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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
The Korean Journal of Emergency Medical Services
Journal Basic Information
Journal DOI :
The Korea Society of Emergency Medical Technology
Editor in Chief :
Volume & Issues
Volume 16, Issue 3 - Dec 2012
Volume 16, Issue 2 - Aug 2012
Volume 16, Issue 1 - Apr 2012
Selecting the target year
The effects of monitoring of the pressures applied on the defibrillator paddles - A manikin study -
Park, Si-Eun ; Shin, Dong-Min ;
The Korean Journal of Emergency Medical Services, volume 16, issue 3, 2012, Pages 9~18
Purpose : The purpose of this study was to determine the changes that occur due to the real-time monitoring of paddle pressures which has an important influence on the defibrillation success rate in defibrillation treatment known as the only treatment for cardiac arrest patients with VF. Methods : 40 people participated in the cardiac arrest simulation training and played the role of the defibrillation operator. Investigators measured the pressure of paddle while defibrillating by using instrument which was developed by the investigator. Results : Through real-time monitoring of the paddle pressures of defibrillator by indicator, the front sternum paddle showed a 77.5% success rate and the apex paddle showed a 40% success rate. While the values without monitoring the paddle pressures, the front sternum paddle showed a 51% success rate and the apex paddle showed a 20% success rate. These experiment revealed statistically significant(p <.001) low success rate. Conclusion : The method of monitoring the paddle pressures during defibrillation showed that the paddle can be precisely gripped. The success rate of paddle pressures is significantly correlated with height, weight and grip strength.
Comparison between laryngeal tube suction II and laryngeal mask airway in novice users - A manikin study -
Hwang, Ji-Young ; Cho, Keun-Ja ;
The Korean Journal of Emergency Medical Services, volume 16, issue 3, 2012, Pages 19~28
Purpose : The present study was designed to provide basic data for advanced pre-hospital airway management by comparing the insertion time and success rate between laryngeal tube suction II (LTS II) and laryngeal mask airway (LMA) in a manikin. Methods : A total of 32 participants were novice users to both of devices among paramedic students. After taking the introductory lecture and demonstrations, the participants made an attempt to insert the LTS II and LMA to compare the insertion time and success rate. They marked the easiness of insertion of the score ranged from 1 to 10 score scale and preference of the two devices. Results : The insertion time of the LTS II was significantly shorter than that of the LMA (p =.000). There was no significant difference between LTS II and LMA in the success rate. In the easiness of insertion, the score of LTS II
was significantly higher than that of LMA
(p =.001). The preference of LTS II (75%) was much higher than that of LMA (25%). Conclusion : The manikin study data showed that the LTS II may be a good alternative airway device for providing and maintaining a patent airway.
Analysis of direct medical control conducted to 119 emergency medical technicians in an emergency medical information center
Seo, Ha-Yan ; Lee, Kyoung-Youl ;
The Korean Journal of Emergency Medical Services, volume 16, issue 3, 2012, Pages 29~43
Purpose : The goal of the present study is to provide the basic information to medical control which is the most important improving factor of pre-hospital medical treatment. Method : A total of 749 records of direct medical control were collected from 119 EMTs in emergency medical information center of Daejeon, Chungcheongnam-do and Chungcheongbuk-do from March 1, 2010 to February 28, 2011. Results : The 119 EMTs should record the level of qualification of EMT and general patient history taking precisely when they receive direct medical controls. The doctors should take medical controls within the task range of qualification of EMTs. Conclusion : It is necessary to establish the guideline of medical direction and protocol of prehospital emergency care. The quality improvement of pre-hospital emergency services will be possible by the guideline and protocol.
Proposal of a new Emergency Medical Technician national practical examination
Yoou, Soon-Kyu ; Choi, Eun-Sook ; Shin, Dong-Min ; Jo, Jean-Man ; Lee, Jung-Eun ; Roh, Sang-Gyun ; Lee, Hyeon-A ; Uhm, Tai-Hwan ;
The Korean Journal of Emergency Medical Services, volume 16, issue 3, 2012, Pages 45~62
Purpose : This study was carried out from September 2011 to September 2012 to indicate improvement and performance schemes and planning strategies by way of scenario based practical examination to inspire adaptable capacity to EMS field for Emergency Medical Technician. Methods : In order to improve the examination, a survey was conducted to EMT-Paramedics (Level 1), EMT-Basics (Level 2), and other expert groups. The researchers visited the National Registry of Emergency Medical Technician (NREMT) headquarter and the psychomotor examination site in Ohio in April, 2011. The 21 EMT professors took part in a workshop experiencing the US psychomotor examinations provided by two NREMT examination experts in October, 2011. Results : The results showed that the general plan of new National Practical Examination for EMTs should consist of integrated emergency care examination based on clinical performance and simple skill examination based on objective structured skill protocol Conclusion : The National Practice Examination consists of two sessions and the examinees select the test number randomly in each session. The future examination should include the critical criteria and this criteria should be the decisive factor for the pass or fail.
A phenomenological study of paramedic student's experience on simulation
Baek, Mi-Lye ;
The Korean Journal of Emergency Medical Services, volume 16, issue 3, 2012, Pages 63~75
Purpose : This study was attempted to explore the paramedic student's experience on simulation education. Methods : Data were collected through in-depth interviews from 15 paramedic students. The study was analyzed by phenomenological method, specifically Colaizzi's method. From the protocol, significant statements were organized into formulated meanings. Results : The formulated meanings were identified 35 themes, 12 theme clusters, and 6 categories. The 6 categories include burden of demonstration, role experience as a paramedic, confidence in field treatment, sense of disjunction caused by difference from real situation, realization and learning by oneself, and sense of stability from hypothetical situation. Conclusion : This study suggested that, even though some negative perceptions were observed, simulation education will fit as a replacement for the field practice of paramedic's students given that more field-like practice environment and repetitive simulation education are present.
Stress, depression, coping styles and satisfaction of clinical practice in EMT-paramedic students
Koh, Bong-Yeun ; Lee, Jung-Eun ;
The Korean Journal of Emergency Medical Services, volume 16, issue 3, 2012, Pages 77~89
Purpose : The purpose of the study was to investigate the relationship between stress, depression, coping styles, and satisfaction of clinical practice in paramedic students. Methods : The study was conducted to 221 paramedic students who have experienced clinical training from March until June in 2012. Questionnaires consisted of level of stress, depression, coping styles, and satisfaction of clinical practice. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Results : The mean score of stress was
, depression was
, coping styles was
, and satisfaction of clinical practice was
. Stress had a significant positive correlation with depression and a negative correlation with active coping and satisfaction of clinical practice. Depression had a significant positive correlation with passive coping and a negative correlation with satisfaction of clinical practice. Active coping had a significant positive correlation with passive coping and satisfaction of clinical practice. Conclusion : There was a positive effect on decreasing stress and depression in paramedic students, and encouraging positive coping when the students received counseling and instruction for clinical practice.
Effects of self-esteem and adjustment to college life on career preparation behavior of paramedic students
Choi, Gil-Soon ; Lee, Chang-Hee ;
The Korean Journal of Emergency Medical Services, volume 16, issue 3, 2012, Pages 91~102
Purpose : This study was designed to examine the effects of self-esteem and adjustment to college life on career preparation behavior in 209 paramedic students attending two colleges in G Metropolitan City and provide the basic materials of career development program. Methods : Data were collected from Sep. 7 to 12, 2011 and SEI Form B made by Coopersmith, adjustment to college life by Baker and Siryk, and career preparation behavior by Kim were adopted and revised. Results : There was significant difference in self-esteem and adjustment to college life between gender, but there was no difference in career preparation behavior. Self-esteem and career preparation behavior were graders difference, but there was no in adjustment to college life. There were positive correlations between self-esteem and adjustment to college life. The most significant influence on career preparation behavior of paramedic students was academic adjustment, followed the social and emotional adjustment. Conclusion : For the effective career preparation behaviors, career guidance methods and programs that induce academic, social and emotional adjustment to be available in adjustment to college life of gender and grade.
Changes in quality of cardiopulmonary resuscitation over time on CPR and related rescuer
Yoou, Soon-Kyu ; Choi, Hea-Kyung ;
The Korean Journal of Emergency Medical Services, volume 16, issue 3, 2012, Pages 103~115
Purpose : Inadequate chest compression during cardiopulmonary resuscitation(CPR) may result in the insufficient blood flow to preserve critical organ function. The study evaluated changes of quality of cardiopulmonary resuscitation over time in 30:2 CPR by laypersons and analyzed rescuer factors affecting the quality of chest compressions over time. Methods : This study was designed to know quality of CPR changes during 5 minutes. 47 students completed CPR training courses. They were performed 30:2 CPR using a manikin with Skill-Reporter for 5 minutes continuously to get data of depth, rate of chest compression, volume and correct rate of ventilation. Results : Time dependent analysis showed significant ineffective compression depth in females and under weight rescuers. In case of female, we found effective compression depth has maintained up to 2 minutes, but it decreased significantly after 2 minutes. However, underweight rescuers maintained effective compression depth up to a minute but it decreased after 1 minute. Conclusion : Although compression rate maintained over time, chest compression quality declined significantly. It suggested switching compression at an interval of 2 minutes is reasonable for 30:2 CPR by layperson but underweight rescuers may provide effective chest compression by switching shift every one minute.