자세에서 가슴압박 질과 신장 및 체중이 가슴압박 질에 영향을 미치는지 알아보고자 시행하였다. J도 M, N, S, Y시, G광역시에서 근무하는 119구급대원 62명을 대상으로 2015년 6월 15-16일간 실험 전 참여 동의를 받았다. Resusci Anne$^{(R)}$ 마네킨 2대를 사용하여 Laerdal PC SkillReporting System$^{(R)}$으로 가슴압박 시행 결과를 기록하였다. 연구결과, $30^{\circ}$ 왼쪽 기울기 자세에서 바로 누운 자세보다 가슴압박 적절한 깊이 횟수(회), 가슴압박 깊이(mm)는 매우 저조하였고, 또한 170 cm 이하, 65 kg 이하에서 가슴압박 적절한 깊이 횟수(회), 가슴압박 깊이(mm)는 저조하였다. 따라서 신장 및 체중에 따른 가슴압박질을 향상시킬 수 있는 도구의 개발과 실습 교육이 필요하겠다.

심정지 현장에서 가상현실 시뮬레이션을 이용한 심폐소생술 교육 효과에 대한 연구 (Effect of using virtual reality simulation for CPR education in prehospital setting)

  • 김은애;최진경;조근자
    • 한국응급구조학회지
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    • 제26권3호
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    • pp.137-148
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    • 2022
  • Purpose: This study aims to provide essential data for developing educational methods and content, tailored for the prehospital field situation, by analyzing the effects of education regarding the management of cardiac arrest. Methods: This study is a primitive experimental study of 55 new firefighters in C Fire Service Academy. Data were collected from the training which was imparted using the CPR virtual reality simulation program (CBS 2.0) in accordance with COVID-19 quarantine rules and social distancing. Data were analyzed utilizing SPSS version 25.0. Results: After VR simulation training, knowledge about performing CPR (14.85) and self-efficacy (4.12) were significantly high (p<.001). Learning immersion was also high (3.99±0.59), but learning satisfaction was even higher (4.34±0.62). Depending on the recruitment field, firefighters showed higher learning immersion (4.04±0.58 vs 3.68±0.63) and self-efficacy (4.16±0.55 vs 3.91±0.84) than 119 EMTs' but, there was no significant difference between them. In contrast, The quality of performance of CPR by EMT's was significantly higher than that of firefighters (p=.025). Depending on previous simulation experience, there was no significant difference among dependent variables. Conclusion: Virtual reality simulation shows positive results in learning immersion, learning satisfaction, self-efficacy, and performance of CPR. Therefore, we propose that virtual reality simulation training can be a new educational paradigm.

119 구급대원의 구급활동일지 기록 충실도 (Completeness of Emergency Medical Service Activity Report by Paramedics)

  • 윤성우;이효주
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2022년도 춘계학술대회
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    • pp.381-383
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    • 2022
  • 본 연구는 119 구급대원이 기록 충실도를 조사하기 위해, 현장응급처치지침을 기반으로 구급활동일지 작성지침을 준수하는지 여부를 분석하였다. 정상 이송된 67,830건을 대상으로 IBM SPSS Statistics version 22.0으로 통계분석을 진행하였으며, p<0.5를 통계적 유의성이 있는 것으로 정의하였다. 구급활동일지 필수항목 기록 충실도에서는 구급대원 2 자격 누락이 50,037건(73.8%)로 가장 많았으며, 다음으로 시간과 관련된 항목의 오기록율이 1,227건(1.8%)으로 많았다. 환자평가 충실도에서는 1차 활력징후에서 수축기혈압이 누락 및 오기록 되는 건수가 각각 1,218건(1.9%), 1,129건(1.8%)로 가장 많았고, 2차 활력징후에서는 모든 항목에서 정상 기록율이 70%대에 그쳤다. 환자의 중증도가 높을수록 기록지 작성에 오류가 많이 발생하였고 통계적으로 유의한 차이를 보였다(p=.00). 병원 전 상황은 좋은 기록지를 완성하기에 여러 가지 여러움이 존재하지만 구급대원은 기록지 작성의 중요성을 인지하여 충실도를 높일 수 있는 방안을 강구해야 할 것이다.

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Completeness of Patient Care Report (PCR) by Paramedics

  • Lee, HyoJu;Kim, JongHo;Yun, Seong Woo
    • Journal of information and communication convergence engineering
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    • 제20권3호
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    • pp.204-211
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    • 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.

응급구조과 학생의 동영상 시뮬레이션 교육에 따른 기본소생술 수행능력 분석 (Analysis of Basic Life Support Performance According to Video simulation training of EMT Students)

  • 원영덕
    • 한국응급구조학회지
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    • 제15권3호
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    • pp.5-17
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    • 2011
  • purpose : The purpose of this study was to analyze the effect of basic life support performance by video simulation training. Methods : The subjects in this study consisted of 24 persons of experimental group and 24 persons of control group in freshmen and sophomore EMT students. The data were collected from September 1 to 30, 2010. Results : 1. Hypothesis one: experimental group is meaningful higher than control group at the operation point (p<0.05) of adult/infant's basic life support for one person. In subcategory that identifying breath, artificial respiration, pulse rate, 30 compressions, Ability to perform all the processes, the experimental group showed statistically higher score (p<0.05) than control group, and sequence from checking reaction to keeping airway management isn't statistically significant difference between experimental group and control. 2. Hypothesis two: In the hypothesis, the experimental group's point of adult basic life support by two persons and use of Automated External Defibrillator is good in experimental group than control group's point(p<0.05). As the result of researching 11 contents of check list about adult basic life support by two persons and Automated External Defibrillator(AED), by dividing into 7 subcategories, every subcategory shows that the experimental group is significant higher than control group(p<0.05). 3. Hypothesis three: In the hypothesis, the experimental group gets higher point of infant basic life support by one or two persons than the control group (p<0.05). As the results of researching 15 contents of check list about infant basic life support by one or two persons, by dividing into 8 subcategories, the experimental group is statistically meaningful higher (p<0.05) than the control group in process of keeping airway, indentifying breathing, identifying pulse, 30 compressions, Ability to perform all the processes. There isn't statistically significant difference between the groups in process of checking reaction, reporting 119, and artificial respiration by giving 2 breaths(p<0.05). Conclusion : As summarizing the results, the group, receiving using video, gets higher points of knowledge of basic life support and operating skill than the general educated group. It is found that the Video simulation training could be effective, because of these positive effects to improve clinical working performance of students, who participate in the department of Emergency Medical Technology.

119구조·구급대에 대한 인식도 조사 연구 - 광주지역 보건계열과 비보건계열 대학생을 중심으로 - (A Study on Cognition about 119 Rescue·First Aid Team - Gwangju Area College Student as the Central Figure -)

  • 김갑선
    • 한국응급구조학회지
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    • 제6권1호
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    • pp.141-152
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    • 2002
  • The purpose of this study is to provide the basic materials for searching the way of improvement to heighten the emergency medical welfare level by one step further. To achieve this purpose, the subjects of this study were selected 452 college students in Gwangju, using a random sampling method. The statistical analysis methods utilized for analyzing the collected data are frequency analysis, $x^2$ test. The conclusions obtained from these analyses are as following ; 1. In question about necessary optimum number of persons for rescue first aid activity, health and non-health major college students responded by 39.2%, 45.3% respectively that rescue team 15 people, first aid team 3 people is most suitable. But there was no significant difference in major department(p<0.05). 2. In question about security of the public health doctor and the emergency medical technician, all health and non-health major college students are recognizing necessity urgently, but there was no significant difference in major department(p<0.05). 3. In question about 119 rescue first aid team member applying for an examination qualification grant to the department of EMT's graduate, all health and non-health major college students were highest by 52.9%, 52.4% respectively in "necessity" item. But there was no significant difference in major department(p<0.05). 4. Because rescue first aid equipment level appears higher than 41.7% in non-health major college student's case by 54.2% in health major college student's case, health major college students are recognizing that equipment level should be supplemented more but there was no significant difference in major department(p<0.05). 5. In question about equipment supplement, all health and non-health major college students appeared highest by 64.8%, 69.3% in accident type different special equipment. But there was no significant difference in major department(p<0.05). 6. In question about rescue ambulance car size, we could know being thinking that health and non-health major college student each 61.2%, 56.5% is small and narrow that large size of the rescue ambulance amount need. But there was no significant difference in major department(p<0.05). 7. In question about patient's state is worsened, because rescue first aid equipment is inferior, health major college student responded sometimes 55.1%, many 29.5%. very many by 11.5%, while non-health major college student responded 65.8%, 23.1%, 4.0% respectively. There was significant difference in major department(p<0.05). 8. In question about emergency patient must utilize for 119 rescue ambulance car, all health and non-health major college students appeared highest by 38.8%, 41.3% in "not so" item. In question about rescue first aid team's first-aid treatment ability improves more, all health and non-health major college students appeared highest by 58.1% and 58.7% respectively in "improve" item. In question about "119 rescue ambulance car must go more rapidly than now", all health and non-health major college students are recognizing that should be quicker by 58.1%, 60.9% respectively. When called to 119 all health and non-health major college students responded highest by 55.5%, 53.3% respectively that we must receive first-aid treatment direction from a doctor. In question about "119 rescue ambulance car must be made the pay system", all health and non-health major college students responded 74%, 80% respectively in "not so" item. There was significant difference in major department(p<0.05). In conclusions, In oder to provide superior rescue first aid service to people, a public health doctor should be placed in the situation room inside the fire station so that the doctor could instruct the proper emergency treatment suitable for each situation to the rescue first aid team. Also, national education about a first-aid treatment that do to all people is necessarily necessary in emergency delivery system and this should be spread extensively through school education and broadcasting medium and education should be gone side by side, and see that will can save emergency patients' life which is more when these education consists continuously fixed period for public institution of policeman, fire officer etc. specially. And for reinforcement of patient transfer system, public organization must procure special ambulance car so that emergency patient receive first aid treatment while transfer.

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구급차 내에서의 심폐소생술 방법에 관한 연구 (A Study on the Cardiopulmonary Resuscitation Methods in Ambulance)

  • 신소연;김지희;김경용;강신우;방성환;윤종근;노상균
    • 한국화재소방학회논문지
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    • 제28권4호
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    • pp.104-111
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    • 2014
  • 이 연구는 소방에 근무하는 응급구조사에 의해 시행되는 구급차 내 심폐소생술 방법에 관한 연구이다. 연구 대상은 경기도 관할 780명으로 2012년 보수교육 종료 후 설문을 통하여 수집하였다. 일반적 특성, 가슴압박 방법(한 손 가슴압박 VS 두 손 가슴압박), 심폐소생술 방법(표준심폐소생술 VS 가슴압박소생술) 등에 대하여 Chi-square test, t-test. ANOVA로 분석하였다. 한 손을 이용한 가슴압박 14.0%, 두 손을 이용한 가슴압박 86.0%를 보였고, 표준심폐소생술(가슴압박 VS 인공호흡)은 28.3%, 가슴압박소생술 71.7%를 보였다. 고품질의 심폐소생술을 위해서는 심정지 환자의 구급 출동만이라도 운전자 포함 3명 이상의 응급구조사가 출동할 수 있도록 탄력적인 인력 운영 방안이 필요하며, 역량 강화를 위한 심폐소생술의 정기적인 교육이 필요하다.