응급의료체계의 개선방안에 관한연구 : 응급구조사의 역할을 중심으로 = A Study on Improvement of Emergency Medical Service System -Focussed on the Role of the Emergency Medical Technician-

다국어 초록 (Multilingual Abstract)

Emergency Medical Service System is an organized medical operation which provides quality emergency care at the right time to the right victim. So the role of the emergency medical technician (EMT) must actively work as an efficient care-giver. Unfortunately, there has been no clear guiding principle about the EMT's role in Korea. This study developed the role of the EMT by three stages :
1. The role of medical telephone counseling
Emergency Medical Service Center has a nervous system which dispatches mecical information by means of telecommunication. So the telephone counselor must be trained both medically and technically, because the one gives pre-arrival instructions to lead the victim's relatives. The one also needs appropriate counselling skills, as well as sorting out various information systematically. The telephone counselors in Korea do not have medical orientation, so they must be replaced gradually by EMT's.
2. The role of prehospital care
In the field the EMT evaluates the scene of accident and the victim, sets up priority of care, initiates life-support procedures, and transports the victim without hesitation. The one must open channel to the victim's relatives, hospital medical team, and other rescue workers.
3. The role of hospital care There have been problems because poorly trained EMT's tend to leave the hospital without complete transferral. The EMT must not leave the victim untill the one reports medical conditions of the victim to the hospital's medical staff. He/she writes "pre hospital care report," and hands over the victim's properties. The EMT must be an active member of the hospital's emergency team.

목차 (Table of Contents)

• ABSTRACT = 373
• Ⅰ. 서론 = 374
• 1. 연구의 배경 및 필요성 = 374
• Ⅱ. 응급구조사의 역할현황 = 375
• 1. 응급의료센터에서의 역할 = 375
• 2. 병원전 처치 단계에서의 역할 = 377
• 3. 병원에서의 역할 = 380
• Ⅲ. 개선방안 = 380
• 1. 응급환자정보센터에서의 역할 = 380
• 2. 병원전 처치단계에서의 역할 = 381
• 3. 병원에서의 역할 = 382
• 4. 응급구조사의 역할 모형 = 383
• Ⅳ. 고려되어야 할 사항 = 384
• Ⅴ. 요약 및 결론 = 385
• 1. 응급의료센터에서의 역할 = 385
• 2. 병원전 처치단계에서의 역할 = 386
• 3. 병원에서의 역할 = 386
• 참고문헌 = 386