응급의료법개정에 따른 다중이용시설 응급장비설치 의무 -법의 관점에서 본 일반인 제세동 프로그램-
Public Access Defibrillation Program
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조회
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다운로드
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인용
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참고문헌
키워드
초록
The automatic external defibrillator (AED) is a promising method for achieving rapid defibrillation, and AED training and use should be available in every community. The demonstrated safety and effectiveness of the AED make it ideally suited for the delivery of early defibrillation by trained laypersons, and the placement of AEDs in selected locations for immediate use by trained laypersons may enable critical intervention that can significantly increase survival from out-of-hospital cardiac arrest. The American Heart Association recommends the installation of AEDs in public locations such as airports, thus allowing laypersons to conduct defibrillation and cardiopulmonary resuscitation on the occasion of adverse cardiopulmonary events. In Korea, the Ministry of Health and Welfare officially prohibits the installation of AEDs in public locations on the grounds that cardiopulmonary resuscitation and defibrillation were understood as medical practices that could be conducted only by licensed medical practitioners. Since June 2008, the Act on emergency medical service is reformed for Public Access Defibrillation(PAD) in Korea. The purpose of this article is to discuss the necessity for AEDs and the appropriate process for implementation of PAD program in Korea, by examining the current pre-AED status of Korea and the relevant legal aspects. To remove impediments and encourage the development of lay rescuer AED programs, legislation and regulations related emergency medical services should be considered important area and potential sources of controversy and the rationale for revised legislative components are noted with discussion.
Abstract
The automatic external defibrillator (AED) is a promising method for achieving rapid defibrillation, and AED training and use should be available in every community. The demonstrated safety and effectiveness of the AED make it ideally suited for the delivery of early defibrillation by trained laypersons, and the placement of AEDs in selected locations for immediate use by trained laypersons may enable critical intervention that can significantly increase survival from out-of-hospital cardiac arrest. The American Heart Association recommends the installation of AEDs in public locations such as airports, thus allowing laypersons to conduct defibrillation and cardiopulmonary resuscitation on the occasion of adverse cardiopulmonary events. In Korea, the Ministry of Health and Welfare officially prohibits the installation of AEDs in public locations on the grounds that cardiopulmonary resuscitation and defibrillation were understood as medical practices that could be conducted only by licensed medical practitioners. Since June 2008, the Act on emergency medical service is reformed for Public Access Defibrillation(PAD) in Korea. The purpose of this article is to discuss the necessity for AEDs and the appropriate process for implementation of PAD program in Korea, by examining the current pre-AED status of Korea and the relevant legal aspects. To remove impediments and encourage the development of lay rescuer AED programs, legislation and regulations related emergency medical services should be considered important area and potential sources of controversy and the rationale for revised legislative components are noted with discussion.
참고문헌 (18)
- 강병우, "병원전 심정지환자의 생존에 관한 연구", 박사, pp.2005
- 권영성, "헌법학원론" (2005), 법문사
- 서울시 병원 전 및 병원내 심폐소생술 현황 및 생존률, "대한심폐소생협회", 서울특별시, ~ (2007)
- 오병선, "긴급한 위험에 처한 사람의 간이구조의무", 사회과학연구, 3, pp.239~255 (1994)
- 다중이용시설에서 발생하는 응급환자를 위한 현장응급처치 활성화 방안, "조준필", 선한 사마리아인 운동본부, 2007
- "American Heart Association in collaboration with International Laison Committee on Resuscitation.Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care:International consensus on science. Circulation. 2000;102(suppl):I1?I384", ~
- Aufderheide T, "Community lay rescuer automated external defibrillation programs: key state legislativecomponents and implementation strategies: a summary of a decade of experience forhealthcare providers, policymakers, legislators, employers, and community leaders from theAmerican Heart Association Emergency Cardiovascular Care Committee, Council onClinical Cardiology, and Office of State Advocacy", Circulation, 113(9), pp.1260~1270 (2006)
- Elsevier, "Philadelphia, Saunder", pp.2008, Braunwald, Eugene
- Hazinski MF, "Lay rescuer automatedexternal defibrillators(“Public Access Defibrillation”) Program; lessen learned frominternational multicenter trial. Advisory statement from the American Heart AssociationEmergency Cardiovascular Care Committee; the Council on Cardiopulmonary, Perioperativeand Critical Care; and the Council on Clinical Cardiology", Circulation, 111, pp.3336~3340 (2005)
- Gold LS, "Costeffectiveness of automated external defibrillators in public places", pro.Curr Opin Cardiol, 22(1), pp.1~4 (2007)
- Larsen MP, "Predicting survival from out?of?hospitalcardiac arrest: a graphic model", Ann Emerg Med, 22, pp.1652~1658 (1993)
- Peberdy MA, "PAD Investigators. Adverse events associated with lay emergency response programs: thepublic access defibrillation trial experience", Resuscitation, 70(1), pp.59~65 (2006)
- Pell JP, "Cost effectiveness of automated external defibrillators in publicplaces: con", Curr Opin Cardiol, 22(1), pp.5~10 (2007)
- Sanna T, "Cardiopulmonary resuscitation alone vs. cardiopulmonaryresuscitation plus automated external defibrillator use by non healthcare professionals: ameta analysis on 1583 cases of out of hospital cardiac arrest", Resuscitation, 76(2), pp.226~232 (2008)
- Richardson LD, "Implementation of community based public accessdefibrillation in the PAD trial", Acad Emerg Med, 12(8), pp.688~697 (2005)
- Valenzuela TD, "Outcomes ofrapid defibrillation by security officers after cardiac arrest in Casinos", N Engl J Med, 343, pp.1206~1209 (2000)
- White RD, "High discharge survival rate after out of hospitalventricular fibrillation with rapid defibrillation by police and paramedics", Ann Emerg Med, 28, pp.480~485 (1996)
- White RD, "High discharge survival rate after out?of?hospital ventricular fibrillation with rapid defibrillation by police and paramedics" (1996), Ann Emerg Med