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논문KCI 등재

이송의료기관 선정자에 따른 119구급대를 통한 소아 응급환자 이송의 적절성

Appropriateness of transport of children via emergency medical service providers according to the decision-maker on referred hospitals

서주현|정시영|정호현|차명일
대한소아응급의학회 (Korean Society of Pediatric Emergency Medicine)|2017.12|대한소아응급의학회지 (Pediatric Emergency Medicine Journal)|제4권 제2호|pp. 85-91|DOI https://doi.org/10.22470/pemj.2017.00052

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주제분류소아과학

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Abstract

Purpose We aimed to investigate the appropriateness of transport of children via emergency medical service providers (EMSP) according to the decision-maker on referred hospitals (EMSP [EMSP group] vs. guardians [user group]). Methods We analyzed first aid records by EMSP for children aged 15 years or younger in Gyeonggi province, Korea, from January 2012 through December 2013. We obtained the following data: scene, symptom, type (high-level [regional/local emergency medical centers] or not) and location (out-of-province or not) of referred hospitals, injury, level of consciousness (alert or not), and prehospital triage results by EMSP (emergent/less emergent or not). Results A total of 50,407 children were included, of whom 37,626 (74.6%) belonged to the user group. Overall, the most common scene, symptom, and type and location of referred hospitals were home (57.0%), pain (33.3%), and inside-the-province and local emergency medical centers (44.2%), respectively. The user group showed less frequent injury (P < 0.001), decreased level of consciousness (P < 0.001), and no significant difference in the triage results (P = 0.074). This group showed more frequent transport to high-level and out-of-province emergency medical centers (P < 0.001), and longer transport (P < 0.001). Conclusion The user group showed more frequent transport to high-level or remote referred hospitals without more critical prehospital triage results. Guardian-directed transport of children might be associated with the inappropriate transport of children via EMSP.

참고문헌 (19)

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