재난의료지원팀 내 1급 응급구조사의 재난대비·대응역량에 관한 연구

박종찬,이경열,Park, Jong-Chan,Lee, Kyoung-Youl 한국응급구조학회 2019 한국응급구조학회지 Vol.23 No.2

Purpose: This study aimed to investigate disaster preparedness competence and disaster response competence of paramedics working in emergency medical centers operating a disaster medical assistance teams. Methods: Data of 174 emergency medical technician(EMT)-paramedics were collected from July 15 to August 14, 2018 at regional and local emergency medical centers that operate disaster medical assistant team. Analysis of the data was carried out with IBM SPSS statistics 24.0 software (IBM, Armonk, NY, USA). Results: The mean disaster preparedness competence score was $3.57{\pm}0.63$ (out of five). Participants' disaster preparedness competence significantly differed according to type of emergency medical center (p<.000), disaster education experience (p<.000), and education frequency (p=.001). The mean disaster response competence score was $4.09{\pm}0.57$ (out of five). Participants' disaster response competence significantly differed according to disaster education experience (p<.000) and medical assistance experience (p=.045). Conclusion: Emergency medical technician-paramedics without disaster training should first be provided with this training. Further, it is important for EMT-paramedics to know their disaster preparedness and response capacities and strengthen their shortcomings. It is also important to develop education and training programs that properly equip EMT-paramedics with practical competencies.

응급구조사의 법적 업무범위 개선방안에 관한 연구

배준삼,박상호 한국융합과학회 2022 한국융합과학회지 Vol.11 No.2

Purpose: The emergency medical system developed after large accidents such as the collapse of Sampoong Department Store in the 80s and the collapse of the Seongsu Bridge in the 90s. Although the medical insurance system was introduced and implemented in 1978 and report center for nighttime emergency patients with Korea Medical Association in charge, the effect was meager due to lack of human resources and equipment. In 1994, Emergency Medical Services Act was established, and emergency medicine was acknowledged as a specialty subject with the enactment of Emergency Medical Services Act. In 1995, emergency response department was established at junior colleges to nurture first-class first responders, and first-class emergency responders graduated from the department the next year. With the increased medical awareness of the people, expectations for emergency medical services are increasing as well. However, Article 33 of the Enforcement Regulations of the Emergency Medical Service Act (The Work of Emergency Paramedics) and Annex 14 of the same law (The Scope of Work of Emergency Paramedics) describes the scope of work for emergency paramedics in limited manner by describing only the acts that could be performed within the scope of emergency medical services. Methods: The main research methods are literature research, statistical data review and analysis, surveys, and details are as follows: through literature research, we examined the current status of welfare facilities for senior citizens of the safety vulnerable class. Among them, the importance of fire safety education for senior citizens was reviewed by combining the safety accident theory of the Swiss cheese model with the large fire evacuation in Miryang Sejong Nursing Hospital in 2018. Result: Therefore, a legal review that reflects reality is necessary. Conclusion: Although all actions included in emergency medical care cannot be listed in relevant laws, cooperation with relevant organizations and revision of the Emergency Medical Services Act are needed to improve problems in emergency medicine and for active utilization of emergency first responders in the field. 연구목적: 우리나라는 80년대에 삼풍백화점 붕괴, 90년대에 성수대교 붕괴 등 대형 사고를 겪으면서 응급의료체계가 발달하였다. 1978년에는 의료보험제도를 도입하여 실시하였고, 1979년에는 대한의학협회 주관으로 야간 구급 환자를 위한 신고 센터를 운영하였지만 인력과 장비의 부재로 효과가 미비하였다. 1994년에는 응급의료에 관한 법률이 제정되었고 동법 시행령 시행과 동시에 응급의학을 전문 과목으로 인정하였다. 1995년에는 전문대학에 1급 응급구 조사 양성을 위한 응급구조과 개설을 시작으로 이듬해 1급 응급구조사를 배출하였으며 국민들의 의료 의식 수준이 높아짐에 따라 요구하는 응급의료서 비스의 기대감도 높아지고 있다. 하지만 현행 법률은 현실적인 업무를 수행하는데 한계가 있다. 연구방법: 주요 연구방법은 문헌연구, 통계자료 검토 및 분석, 설문조사를 실시하였고, 문헌연구를 통해 응급구조사의 업무 현황을 살펴보았다. 결과: 그 중 국외 사례를 통하여 응급구조사의 업무범위를 살펴보고 응급구조사의 법적 업무범위의 개선이 필요함을 도출하였다. 결론: 응급구조 사 업무범위에 대하여 모든 응급의료행위에 대한 업무를 법률로 모두 나열 할 수는 없지만 제대로 된 응급의료서비스를 제공 받기 위해서는 유관기관 과의 협력 및 응급의료법을 개정함으로써 응급의료의 문제점을 개선하고 현 장에서의 응급구조사가 적극적으로 활용될 수 있도록 하여야 한다.

1급 응급구조사 명칭개선을 위한 사전연구

엄태환(Uhm, Tai-Hwan),김지희(Kim, Jee-Hee),박상규(Park, Sang-Kyu) 한국웰니스학회 2018 한국웰니스학회지 Vol.13 No.4

이 연구의 목적은 1급 응급구조사를 대체할 타당한 명칭을 체계적으로 조사하여 공식적으로 제시하는데 있다. 델파이 방법을 적용하여 1급 응급구조사, 응급의료사, 응급치료사, 응급구명사, 구급의료사, 구급치료사, 구급구명사 등 명칭을 도출하였고 1급 응급구조사 100명을 대상으로 휴대전화 면접을 통해 명칭을 조사하였다. 법률, 교육내용, 경력에 따른 선호 명칭은 응급의료사, 1급 응급구조사, 구급의료사로 나타났다. 1급 응급구조사의 경력과 명칭 개선에 대한 필요성 사이에 통계적으로 유의한 상관관계는 나타나지 않았으나 (R:.171; p=.091), 조사 내용은 1급 응급구조사를 대체할 타당한 명칭을 정하는데 기초자료로써 활용될 수 있을 것이다. The purpose of this study was to propose appropriate names for emergency rescuer levelⅠ(paramedic) with survey. Seven amended names such as emergency rescuer levelⅠ, emergency medical technician, emergency therapist, emergency life-saving technician, urgency medical technician, urgency therapist, urgency life-saving technician were presented by Delphi-technique. Data were drawn from 100 paramedics through mobile interviewing. Participant’s attitude toward the name emergency rescuer levelⅠand preference for names presented were analyzed. emergency medical technician, emergency rescuer levelⅠ, urgency medical technician were greater preference by the act, training, and career. Relation between paramedic career and willingness to amend the name was not statistically significant (R:.17; p=.091). These proposed names for emergency rescuer levelⅠ would serve name improvement in the future.

응급구조사 국가시험 응시 자격기준에 관한 고찰

김아정,박태준,박영석,김준호,김용석,손유미,이귀자,Kim, A-Jung,Park, Tae-Jun,Bak, Young-Seok,Kim, Jun-Ho,Kim, Yong-Seok,Son, Yu-Mi,Lee, Kui-Ja 한국응급구조학회 2021 한국응급구조학회지 Vol.25 No.2

Purpose: Emergency medical technicians (EMTs) have so far been trained as professionals under the same conditions, with no change in the 1995 Act. We aimed to find ways for them to secure expertise in accordance with social needs by strengthening the quality of the EMT education. Methods: This is a descriptive study comparing the operation status of the national emergency medical examination conducted by the Korea Health Personnel Licensing Examination Institute, and the national examinations of EMT paramedic and EMT basic. The scope of the national examinations for EMT was compared by subject and area. Results: The national written exam for EMT paramedic consists of five areas. EMT basic does not include basic medicine in three related subjects, 11 areas, and 18 detail areas. Paramedic care does not include advanced pediatric life support. In addition, nine areas and 20 detail areas are not included. Conclusion: The study suggests the need for institutional supplementation so that those who have completed EMT basic and the subjects prescribed by the ordinance of the Ministry of Health and Welfare at universities, etc., in the Higher Education Act can take the EMT paramedic national exam.

A Systematic Review of Domestic Research on Clinical Practice in Emergency Medical Technicians

이창희,윤병길 국제문화기술진흥원 2022 International Journal of Advanced Culture Technolo Vol.10 No.2

This study analyzes research trends by systematically examining research about domestic emergency medical services’ clinical practice, and it is aimed to present the basic data needs in development plan in clinical practice education in the future. The thesis was searched through the electronic data research (Science Direct, PubMed, Medline, and 55 academic DB interworking) from the library of Konyang University from 2010 to 2021. The main keywords were “Emergency Medical Technician(EMT) Student” and “Clinical Practice,” and 6 pieces of researches were selected, finally. As the result of analyzing the qualitative level of selected research, all the 6 pieces of research subjects(100.0%) were pertinent to level IV(survey research) which is low-qualitative level. As the principal subjects, “Clinical practice experience” got the highest frequency as 6(100%), “Satisfaction of clinical practice” was 3(50%), “Self-efficient, Major satisfaction” and “Stress, Depression, Coping” showed 2(33.3%), and “Change after clinical practice”, “Clinical practice improvement plan” was 1(16.7%) each. From this time on, it is confirmed that the quantitative and qualitative growth in domestic emergency medical clinical practice is necessary. This is expected to contribute to establishing a practical and systematic development plan of clinical practice education..

The Effectiveness of Situated Simulation Teaching on Wound Closure Learning in Emergency Medical Technicians Paramedics (EMTPs)

Chen Yen-Chin,Huang Li-Chi,Yu Jiun-Hao 한국간호과학회 2023 한국간호과학회 학술대회 Vol.2023 No.11

119구급대원 응급구조사에 대한 신종 감염병에 대한 지식 정도와 교육 현황, 스트레스, 교육의 필요도

신동민(Dong-Min Shin),조병준(Byung-Jun Cho) 한국컴퓨터정보학회 2023 韓國컴퓨터情報學會論文誌 Vol.28 No.12

본 연구는 119구급대원 응급구조사에 대한 신종 감염병에 대한 지식 정도와 교육 현황, 스트레스, 교육의 필요도를 확인하여 신종 감염병에 대한 감염관리 교육에 기초가 되는 자료를 제공하고자 한다. 본 자료수집 기간은 2022년도 08월 10일부터 9월 18일까지 총 39일간이었고 총 105부이다. 본 연구의 분석은 SPSS 25.0 프로그램을 이용하였다. 연구 결과, 119구급대원 중 응급구조사의 성별은 남자가 54명(51.4%), 여자 51명(48.6%)으로 남자가 여자보다 많았으며 연령은 20대가 47명(44.8%), 30대 이상이 58명(55.2%)으로 30대 이상이 많았다. 총근무경력은 3년 이상 5년 이하가 37명(35.2%)으로 가장 높았다. 119구급대원 응급구조사의 COVID-19에 대한 교육 현황, 스트레스 및 신종 감염병에 대한 교육 필요도를 확인하고자 시도되었으며, COVID-19에 대한 교육 현황은 충분하지 못하였고, 신종 감염병에 대한 교육 요구도는 높은 것으로 나타났다. 신종 감염병에 자주 노출되는 119구급대원 중 응급구조사에게 이론 교육을 포함하여 개인보호장비 이론 및 실기 교육 훈련이 필요하다. 응급구조사가 되기 전인 대학생들의 교과목에 신종감염병과 개인보호장비 이론 및 실기 교육 프로그램이 개발되어야 한다. This study investigated to provide basic data for infection control education on new infectious diseases by confirming the level of knowledge, training status, stress, and need for training on new infectious diseases for 119 emergency medical technicians (EMT). This data collection period was a total of 39 days from August 10 to September 18, 2022, and a total of 105 copies were collected. The analysis of this study used the SPSS 25.0 program. As a result of the study, among the 119 paramedics, the gender of the EMT was 54 men (51.4%) and 51 women (48.6%), with more men than women, with 47 people in their 20s (44.8%) and those in their 30s or older. There were 58 people (55.2%), most of whom were in their 30s or older. The highest total work experience was 3 to 5 years (37 people (35.2%)). In the pandemic situation, an attempt was made to check the education status of 119 paramedics on COVID-19 and the need for education on new infectious diseases. As a result of the study, the status of education on COVID-19 was insufficient. The demand for education on new infectious diseases was found to be high. Among 119 emergency responders who are frequently exposed to new infectious diseases, theoretical and practical training in personal protective equipment, stress, including theoretical training, is needed. A theoretical and practical education program on new infectious diseases and personal protective equipment should be developed as a subject for college students before becoming EMT.

구급대원으로 활동하는 응급구조사의 표준작전절차에 대한 융복합적인 인지도와 수행도

황정현,이현지 한국융합학회 2017 한국융합학회논문지 Vol.8 No.10

본 연구는 구급대원으로 활동하는 응급구조사의 표준작전절차에 대한 융복합적인 인지도와 수행도를 알 고자 하는데 그 목적이 있다. 이러한 목적을 달성하기 위하여 본 연구에서는 구급대원으로 활동하는 응급구조사 400명을 연구대상으로 표집하여 SPSS 20.0 Version을 사용하여 분석하였다. 연구 결과는 다음과 같다. 첫째, 연구 대상자의 융복합적인 인지도는 호흡기 감염예방 부분이 가장 높았고, 손위생이 가장 낮았으며, 수행도는 치료장비 및 직원의 안전 부분이 가장 높았고, 손위생이 가장 낮았다. 인지도가 전체적으로 수행도 보다 높았다. 둘째, 일반적 특성에 따라 인지도는 연령, 성별, 상처 경험에 따라 통계적으로 유의한 차이가 있었으며, 수행도는 근무경력만이 유의한 차이를 보였다. 응급구조사의 융복합적인 인지도와 수행도 간에 정적 상관관계를 보이는 것으로 나타났다. 이 같은 결과로 구급대원으로 활동하는 응급구조사의 표준작전절차에 관한 인지도와 수행도를 복합적으로 높이기 위해 인지도를 선행으로 한 프로그램을 지속적으로 반복 교육 시 수행도를 증가시킬 수 있을 것으로 사료된다. The purpose of this study was to examine the convergent awareness of emergency medical technicians serving as paramedics on the standard operating procedure(SOP) and their performance of it. The subjects in this study were 400 selected emergency medical technicians who were working as paramedics, and SPSS 20.0 was employed to make an analysis. The findings of the study were as follows: As for the convergent awareness of the subjects, they were best aware of the prevention of respiratory infections, and they were least aware of hand hygiene. Concerning performance, they performed best in handling treatment equipment and ensuring staff safety, and they performed least well in terms of hand hygiene. Overall, they were rated higher in awareness than in performance. Second, regarding the influence of general characteristics, there were statistically significant differences in awareness according to age, gender and injury experience, and significant differences were found in performance according to career only. The convergent awareness of the emergency medical workers was positively correlated with their performance. Given the findings of the study, it's required to improve both the Standard Operating Procedure awareness and performance of emergency medical workers who serve as paramedics, and it's expected to make it possible to boost their performance when repeated education is provided with the kind of programs that aim at improving awareness.

2018년 소방공무원 응급구조사 총조사

윤형완,박주호,이현경,한승태,이재민 한국응급구조학회 2021 한국응급구조학회지 Vol.25 No.3

응급구조사의 보수교육에 대한 체계적 문헌고찰

강민성,김우종,최보율 한국응급구조학회 2021 한국응급구조학회지 Vol.25 No.1