구급차 내부 디자인 개선에 관한 연구
A study on improving the interior design of ambulance
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: This research project addressed the need to designing more safe and efficient interior of the future ambulance in Korea. Methods: The study sample contained 760 paramedics in 4 districts. Data was collected by using a revised and complemented questionnaire based on literature review. Results: In relation to the efficacy and safety of work, answers related to storage closet showed to be the highest, and the most difficult part of paramedic work in an ambulance was lurching. CPR is the most frequently used emergency care inside an ambulance, but 66% of the paramedics responded that accurate CPR is not possible during vehicle transfer. Safety belts are not worn for 82.8% of the time, because of discomfort (51.3%). 13.8% of the paramedics responded that stretchers are unstable, 29.5% had an experience of having patients fall off the stretcher inside an ambulance. There were comments on installing equipments to prevent noise, and assist communication. Conclusion: The suggested practical layout contains five main modifications 1. Developing specially designed belt is needed for paramedic safety & efficient work. 2. The seats are molded to be ergonomically friendly. 3. Equipments to secure the body and safety devices for CPR are needed. 4. System improvement for communication between the driver seat and paramedics is needed. 5. The stretchers are molded to be maximize efficiency and minimize injury.
Abstract
Purpose: This research project addressed the need to designing more safe and efficient interior of the future ambulance in Korea. Methods: The study sample contained 760 paramedics in 4 districts. Data was collected by using a revised and complemented questionnaire based on literature review. Results: In relation to the efficacy and safety of work, answers related to storage closet showed to be the highest, and the most difficult part of paramedic work in an ambulance was lurching. CPR is the most frequently used emergency care inside an ambulance, but 66% of the paramedics responded that accurate CPR is not possible during vehicle transfer. Safety belts are not worn for 82.8% of the time, because of discomfort (51.3%). 13.8% of the paramedics responded that stretchers are unstable, 29.5% had an experience of having patients fall off the stretcher inside an ambulance. There were comments on installing equipments to prevent noise, and assist communication. Conclusion: The suggested practical layout contains five main modifications 1. Developing specially designed belt is needed for paramedic safety & efficient work. 2. The seats are molded to be ergonomically friendly. 3. Equipments to secure the body and safety devices for CPR are needed. 4. System improvement for communication between the driver seat and paramedics is needed. 5. The stretchers are molded to be maximize efficiency and minimize injury.
참고문헌 (18)
- 홍성기, "구급차내 심폐소생술시 흉부압박의 정확도에 영향을 미치는 요인", 대한응급의학회지, 20(4), pp.343~354 (2009), 대한응급의학회
- Kim KS, "Health hazards in firefighters", Hanyang Med Rev, 30(4), pp.296~304 (2010)
- Paul H, "Ambulance re-design to reduce EMS injuries: Influencing design through standards development. NIOSH Division of Safety Research", ~ (2001)
- Go BJ, "The study of comparison between korean and unites state of america an ambulance", NREMT in USA training course project, 9, pp.249~282 (2009)
- Coleman R, "Ambulance design for patient safety: a comprehensive design study into how patient and ambulance staff safety can be improved", Royal College of Art, ~ (2006)
- Ibraheem AO, "Extensions to emergency vehicle location models", Computers & Operations Research, 33(9), pp.2725~2743 (2006)
- Matthews E, "Redesigning the emergency ambulance: Improving Mobile Emergency Healthcare", Royal College of Art: Redlin Printing, ~ (2011)
- Ferreira J, "Reviewing ambulance design for clinical efficiency and paramedic safety", Appl Ergon, 36(1), pp.97~105 (2005)
- Gilad I, "Ergonomic evaluation of the ambulance interior to reduce paramedic discomfort and posture stress", Hum Factors, 49(6), pp.1019~1032 (2007)
- NIOSH, "Ambulance design could increase safety for emergency responders. Emergency Management Alert", ~ (2009)
- Stapleton ER, "Comparing CPR during ambulance transport. Manual vs. mechanical methods", JEMS, 16(9), pp.63~68 (1991)
- Donald C., "Reducing the risk of musculoskeletal injury for paramedics", Ambulance Paramedics of British Columbia, ~ (2001)
- Chung TN, "Effect of vehicle speed on the quality of closed-chest compression during ambulance transport", Resuscitation, 81(7), pp.841~847 (2010)
- Havel C, "Quality of closed chest compression in ambulance vehicles, flying helicopters and at the scene", Resuscitation, 73(2), pp.264~270 (2007)
- Coleman R, "A designing for patient safety: Future Ambulances", National Patient Safety Agency, ~ (2007)
- Makhsous M, "Reducing whole-body vibration and musculoskeletal injury with a new car seat design", Ergonomics, 48(9), pp.1183~1199 (2005)
- Jones A, "Safe access", egress systems for emergency ambulances, 2007, pp.24(3), 200~205
- Wang HE, "Ambulance stretcher adverse events", Qual Saf Health Care, 18(3), pp.213~216 (2009)