• 제목/요약/키워드: Ambulance service

검색결과 89건 처리시간 0.023초

119 구급대 편성 인원에 따른 중증외상환자의 병원 전 응급처치 실태 분석 (An Analysis of Prehospital Care for Major Trauma Patients depending on the number of 119 Ambulance Crews)

  • 김종호;이효주;임용덕;한인득;이재국
    • 한국산학기술학회논문지
    • /
    • 제19권6호
    • /
    • pp.500-506
    • /
    • 2018
  • 본 연구는 119 구급대 편성 인원에 따른 중증외상환자의 병원 전 응급처치 실태를 분석하고자 2015년 1월 1일부터 12월 31일까지 J도 소속 119 구급대원에 의해 이송된 중증외상환자 1,067명 중 438명을 대상으로 수행하였으며, 수집된 자료는 IBM SPSS Statistics 21.0으로 분석하였다. 연구기간 동안 발생한 중증외상환자는 성별로는 남성이 2인 및 3인 구급대에서 각각 242명(70.6%), 66명(69.5%)으로 더 많은 빈도를 보였으며, 이들 환자가 이송된 의료기관별로는 지역응급의료센터로 이송된 비율이 각각 44.0%(151명), 49.5%(47명)로 가장 높았다. 119 구급대 편성 인원에 따른 현장 체류시간은 2인 및 3인 구급대 두 군 간에 유의한 차이를 보이지 않았으며(p=0.071), 전문기도유지술 및 정맥로 확보 시행빈도, 정맥로 확보 성공률에서도 각각 유의한 차이를 보이지 않았다(p=0.253, p=0.362, p=1.000). 본 연구 결과 단순한 양적 충원만으로는 중증외상환자의 병원 전 처치에 대한 질 향상에 영향을 주지 못하는 것으로 판단되며, 전문 인력의 확보와 함께, 직접의료지도의 단순화 및 간접의료지도의 활성화, 법적 업무범위의 확대 등이 필요하다.

응급시설 위치 문제 (Emergency Medical Service Location Problem)

  • 최명복;김봉경;한태용
    • 한국인터넷방송통신학회논문지
    • /
    • 제11권6호
    • /
    • pp.183-191
    • /
    • 2011
  • 본 논문은 하나의 도시가 여러 구역으로 분할되고, 응급환자가 발생하였을 때, 모든 구역에 대해 최대 허용 도착시간 T를 충족시키도록 응급시설을 배치하는 문제에 대한 알고리즘을 제안하였다. 이 문제는 일반적으로 다항시간으로 해를 구하는 알고리즘이 존재하지 않아 두 구역 간 소요시간이 최대허용 도착시간이내이면 1로, 그렇지 않으면 0으로 하는 정수계획법으로 변환시키고, 선형계획법 도구를 활용하여 해를 구한다. 본 논문은 최소차수 노드의 이웃 노드들 중 최대 차수 노드를 응급시설의 위치로 결정하는 집합피복 알고리즘을 적용하였다. 제안된 알고리즘을 텍사스 오스틴 시의 33개 구역에 대한 사례에 대해 $3{\leq}T{\leq}20$ (분)을 적용하고, Swain의 55개 노드 망에 대해 T=15에 대해 응급시설의 위치를 결정할 수 있는지 여부를 검증하였다. 선형계획법을 활용한 전통적인 집합피복 알고리즘은 몇 개의 T에 대해 해를 구하지 못한 반면에, 제안된 알고리즘은 18개의 모든 T에 대해 해를 구하였다.

119무선페이징의 이용실태에 관한 연구 - 일 지역을 중심으로 - (Study of Personal Emergency Response System among Community Residing Elderly)

  • 권혜란;정지연;최길순
    • 한국응급구조학회지
    • /
    • 제11권2호
    • /
    • pp.87-101
    • /
    • 2007
  • Health and disease related characteristics of 226 selected by systematic sampling from 452 personal emergency response system(PERS) beneficiaries and actual conditions of using PERS by them are as follows. Over 86% of PERS beneficiaries have not good health conditions and 70.7% of them have chronic diseases. On social supports family was highest as 52.2% and cases having social workers' assistance were 15.2%, but 53 as 23.7% had not visit or call from anyone and showed very low social supports. 86.2% was given PERS within 3years and 79.1% had it by the recommendation from related agencies and 4.0% was by their demand. On wearing it, 78.3% didn't bring it with them and 92% of them answered they were not sick and then it was found that they didn't use it because they had not special emergency. On satisfaction with paging system's operation, 81.3% answered they were satisfied with it, 48.8% used it for 'acute and emergency diseases' and 29.3% called ambulance for 'appointed medical treatment'. Time required for ambulance to arrive at the field was within 10 min. in 87.8% and after 10 min. in 12.2% and emergency service for beneficiaries by fire service was very good. On satisfaction with use of PERS, 85.4% were satisfied with it, 81.9% who requested repair or replacement of radio paging got it back after one or two days of their request and they answered they were satisfied with A/S. 45.5% answered they powered off it because 'they didn't use it' and 12.1% had 'economical reason of phone charge'.

  • PDF

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
    • /
    • 제6권1호
    • /
    • pp.141-152
    • /
    • 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.

  • PDF

재난발생 시 일반응급의료체계에 관한 연구 (A Study for General Emergency Medical Service Systems in Disaster)

  • 이마리아
    • 한국응급구조학회지
    • /
    • 제10권1호
    • /
    • pp.23-39
    • /
    • 2006
  • In Korea, There are many disasters, like the collapse of Sampung department store, the strike of severe typhoon 'Rusa' and the subway tragedy in Taegu, because of global warming, urbanization, high-density and high-rise of buildings. So, the government made 'The Framework Act' on the safe and management of disaster and 'The National Emergency Management Agency' was established. But emergency medical service systems in Korea is not growing so much. The purpose of this research is to give basic data for the development of emergency medical service systems in Disaster by comparing of disaster management systems and emergency medical systems among the nations of the world, analysing emergency medical systems in disaster in Korea and suggesting some improvement methods. The improvment methods are like this ; First, establishing the National Disaster Medical System in Korea, making the good triage by EMT, expansion of EMT's working area, developing protocols and framing of medical director increasing the working force of EMT, broad inner cavity of ambulance for treatment of patientent, supplement of professional equipments, active using of helicopters are needed in prehospital are. Second, equal establishment of emergency medical center and increase of working force of emergency medical team are needed in hospital area. Finally, enforcement of the dispatcher's qualification, smooth communication among EMSS systems and actualization of medical direction through screen are needed in the Telecommunication system.

  • PDF

일반인의 구급차 이미지에 대한 인식 유형 (Public perception of ambulances)

  • 김준형;문준영;최은숙;우일웅;심경율
    • 한국응급구조학회지
    • /
    • 제25권1호
    • /
    • pp.159-175
    • /
    • 2021
  • Purpose: This study aimed to obtain, categorize, and analyze baseline data regarding the subjective perception of ambulances from the consumers' perspective, which can be utilized for improving emergency medical service systems. Methods: Fifty people aged 20 to 40 years old were selected as P samples. Data from 35 statements of Q-cards and Q-sample distribution plots were gathered using Q-sort and analyzed using the PC-QUANL program for major factor analysis. Results: We found four unique characteristics which accounted for 57.57% of the total variation: "Considerate of emergency situations," "Identifying emergency patients," "Trusting emergency vehicles," and "Sympathizing with emergency patients." Conclusion: Organizations that provide emergency medical services using ambulances should plan and render patient care according to the four types of public perception of ambulances.

일부지역 119 구급대와 사설이송기관의 이송 서비스 이용 실태와 만족도에 관한 연구 (A Study on the Use Realities and Satisfaction with Transport Services in 119 Emergency Medical Service System and Private Transport Agent in Some Areas)

  • 박상섭;박재성
    • 한국응급구조학회지
    • /
    • 제12권1호
    • /
    • pp.5-15
    • /
    • 2008
  • Purpose : Centering on users(patients) who are offered the patient transport service by the emergency medical service system in our country, the use and satisfaction are analyzed with the transport service in 119 Emergency Medical Service System and Private transport agent. Results : 1. As for personnel in ambulance cars, 119 emergency staff showed a higher boarding rate of the first-class emergency medical technicians than private transportation centers : 48.4% and 17.7%, respectively. 2. Private transportation centers showed higher user satisfaction with transportation service than 119 emergency staff, which was not statistically significant. 3. As for the case that needs to receive the transport service in the future, the ratio with the will to use 119 Emergency Medical Service System(70.9%) was indicated to be much higher than the ratio of the private transport agent(29.1%). Suggestions : First, Centers transporting first-aid patients should essentially secure a sufficient number of first-class emergency medical technicians as professional emergency medical staff to reinforce qualitative improvement in emergency medical service. Second, It is necessary to establish a systematic monitoring system and develop educational programs in order to enhance satisfaction with the use of 119 emergency staff. Third, the government or the local government needs to positively support and guide the private transport agent, which is in charge of the public medical service.

  • PDF

응급의료체계 개선 방안 - 선진국 응급의료체계 연구를 통하여 - (A Study on Improvement of Emergency Medical Service System - Focused on Research in EMS-System of advanced Country -)

  • 이영현
    • 한국응급구조학회지
    • /
    • 제7권1호
    • /
    • pp.135-146
    • /
    • 2003
  • The purpose of this study was to improve EMS-System in Korea through the research in EMS-System of advanced country. The response time is defined as the interval from the time of call receipt to the time of scene arrival. The important factor was to shorten moving distance of ambulance. It should be considered to accomplish this factor that the vehicle must be increased and the convenient location chosen for optimizing of service area. The transport of emergency patients carried out almost by 119 Emergency Medical Service but out of all the employees at 119 EMS only 11.3% have own qualified EMT degree. They should be employed more and more specially at 119 EMS for a superior level of emergency medical care for civilian. In America, EMT can take care of emergency patients following the order from medical Director at the scene of accident. But in Germany, prehospital care was emphasized from the beginning and, in those days, a medical doctor was sent for treatment of emergency patients at the scene, the so-called a Rendezvous system. Hierby this study makes the suggestion to improve the EMS-System, it is effective to use the medical Director system in America and furthermore a Rendezvous system in Germany. The functional integratin and unification of the report system as well as enough personal and equipmental elements saved together invaluable lives.

  • PDF

사회변화에 따른 소방의 역할증대 개선방안에 관한 실증적 연구 (Positive Study for the Method of Improving the Role of Fire Fighting with Social Change)

  • 강창곤
    • 한국화재소방학회논문지
    • /
    • 제20권3호
    • /
    • pp.85-95
    • /
    • 2006
  • 경제성장과 의학의 발달로 인간의 평균수명이 연장되면서 노인인구가 크게 증가하였다. 노인인구가 증가함에 따라 응급환자에 대한 구급수요도 증가하였다. 이에 소방에서는 현재시범운행중인 실버 앰뷸런스의 확대배치와 병원의료진과 119의 합동체제 구축 및 노인의료관련 교육과정의 신설과 이미 독거 노유자에게 설치 운영중인 무선페이징 시스템의 문제점등을 개선하여 시스템의 기능 향상과 운영의 효율화를 이루고 더 나아가 노인을 위한 전용자원봉사자은행등을 설치 이를 연계한 실버세대에 대한 토털 서비스를 통하여 119업무를 확대해 나감으로써 신뢰받고 사랑받는 소방조직으로 거듭날 수 있을 것이다.

계절 및 기온에 따른 119 구급대 환자 이송 건수 및 병력의 차이 (Analysis of patients transported in ambulances by season and daily temperatures)

  • 이경열;이정혁
    • 한국응급구조학회지
    • /
    • 제23권3호
    • /
    • pp.123-134
    • /
    • 2019
  • Purpose: This study aimed to analyze the number of patients with and without medical history transported to the emergency department due to changes in daily temperature and season. Methods: Data on emergency activity sheet and daily weather were collected from March 2016 to February 2017 in the city of Gyeonggi-do. In total, 13,531 patients were transferred to the emergency department in 119 ambulance. Data were analyzed using the Statistical Package for the Social Sciences (version 21). Results: The daily average number of patients transferred was the highest in August and September, i.e., the summer season. The higher the daily highest and lowest temperatures, higher the daily average number of patients transferred. In contrast, patients with medical history of hypertension, diabetes, heart disease, cerebrovascular disease, and pulmonary disease had a higher incidence of transfers in the winter season and on days with lower temperature. Conclusion: The results indicate that as people become more active during the summer when temperatures are high, the chances of daily emergencies increases, whereas patients with medical history are more likely to experience emergencies when the temperatures were lower. Hence, 119 ambulances will have to be prepared in advance to deal with this trend.