구급대원 폭행사고 예방을 위한 주취자 특성 분석에 관한 연구

Abstract

Purpose: This study aimed to analyze the characteristics of alcohol-intoxicated individuals who perpetrate violence against 119 Emergency Medical Technicians (EMTs) at emergency scenes, using nationwide emergency service log data. Methods: Using nationwide emergency service log data spanning five years (January 1, 2020-December 31, 2024), a total of 474,721 cases classified as “simple intoxication” or “severe intoxication” were initially identified. After excluding records with missing values, 305,690 valid cases remained and were divided into two groups: 23,782 cases involving violence and 281,908 cases without violence. Statistical analysis was conducted using Chi-square (χ²) tests. Results: Several key characteristics were significantly associated with violence perpetration. Violent incidents were more likely to involve male patients aged 50 years or older, longer on-scene activity times compared to non-violent incidents, and a higher frequency among non-transported patients. Additional risk factors included alert levels of consciousness, non-disease (trauma-related) conditions, and cases where EMTs were unable to measure vital signs. Conclusion: During the five-year period from 2020 to 2024, 23,782 incidents of verbal and physical violence by alcohol-intoxicated individuals were recorded, demonstrating that 119 EMTs face considerable occupational risk from such patients. Continuous governmental attention, legal reinforcement, and institutional policy support are essential to ensure the safety and protection of emergency medical technicians in prehospital settings.