일개 지역 구급대원의 업무 현황 및 직접의료지도에 대한 구급대원과 의료지도의사의 인식 조사
A survey of work status of a local emergency medical services (EMS) personnel and the perception between EMS personnel and medical directors about on-line medical oversigh
박송이, 유지호, 김선휴, 최병호, 김성춘, 임대성, 배병관,
소속 상세정보
박송이 ( Park Song-Yi )
Dong-A University College of Medicine Department of Emergency Medicine
유지호 ( Ryu Ji-Ho )
Pusan National University College of Medicine Pusan National University Yangsan Hospital Department of Emergency Medicine
김선휴 ( Kim Sun-Hyu )
University of Ulsan College of Medicine Ulsan University Hospital Department of Emergency Medicine
최병호 ( Choi Byung-Ho )
University of Ulsan College of Medicine Ulsan University Hospital Department of Emergency Medicine
김성춘 ( Kim Seong-Chun )
Gyeongsang National University Changwon Hospital Deparment of Emergency Medicine
임대성 ( Lim Dae-Sung )
Gyeongsang National University Changwon Hospital Deparment of Emergency Medicine
배병관 ( Bae Byung-Kwan )
Pusan National University College of Medicine Pusan National University Hospital Department of Emergency Medicine
KMID : 0385920200310050483
Abstract
Objective: This study investigated the current work status of emergency medical services (EMS) personnel and the differences in perception between EMS personnel and medical directors (MD) regarding on-line medical oversight in a province.
Methods: A total of 1,781 EMS personnel and 51 medical directors were surveyed. The questionnaire consisted of the basic demographic data, work status, perception of on-line medical oversight, and the upcoming national pilot project of the expanding firefighter EMS personnel’s clinical scope. The survey was conducted from May 17 to 27, 2019.
Results: The response rates for EMS personnel and MD were 73.7% and 65.3%, respectively. Of the local EMS personnel, 86.8% were male. The average age and field career was 33.5±6.2 years and 50 months, respectively. The proportion of nurse and 1st-grade emergency medical technicians were 30.6% and 35.7%. The EMS personnel and MD answered ‘on-scene basic life support’ and ‘patient’s refusal of transport’, respectively, as the most unnecessary medical oversight. Both responded to the main problem of current medical oversight as ‘request for unnecessary medical oversight.’ EMS personnel responded that all items in the national pilot project of expanding firefighter EMS personnel’s clinical scope would be helpful, while MD reported that only ‘use of epinephrine in anaphylactic patient’ and ‘use of pre-hospital 12 lead electrocardiogram in chest pain patient’ would helpful (P<0.01).
Conclusion: There was a certain difference in perception of the most unnecessary medical oversight and the upcoming national pilot project of expanding the clinical scope of firefighter EMS personnel between EMS personnel and MD.
키워드
Emergency medical services; Emergency medical technicians; Physician executives; Recognition
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