4 research outputs found
κΈ°μ λΆμ€ νλ³λͺ¨νμ μ΄μ©ν μμ°μ¬νκ° νκ³μ 보μ μ μ©μ±μ κ΄ν μ€μ¦μ μ°κ΅¬
νμλ
Όλ¬Έ(μμ¬)--μμΈλνκ΅ λνμ :κ²½μνκ³Ό κ²½μνμ 곡,2001.Maste
μκΈκ΅¬μ‘°μ¬μ μν μλμ²΄μΈ μ μΈλ μ€μ νν©κ³Ό μ§μ λ° μΈμλ λΆμ
μ§μμ¬νκ°νΈνκ³Ό/μμ¬[νκΈ]
λ³Έ μ°κ΅¬λ λ³μ μ λ¨κ³μμ 119ꡬκΈλμ μν΄ μ€μλλ μκΈμ²μΉ λ° μλμ²΄μΈ μ μΈλμ€μ νν©μ λΆμνκ³ , μκΈκ΅¬μ‘°μ¬μ μ격μ νλ³λ‘ μ μΈλ κ΄λ ¨ μΈμλ λ° μ§μμ μΈ‘λ©΄μ μ°¨μ΄λ₯Ό λΉκ΅λΆμνμ¬ λ³μ μ λ¨κ³μμμ μ κ·Ήμ μκΈμ²μΉκ° μ΄λ£¨μ΄μ§λλ‘ μ μμ νκ³ μκΈμλ£μ²΄κ³κ΅¬μΆμ μν κΈ°μ΄μλ£λ₯Ό μ 곡νκ³ μ μ€μλμλ€. μκΈμ²μΉνν©μ νμ μμΉλΆ μλ°©κ΅μ '97 ꡬκΈνλμ€μ λ³΄κ³ μλ₯Ό κΈ°μ΄λ‘ νμ¬ λΆμνμμΌλ©°, μλμ²΄μΈ μ μΈλ μ€μνν©μ λ³μ μ λ¨κ³μμ μκΈκ΅¬μ‘°μ¬μ μν΄ μ€μλ μ€λ‘μ ꡬκΈμ
무μΌμ§λ₯Ό μ°Έκ³ λ‘ μλ£μμ§λꡬ(λΆλ‘μ°Έμ‘°)λ₯Ό μ΄μ©νμ¬ λΆμνμλ€. μκΈκ΅¬μ‘°μ¬ μ격μ νλ³ μλμ²΄μΈ μ μΈλ κ΄λ ¨μΈμκ³Ό μ§μ μ λλ 119ꡬκΈλμ 근무νκ³ μλ 1κΈ μκΈκ΅¬μ‘°μ¬μ 2κΈ μκΈκ΅¬μ‘°μ¬λ₯Ό λμμΌλ‘ μ€λ¬Έμ§λ₯Ό μ΄μ©νμμΌλ©° μλ£μμ§μ '98λ
10μλΆν° 11μκΉμ§ μ΄λ£¨μ΄μ‘λ€.
λ³Έ μ°κ΅¬μ κ²°κ³Όλ λ€μκ³Ό κ°λ€.
1. '97λ
1λ
λμ μ κ΅μ 119ꡬκΈλμ μν΄ μ΄μ‘λ νμμλ 567,750λͺ
μ΄μμΌλ©°, κ·Έμ€ μκΈμ²μΉλ₯Ό λ°μ νμλ 304,895λͺ
μ΄κ³ , μκΈμ²μΉ μ€ μΈκ³΅νΈν‘κ³Ό μ¬μ₯ λ§μ¬μ§κ° μ΄λ£¨μ§ κ²½μ°λ 18,655λͺ
μΌλ‘ μ‘°μ¬λμλ€.
2. λ³μ μ λ¨κ³μμ μ¬μ©λλ μλμ²΄μΈ μ μΈλκΈ°λ μ κ΅μ μΌλ‘ '94λ
λΆν° νμ¬κΉμ§ 37λκ° λ³΄κΈλμ΄μμΌλ©°, κ·Έμ€ μ€μ μ¬μ©ν μλ 10건μΌλ‘ νμΈλμκ³ , μλ£μμ§ κ°λ₯ν 7건μ λΆμν κ²°κ³Ό μλμ²΄μΈ μ μΈλ μ€μμλ λͺ¨λ κ°νΈμ¬μ΄λ©΄μ 1κΈ μκΈκ΅¬μ‘°μ¬μ μ격μκ°μ§κ³ μμλ€. 7λͺ
λͺ¨λ λ°κ²¬μμ μν κΈ°λ³Έ μΈλͺ
ꡬ쑰μ μ΄ μ ν μνλμ§ μμ μνμμΌλ©°, μλμ²΄μΈ μ μΈλ μ€μ ν 24μκ° μ΄μ μμ‘΄ν κ²½μ°λ 3λͺ
μΌλ‘ μ‘°μ¬λμλ€.
3. λ³μ μ λ¨κ³μμ μκΈκ΅¬μ‘°μ¬μ μ격μ νλ³ μλμ²΄μΈ μ μΈλμ λν μ§μ λ° μΈμλλ₯Ό λΆμν κ²°κ³Όμμ μλμ²΄μΈ μ μΈλ μ€μλ 10.1%λ§μ΄ κ²½νμ΄ μλ κ²μΌλ‘ μ‘°μ¬λμμΌλ©°, μ¬μ μ§ νμ λ°κ²¬μ μλμ²΄μΈ μ μΈλμ κ³ λ €νκ² λ€λ μλ΅μκ° 67.7%λ‘ μ‘°μ¬λμλ€. μ¬
μ μ§ νμμ λ°κ²¬μ μλμ²΄μΈ μ μΈλμ μ€μνμ§ μλ μ΄μ μ λν΄μλ λ²μ μ
무νκ³μλ€μ΄μμ§ μμμκ° 60.0%λ‘ κ°μ₯ λ§μμΌλ©°, μ§μ λ° κΈ°μ λΆμ‘±μ΄ 14.7%λ‘ λμλ€.
4. μ¬μ μ§ νμ λ°κ²¬μ μλμ²΄μΈ μ μΈλμ νμμ±μ μΈμμ λλ 97.0%λ‘ λλΆλΆ νμμ±μ λκ² μΈμνκ³ μμλ€.
5. μ μΈλ κ΄λ ¨ κ΅μ‘κ³Όμ μμλ 1κΈ, 2κΈ λͺ¨λ '98 λν μκΈμννμμ κ°μ€ν μ μΈλ κ°μ¬ κ΅μ‘κ³Όμ μ κ°μ₯ ν¨κ³Όμλ κ΅μ‘μ΄λΌκ³ λ΅νμμΌλ©°, κ΅μ‘κ³Όμ μ€ μ΄λ‘ μ κ°μλ μμ²κ°μλ£λ³΄λ€λ μ€μ΅μ΄ κ°μ₯ ν¨κ³Όμ μΈ κ΅μ‘λ°©λ²μΌλ‘ μΈμνκ³ μμλ€. κ·Έλ¦¬κ³ 1κΈ, 2κΈλͺ¨λ μ μΈλ κ΄λ ¨ μ λ¬Έ κ΅μ‘κ³Όμ μ νμμ±μ λκ² μΈμνκ³ μμλ€.
6. μ μΈλ κ΄λ ¨ μ§μμ μΈ‘λ©΄μ μκΈκ΅¬μ‘°μ¬μ μ격μ νμ μκ΄μμ΄ μ λ°μ μΌλ‘ λμ μμ€μΌλ‘ μ‘°μ¬λμλ€.
μ΄μμ κ²°κ³Όμμ 119ꡬκΈλκ° μ°λ¦¬ λλΌ λ³μ μ μκΈμλ£μ²΄κ³λ₯Ό λλΆλΆ λ΄λΉνκ³ μλ μ€μ μ΄κ³ μμΈλ¬ μ λ¬Έμ μΈ μκΈμ²μΉλ₯Ό μ€μν΄μΌνλ μν©μ΄λ μ¬μ μ§ νμ λ°κ²¬μ κ°μ₯ν¨κ³Όμ μΌ μ μλ μ μΈλμ μ²μΉλ λ§€μ° νμ λμ΄μλ€. κ·Έλ¬λ 1κΈ μκΈκ΅¬μ‘°μ¬μ 2κΈ μ
κΈκ΅¬μ‘°μ¬μ μ μΈλ κ΄λ ¨ μΈμ λ° μ§μ μ λλ λͺ¨λ λμ μμ€μΌλ‘ μΈμνκ³ μμλ€. νμ€μ μΌλ‘ λ³μ μ λ¨κ³μμ μ¬μ μ§ νμκ° λ°μνμ λ μ μΈλκ³Ό κ°μ μ κ·Ήμ μΈ μΉλ£λ₯Ό λ°μ κ°λ₯μ±μ 1κΈ μκΈκ΅¬μ‘°μ¬ λ°°μΉ λ° μλμ²΄μΈ μ μΈλκΈ° 보κΈμ μ μ‘°λ‘ λ§€μ° ν¬λ°ν μ€μ μ΄λ€. κ·Έλ¬λ―λ‘, 1κΈ μκΈκ΅¬μ‘°μ¬κ° μλ 2κΈ μκΈκ΅¬μ‘°μ¬λΌλ μ μΈλ κ΄λ ¨ κ΅μ‘κ³Όμ μ κ±°μΉ ν μ§μμ μΈ‘λ©΄κ³Ό κΈ°μ μ μΈ‘λ©΄μ΄ νμν μμ€μΌλ‘ κ²μ¦μ΄ λλ©΄ λ³μ μ λ¨κ³μμ μλμ²΄μΈ μ μΈλμ μ€μν μ μκ² νλλμ΄μΌ ν νμκ° μλ€.
μκΈμλ£λ μ΄κ°μ λ€ν¬λ μΌμ΄λ―λ‘ λ³μ μ λ¨κ³μ 119ꡬκΈλμ μ λ¬ΈμΈλ ₯μ λ°°μΉμ ν μΈλ ₯μ μ λ¬Έκ΅μ‘ λ° μ격μ νλ³ μκΈμ²μΉμ μΈλΆνκ° νμνλ€κ³ νκ² λ€.
λ³μ μ λ¨κ³μμ μ¬μ μ§ νμκ° λ°κ²¬λμμ λ μ λ¬ΈμΈλ ₯μ μν μλμ²΄μΈ μ μΈλκΈ°λ₯Όμ΄μ©ν μ‘°κΈ° μ μΈλμ ν¬ν¨ν μ κ·Ήμ μ΄κ³ νλλ μλ―Έμ λ³μ μ μκΈμ²μΉλ λ³μ μ λ¨κ³μμ λ°μνλ μκΈνμμ μμλ₯ μ λμ΄κ³ μ°λ¦¬ λλΌ λ³μ μ μκΈμλ£μ²΄κ³κ΅¬μΆμ μν κΈ°λ°λ κ²μ΄λ€.
[μλ¬Έ]
The study was done on the purpose of analysing emergency disposition and Automated External Defibrillation executed by 119 squad, which is pre-hospital stage, to present positive emergency disposition on the pre-hospital stage by comparing and analysing differences between AED-related recognition and intellectual aspect according to EMT qualification standards and to suggest basic material for medical emergency system's establishment. Emergency disposition situation was studied under analysing the report of First-aid execution in '97 of autonomy administration of Emergency Rescue department, AED(Automated External
Defibrillation) was estimated under self-analysis by collecting actual example extracting from the Duty records first aid performed by first-aid squad situated at the pre-hospital stage. Questionaire was performed to analyze differences between
AED-related recognition and intellectual aspect according to EMT' qualification standards in participation of 1st-rank qualified squad and 2nd-rank qualified squad occupied in 119 Emergency Rescue, material collection had been performed during October to November, '98.
The result's of the study are as follows.
1. Annual numeral value in '97 of transferred patients by way of 119 squad was 567,750, those of 304,895 were treated emergency disposition, 18,655 of emergency treated were performed artificial respiration and cardiac massage.
2. AED devices as pre-hospital stage were furnished with 37 units nation-wide since '94 up to present, examples of actual utilization was evaluated 10 cases, whereas executors were proved as nurses with 1st-rank qualification of first aide, when analyzing possibly collected 7 cases.
All the 7 people were not treated with basic rescue device at all, 3 were proved as survivor over 24 hours after being treated with AED.
3. The consequences of analyzing degree of AED-related recognition and intellectual aspect according to EMT' qualification standards prove merely 10.1% of them have experience in AED execution, 67.7% replied positive consideration of AED when finding cardiac suspension. In case of not executing AED onto cardiac suspension, up to 60.0%, resultation of not being contained in legal duty boundary, 14.7% of lack in knowledge and technology.
4. Recognition of necessity of AED when finding cardiac suspension was 97.0%, which shows highly-spreaded understanding of necessity.
5. With regard to Defibrillation-related education course, both 1st and 2nd rank indicated defibrillation lecturer's course issued by '98 Korea Medical Emergency Rescue Association was considered as the most effective, practice was the most
efficient educational method among the course rather than theoretic lecture or visual and auditory materials. Also, both 1st and 2nd rank highly recognized expert educational course for defibrillation.
6. Defibrillation-related intellectual aspect was generally inspected high standard having nothing to do with first aides' qualification standards.
The above study shows us 119 squad is the majority of undertaking system of pre-hospital emergency disposition, so that the stage requires expert first aid execution, however, Defibrillation treatment which seems the most effective for
cardiac suspension is keenly limitted, whereas both the 1st and 2nd rank of qualified EMT showed high standards of defibrillation-related recognition and intellectual aspect. Whereas, realistically possible degree of positive treatment's
execution as defibrillation for pre-hospital stage when finding cardiac suspension, is significantly rare which is caused by low distribution of AED devices.
Therefore, AED execution is necessary to be expanded so that present first aid squad, being not directly 1st-rank but 2nd-rank, shall be able to execute AED treatment when inspected necessary standards of intellectual and technological
aspects after completing defibrillation-related course.
Medical emergency execution, urgent matter with no time to delay, expert human resource station in 119 squad of pre-hospital stage and expert education for present manpower as well as subdivision of emergency disposition according to qualification standards.
Those of the above mentioned positive and expanded pre-hospital emergency disposition including early-stage defibrillation performing AED to meet cardiac suspension executed by expert human resources will raise resuscitation rate as well as the basic condition to establish medical emergency system.prohibitio