• 한국응급구조학회지
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• 제12권3호
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• pp.55-69
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• 2008

Purpose : The purpose of this study was to analyze the prehospital care report prepared by EMS squads of 119 center in Gyeonggi area and to identify the status of prehospital care activities, problems and improvement possibilities of the emergency care. Method : Five hundred copies of prehospital care report prepared by EMS squads in thirty-eight 119 centers under 18 fire stations in Gyeonggi area from March to April in 2008 were randomly chosen for the analysis. Data abstracted according to the purpose of the study were input and the analysis of prehospital care activities were performed using SPSS-WIN(ver. 16) statistics package. Results : 1. Total 500 cases of prehospital emergency care activities were reviewed. By sex, females were 219 (43.8%) and males were 281 (56.2%). The places of reporting were home (57.8%). According to the type of emergency, 281 cases (56.2%) were caused by disease and 291 (43.8%) were from other causes such as traffic accidents or incidental injuries. 2 The average time needed for the 119 EMS squad to arrive at the scene after being reported was 7.29 minutes. The time used at the scene for the emergency care was 7.3 minutes in average and the time to arrive at the hospital was 25.4 minutes in average. 3. In patient evaluation, in 68% of the cases more than two vital signs were measured at one time and emergency patients were 31%, and non-emergency patients were 69%. 4. In one EMS activity, average 2.15 cases of emergency care were provided to a patient. The cases where two kinds of emergency care were given were 14.4%, which is the most frequent cases. When reviewing the details of the emergency cares given to the patient including multiple cares, trivial cards (taking it easy and giving comfort) were the most frequent one as 40.6% and the medical direction of the doctor was given in only one case out of 500 cases. 5. In patient evaluation and emergency care, vital signs were provided to emergency patients at significantly higher rate comparing to the non-emergency patients. The number of emergency care performance was significantly higher in emergency cases. In emergency dispatch, the cases that EMT (1st class) was on board was 86.2%. When comparing the cases when the 1st class EMT was on board and otherwise, the cases with the presence of 1st class EMT showed more vital signs were detected but there was no significant difference in the number of emergency cares provided. Conclusion : It seemed that the on-scene emergency care did not satisfy the expectations. So it is necessary to enforce the cooperation between the elements, the qualifications of the 119 EMS squads and to improve the prehospital working environment in order to provide the better medical service at any time.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5826-5838
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• 2012

본 연구는 2급응급구조사 교육생(이하 교육생)과 2급응급구조사의 전문직 자아개념과 응급환자 돌봄 지각 정도에 영향을 미치는 관련요인을 파악하고 전문직자아개념과 응급환자 돌봄 지각 정도와의 상관관계를 확인하여 교육생과 2급응급구조사의 전문직 자아개념과 응급환자 돌봄 지각의 차이를 알아보기 위하여 시도된 탐색적 조사연구이다. 연구대상자는 교육생과 2급응급구조사였다. 교육생은 K소방학교와 A소방학교에 입교하여 2급응급구조사 양성과정에 입교한 소방관들로 총 95명이었으며, 2급응급구조사는 전국에서 모인 소방관들로 2급응급구조사 심화과정을 수료하기 위해 C시 S대학 단기과정에 입교한 총 78명의 대상자였다. 결론적으로 전문직 자아개념과 응급환자 돌봄 지각은 주요한 상관관계가 있는 개념이며, 교육생이 2급응급구조사 과정을 수료하는 것만으로 전문직 자아개념과 응급환자 돌봄 지각이 완성되는 것이 아니라, 구급업무 수행 중 위의 두 개념들이 학습된다는 것을 의미하는 것이라 하겠다.

• 대한응급의학회지
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• 제29권6호
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• pp.578-584
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• 2018

Objective: This study examined the initial partial pressure of carbon dioxide ($PCO_2$) as a possible indicator of prehospital ventilation and its association with prehospital i-gel in out-of-hospital cardiac arrest (OHCA) patients. Methods: The demographics and arrest parameters, including i-gel insertion and initial arterial blood gas analysis, of OHCA patients who visited the emergency department were analyzed retrospectively. Linear regression analysis was performed to examine the association between i-gel insertion and the initial $PCO_2$. Results: A total of 106 patients were investigated. Fifty-six patients had prehospital i-gel insertion and 50 patients did not have a prehospital advanced airway. The initial $PCO_2$ was higher in the i-gel group than the no advanced airway group (105.2 mmHg [77.5-134.9] vs. 87.5 mmHg [56.8-115.3], P=0.03). Prehospital i-gel insertion was associated with a higher initial $PCO_2$ level (${\beta}$ coefficient, 20.3; 95% confidence interval, 2.6-37.9; P=0.03). Conclusion: Prehospital insertion of i-gel was associated with higher initial $PCO_2$ values in OHCA patients compared to no advanced airway.

• 한국응급구조학회지
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• 제17권3호
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• pp.29-37
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• 2013

Purpose: The purpose of this study is to investigate how empowering leadership effects on growth needs and turnover intentions to emergency medical technicians. Methods: The study was based on seventy six paramedics and seventy EMTs-basic who were working at the fire stations. A survey questionnaire was used to prove connection between empowering leadership, growth needs, and turnover intentions. Results: There was a positive correlation between empowering leadership and growth needs, and negative correlation between empowering leadership and turnover intentions. There was a positive correlation between emergency medical technicians growth needs and turnover intentions. Conclusion: This analysis is empirically applied to study the empowering leadership focused on the empowerment act of leader to a leading role to empowerment in fire service organization.

• 한국응급구조학회지
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• 제26권1호
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• pp.21-36
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• 2022

Purpose: This descriptive research study aimed to investigate the knowledge and perception of the natural disaster medical system by relevant disaster medical response teams in Jeonnam region, and provide baseline data for a disaster education program based on analysis of priorities of educational demand. Methods: Online questionnaires were distributed to 200 research participants including paramedics from five fire stations in J province, 22 public health centers, two disaster base hospitals, ERU (Emergency Response Units), and DMAT (Disaster Medical Assistance Team). The questionnaires elicited basic information about respondents, their knowledge and perception on disaster preparation and response, cooperation system, and educational and training needs. Results: The top priority items selected were: other disasters for paramedics, first aid for the rapid response team, and command system for DMAT. Conclusion: Customized education and training programs must be developed to suit each organizational need. Detailed operational guidelines must be established and with them a unified educational curriculum should be put into practice.

• 한국응급구조학회지
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• 제18권2호
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• pp.21-33
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• 2014

Purpose: A descriptive study design was used to investigate infection management awareness and infection management performance for clothing management in 119 emergency medical technicians (EMTs). Method: 188 paramedics and basic EMTs completed questionnaires between March 1 and April 30, 2013 in Jeollabuk-do. Results: Participants' average score for infection control awareness was 2.69 and that for performance was 1.58, with the differences being statistically significant (t = 931.455, p = .003). Participants' general characteristics resulted in differences in infection management performance. Women (1.63) have scored higher than men (1.28), and the difference was statistically significant (t = 11.174, p = .001). Participants who had clinical experience (1.63) had higher scores than participants who did have clinical experience before (1.53) and, again, the difference was significant (t = 7.167, p = .009). Conclusion: Education program for infection management is need to be developed for more effective infection management.

• 한국방재안전학회논문집
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• 제9권1호
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• pp.39-45
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• 2016

세월호 참사 등 각종 재난에 있어 재난의료대응체계의 문제점이 노출되었는데, 이 중 현장응급의료지원팀의 현장대응 불가, 현장에서의 소방, 의료진의 협업 곤란, 현장의료지원 및 부상자의 수용, 진료를 위한 체계적이고 세부적인 매뉴얼 미비가 중요한 사항이었다. 따라서 2014년 5월부터 중앙응급의료센터 내 재난응급의료상황실 설치 운용에 따른 기존의 비공식적으로 흩어져 있던 재난의료대응 매뉴얼 수집, 수정 및 이에 대한 교육이 필요한 상황이 되었으며, 재난응급의료상황실을 중심으로 한 재난 초기 의료대응체계를 확립할 필요성이 대두되었다. 중앙응급의료센터의 재난의료대응 개선 방안은 신속대응반 중심의 빠른 출동 체계 수립이나, 실제 적용할 체계가 미흡하여, 2014년 2월 응급의료법 개정 시행규칙에 따라 국가와 지자체에 재난대응 매뉴얼을 개발하고 기본안을 마련하기로 하여, 본 연구진은 학술적, 실무적으로 적절한 국가재난의료 매뉴얼을 국내 최초로 개발하였으며, 이를 훈련 및 시뮬레이션을 통하여 적용하였고 그 과정을 정리 분석하였다.

• 한국통신학회:학술대회논문집
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• 한국통신학회 2004년도 하계종합학술발표회논문초록집
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• pp.171-171
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• 2004

• 한국응급구조학회지
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• 제19권3호
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• pp.33-49
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• 2015

Purpose: This study aimed to investigate the work and job satisfaction of military emergency medical technicians (EMTs). Methods: We selected 122 military EMTs who participated in the refresher education in 2012. This study was conducted from November 12 to December 21, 2012. Results: The most frequent duties of military EMTs were scene assessment, cardiopulmonary resuscitation, surgical treatment, prehospital first-aid, transfer to the hospital, education, and call response. The air force and navy EMTs had better performance than the army EMTs. As for job satisfaction, the work itself ranked highest, whereas payment ranked lowest. Conclusion: The scope of the work of the military EMTs varied in the 14 fields of work but should be considered for further evaluation. In order to increase the job satisfaction of EMTs, their work conditions should be improved such as through salary increase and extra pay for those with professional certificates.

• 한국응급구조학회지
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• 제25권3호
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• pp.93-109
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• 2021

Purpose: This study aims to investigate the knowledge and attitudes regarding adverse drug reactions (ADR) of emergency medical services (EMS) students, so that suggestions for further education on ADR can be made. Methods: A survey on knowledge and attitude was created and modified according to Lee's and Kim's test tool. In total, 149 students' data were collected and compared with previous studies. Results: Knowledge of ADR was relatively low (54%) but attitude was relatively high (75%). Clinical experience was important in knowledge and attitude. Knowledge and attitude showed a positive correlation. Conclusion: Increased knowledge of ADR leads to a more active attitude towards it. Hence, modification of the education system to provide a more personalized education is required.