이송의료기관 선정자에 따른 119구급대를 통한 소아 응급환자 이송의 적절성
Appropriateness of transport of children via emergency medical service providers according to the decision-maker on referred hospitals
정호현, 차명일, 정시영, 서주현,
소속 상세정보
정호현 ( Jeong Ho-Hyun )
명지병원 응급의학과
차명일 ( Cha Myeong-Il )
명지병원 응급의학과
정시영 ( Jung Si-Young )
명지병원 응급의학과
서주현 ( Suh Joo-Hyun )
명지병원 응급의학과
Abstract
Purpose: We aimed to investigate the appropriateness of transport of children via emergency medical service providers (EMSP) according to the decision-maker on referred hospitals (EMSP [EMSP group] vs. guardians [user group]).
Methods: We analyzed first aid records by EMSP for children aged 15 years or younger in Gyeonggi province, Korea, from January 2012 through December 2013. We obtained the following data: scene, symptom, type (high-level [regional/local emergency medical centers] or not) and location (out-of-province or not) of referred hospitals, injury, level of consciousness (alert or not), and prehospital triage results by EMSP (emergent/less emergent or not).
Results: A total of 50,407 children were included, of whom 37,626 (74.6%) belonged to the user group. Overall, the most common scene, symptom, and type and location of referred hospitals were home (57.0%), pain (33.3%), and inside-the-province and local emergency medical centers (44.2%), respectively. The user group showed less frequent injury (P < 0.001), decreased level of consciousness (P < 0.001), and no significant difference in the triage results (P = 0.074). This group showed more frequent transport to high-level and out-of-province emergency medical centers (P < 0.001), and longer transport (P < 0.001).
Conclusion: The user group showed more frequent transport to high-level or remote referred hospitals without more critical prehospital triage results. Guardian-directed transport of children might be associated with the inappropriate transport of children via EMSP.
키워드
Ambulances; Child; Emergency Medical Services; Epidemiology; Hospitals; Transportation of Patients
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