119 구급대원 폭행피해에 대한 법적고찰 및 대응방안에 관한 연구: 신체보호대를 중심으로
A study on the violence victimization of the 119 EMT: Focusing on the physical restraints
0
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to explore the rationality for and countermeasures against the use of prehospital patient restraint (PPR) techniques in efforts to limit violent behavior toward 119 emergency medical technicians (EMTs). Methods: Previous countermeasures to limit violent behavior toward 119 EMTs and medical personnel were focused on strict reactive and passive proactive responses. However, those in support of the countermeasures do not believe that violent and criminal behavior can be limited or extinguished by strengthening the punishment unconditionally. Results: When it comes to the far-reaching effects of stigmatization on people who engage in violent and criminal behavior, it is possible that unconditional punishment leads to more crime, increases the costs of imprisonment, and consequently, adds to the financial burden of the government. Conclusion: Thus, we are faced with an urgent need to prepare legal grounds for the use of PPR techniques by 119 EMTs for agitated or combative patients only, with direct medical oversight. Moreover, the legal foundation for the use of PPR techniques also needs to be established for emergency medical personnel. The use of PPR techniques not only ensures the safety of emergency medical services personnel, but also protects patients from injuring themselves and others.
Abstract
Purpose: This study aimed to explore the rationality for and countermeasures against the use of prehospital patient restraint (PPR) techniques in efforts to limit violent behavior toward 119 emergency medical technicians (EMTs). Methods: Previous countermeasures to limit violent behavior toward 119 EMTs and medical personnel were focused on strict reactive and passive proactive responses. However, those in support of the countermeasures do not believe that violent and criminal behavior can be limited or extinguished by strengthening the punishment unconditionally. Results: When it comes to the far-reaching effects of stigmatization on people who engage in violent and criminal behavior, it is possible that unconditional punishment leads to more crime, increases the costs of imprisonment, and consequently, adds to the financial burden of the government. Conclusion: Thus, we are faced with an urgent need to prepare legal grounds for the use of PPR techniques by 119 EMTs for agitated or combative patients only, with direct medical oversight. Moreover, the legal foundation for the use of PPR techniques also needs to be established for emergency medical personnel. The use of PPR techniques not only ensures the safety of emergency medical services personnel, but also protects patients from injuring themselves and others.
참고문헌 (24)
- "Statistical Yearbook" (2018)[URL]
- "Need for disaster compensation expansion"[URL]
- 임재만, "119구급대원의 폭행피해에 대한 법적인 고찰 및 대응방안", 한국화재소방학회 논문지, 24(2), pp.154~161 (2010), 한국화재소방학회
- "Emergency medical service ACT"[URL]
- Levitt SD, "Juvenile crime and punishment", Journal of Political Economy, 106(6), pp.1156~1185 (1998)
- Cornwell C, "Estimating the economic model of crime with panel data", The Review of Economics and Statistics, 76(2), pp.360~366 (1994)
- Roth JA, "Office of Justice Programs" (1994), National Institute of Justice
- Kessler D, "Using sentence enhancements to distinguish between deterrence and incapacitation", The Journal of Law and Economics, 42(S1), pp.343~364 (1999)
- Green GS, "General deterrence and television cable crime: A field experiment in social control", Criminology, 23(4), pp.629~645 (1985)
- Grasmick HG, "Conscience, significant others, and rational choice: Extending the deterrence model", Law and Society Review, 24(3), pp.837~861 (1990)
- Douglas F. Kupas, "P ATIENT R ESTRAINT IN E MERGENCY M EDICAL S ERVICES S YSTEMS", Prehospital Emergency Care, 6(3), pp.340~345 (2009), Informa UK Limited[DOI]
- "Stop 119 EMT assault"[URL]
- "Analysis of response manual for violence prevention against 119 EMT"[URL]
- 최덕기, "응급의료 이송정책에 관한 실증적 연구", 한국화재소방학회 논문지, 17(4) (2003), 한국화재소방학회
- 신상열, "환자 및 보호자로부터 구급대원이 경험한 병원 전 응급의료현장 폭력실태", 한국산학기술학회논문지, 10(12), pp.3870~3878 (2009), 한국산학기술학회
- 최은숙, "소방공무원의 조직문화가 직무만족도에 미치는 영향", 한국응급구조학회지, 13(3), pp.107~120 (2009), 사단법인 한국응급구조학회
- 김지희, "119구급대원의 폭력경험과 소진 및 자아존중감 간의 관계", 한국산학기술학회논문지, 11(11), pp.4433~4440 (2010), 한국산학기술학회
- 김희정, "여성 119구급대원의 폭력 경험과 이직 의사", 한국응급구조학회지, 17(2), pp.65~76 (2013), 사단법인 한국응급구조학회
- Cannon ME, "Restraint practices in Australasian emergency departments", Australian and New Zealand Journal of Psychiatry, 35(4), pp.464~467 (2001)
- Judith E Tintinalli, "Violent patients and the prehospital provider", Annals of Emergency Medicine, 22(8), pp.1276~1279 (1993), Elsevier BV[DOI]
- undefined, "Use of Patient Restraints", Annals of Emergency Medicine, 64(5), pp.574~ (2014), Elsevier BV[DOI]
- 서하얀, "119구급대원에게 시행한 일개 응급의료정보센터의 직접의료지도에 관한 분석", 한국응급구조학회지, 16(3), pp.29~43 (2012), 사단법인 한국응급구조학회
- 김민혜, "응급실 폭력예방을 위한 서비스디자인 - 고려대병원 응급실 사례 중심으로 -", 기초조형학연구, 17(3), pp.29~44 (2016), 한국기초조형학회
- 한승은, "응급실 내 1급 응급구조사의 폭력경험과 대처 및 반응", 한국응급구조학회지, 22(2), pp.51~65 (2018), 사단법인 한국응급구조학회[DOI]
