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119구급대원에게 시행한 일개 응급의료정보센터의 직접의료지도에 관한 분석

Analysis of direct medical control conducted to 119 emergency medical technicians in an emergency medical information center

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초록

Purpose : The goal of the present study is to provide the basic information to medical control which is the most important improving factor of pre-hospital medical treatment. Method : A total of 749 records of direct medical control were collected from 119 EMTs in emergency medical information center of Daejeon, Chungcheongnam-do and Chungcheongbuk-do from March 1, 2010 to February 28, 2011. Results : The 119 EMTs should record the level of qualification of EMT and general patient history taking precisely when they receive direct medical controls. The doctors should take medical controls within the task range of qualification of EMTs. Conclusion : It is necessary to establish the guideline of medical direction and protocol of prehospital emergency care. The quality improvement of pre-hospital emergency services will be possible by the guideline and protocol.

Abstract

Purpose : The goal of the present study is to provide the basic information to medical control which is the most important improving factor of pre-hospital medical treatment. Method : A total of 749 records of direct medical control were collected from 119 EMTs in emergency medical information center of Daejeon, Chungcheongnam-do and Chungcheongbuk-do from March 1, 2010 to February 28, 2011. Results : The 119 EMTs should record the level of qualification of EMT and general patient history taking precisely when they receive direct medical controls. The doctors should take medical controls within the task range of qualification of EMTs. Conclusion : It is necessary to establish the guideline of medical direction and protocol of prehospital emergency care. The quality improvement of pre-hospital emergency services will be possible by the guideline and protocol.

참고문헌 (12)

  1. EMSS(Emergency medical service system), "Do BS", Ministry of Health & Welfare, ~ (2007)
  2. Incorporating model of emergency medical information center, "Lee YC", Ministry of Health & Welfare National Emergency Medical Center, ~ (2007)
  3. "Emergency medical service act" (2012)[URL]
  4. 박재영, "119 구급대에 의해 이송된 환자들 중 직접적 의료지도가 필요한 범위와 그에 따른 수요 추정", 한국화재소방학회 논문지, 20(3), pp.42~47 (2006), 한국화재소방학회
  5. Analysis of emergency medical appropriacy in field·transfer phase, "Lee K", Ministry of Health & Welfare, ~ (2009)
  6. 정중식, "서울시 119 구급대의 병원전 응급처치 적절성 평가", 대한응급의학회지, 19(3), pp.233~244 (2008), 대한응급의학회
  7. 박주호, "119 구급대원들이 지각하는 의료지도의 필요성 인식과 요구도", 한국응급구조학회지, 15(3), pp.31~44 (2011), 사단법인 한국응급구조학회
  8. 박성욱, "응급의료 정보센터에서 시행된 119 구급대원에 대한 직접의료지도", 대한응급의학회지, 22(1), pp.9~15 (2011), 대한응급의학회
  9. Lee SH, "A study on the emergency treatments of the patients taken by an 119 first-aid team to the emergency ward", 석사, pp.2006
  10. 안희정, "119 구급대원의 저혈당 환자에 대한 병원 전 응급처치현황과 개선방안", 한국응급구조학회지, 14(1), pp.31~46 (2010), 사단법인 한국응급구조학회
  11. Roh SG, "Proposal for the improved emergency care system of 119 rescue", 석사, pp.2005
  12. "Statstical yearbook of rescue-aid" (2011)[URL]

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