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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 18, Issue 3 - Dec 2014
Volume 18, Issue 2 - Aug 2014
Volume 18, Issue 1 - Apr 2014
Selecting the target year
Comparisons of the qualities of chest compression according to various positions of rescuer to patient at the in-hospital cardiopulmonary resuscitation model
Kim, Geon-Nam ; Choi, Seong-Woo ; Jang, Jin-Yeong ; Ryu, So-Yeon ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 7~15
DOI : 10.14408/KJEMS.2014.18.1.007
Purpose: The purpose of the study is to evaluate the distance and location of the rescuer to patient for the effective chest compressions qualities. Methods: The subjects were 42 students who earned the basic lifesaving technique and had informed consents to participate in the study from May 1 to 20 in 2013. The position of the rescuers included model-0(reference point), model-1(10 cm distance), model-2(20 cm distance), and model-kn(kneeling up). Results: The mean depth of compression was
in Model-2, and
in Model-kn. There were statistically significant differences between each Model(p<.001). Conclusion: The closer distance between rescuer and patient could provide more effective chest compressions. Kneeling on the bed stance provided the deeper chest compression consistently than the stool stance.
South Korean and Japanese intention to use automated external defibrillators in out-of-hospital cardiac arrest situations
Leem, Seung-Hwan ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 17~27
DOI : 10.14408/KJEMS.2014.18.1.017
Purpose : The purpose of the study is to investigate the factors influencing using AED use in South Korea and Japan. Methods : I conducted a questionnaire survey from February 25 to March 4, 2013, receiving responses from 517 people in Korea and 520 people in Japan. The questionnaire included sociodemographic factors, history of heart disease, AED knowledge, and other variables. A logistic regression analysis was conducted. Results : Among the 517 Korean respondents, 220 (42.6%) intended to use AEDs. Among the 520 Japanese respondents, 384 (74.4%) had similar intentions. Multiple logistic regression analysis found the following significant predictors of intent to use AEDs: gender (odds ratio [OR] = 0.419), household income (OR = 0.991), and AED knowledge (OR = 2.833) in Korea; and gender (OR = 0.582), age (OR = 0.968), cardiac disease history (OR = 2.099), and AED knowledge (OR = 2.984) in Japan. Conclusion : It would be helpful to teach AED use to encourage performing public access defibrillation. In addition, it is necessary to design AED education programs based on country-specific factors.
Images toward emergency medical technician perceived by secondary school teachers
Choi, Eun-Young ; Lee, Kyoung-Youl ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 29~41
DOI : 10.14408/KJEMS.2014.18.1.029
Purpose : The purpose of the study is investigate the images towards emergency medical technician(EMT) perceived by secondary school teachers. Methods : The data was collected from July 30 to 31, 2012. The subjects were 337 secondary school teachers. SPSS Statistics 18.0 was used for internal consistency reliability, descriptive statistical analysis and factor analysis. Results : Those who contacted with EMT consisted of 57.6% which was higher than those who had not(42.4%). Before contact, the gender and teaching subject showed a significant difference of p =.027 and p =.002, respectively. The average on the image towards EMT showed a positive points of
out of 7 and the most positive image was 'practical-theoretical' of
. Factor analysis of EMT image was analyzed based on 3 factors including sincerity(
) and familiarity(
)(p <.000). The degree of familiarity showed significant differences in gender(p =.005), majoring(teaching subjects)(p =.049) and prior contact(p =.020). Conclusion : In conclusion, previous contact and recognition towards EMT could make good image making in secondary school teachers by getting well-organized promotions and professional services. This contact will make a good future counseling to the students who want to be EMTs.
Comparison of knowledge level of triage in 119 EMTs
Lee, Hyo-Ju ; Cho, Keun-Ja ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 43~54
DOI : 10.14408/KJEMS.2014.18.1.043
Purpose : The purpose of this study was to provide appropriate direction for triage education by investigating the knowledge level of triage in 119 EMTs before and after the triage education. Methods : The questionnaire was filled out by newly assigned 33 EMTs in the fire service academy in I metropolitan city from November 1, 2013. The data were analyzed using SPSS WIN 21.0 program. Results : The lowest knowledge level by 119 triage was the potential emergency related question, but that by case-based triage was the semi-emergency related questions. The knowledge score by case-based triage before education was 51.14 points. This was lower than knowledge score by 119 triage, that is, 75.70 points. After education, the knowledge level by 119 triage was significantly improved(p =.000). However, there was no significant difference in the knowledge level by case-based triage(p =.236). Conclusion : It is necessary to provide systematic and periodic education and training for 119 EMTs toward triage to improve triage accuracy and efficient circulation of the emergency medical service system. Especially, it is very important to provide case-based triage education for field application.
Knowledge, attitude, confidence, and experiences of community health practitioner regarding cardiopulmonary resuscitation
Hwang, Swong-Ho ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 55~66
DOI : 10.14408/KJEMS.2014.18.1.055
Purpose : The purpose of the study is to investigate the knowledge, attitude, confidence, and experiences of community health practitioner(CHP) regarding cardiopulmonary resuscitation(CPR). Methods : The subjects were 333 CHP in G Province, C Province, and I Metropolitan City. A structured self-reported questionnaire was filled out by 209 participants from July 29, 2013 to September 30, 2013. Results : Confidence level toward CPR was intermediate, and knowledge and attitude level was very low. Seventeen participants performed CPR to cardiac arrest victim. Eleven patients among 25 patients had spontaneous recovery of circulation (ROSC). So the rate was very high. Conclusion : It is necessary to perform the efficient CPR in CHP. In order to improve the positive attitude and confidence in CHP, the renewal system must maintain every two years.
Recognition and acceptance concerning the introduction of preceptorship to the ambulance ride practice
Choi, Eun-Sook ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 67~81
DOI : 10.14408/KJEMS.2014.18.1.067
Purpose : The purpose of the study is to provide the basic data for preceptorship education program development by analyzing the recognition and acceptance concerning the introduction of preceptorship to ambulance ride practice of 119 EMT-paramedics in Korea. Methods : A self-reported questionnaire was filled out by 157 paramedics in the fire fighters from December 21, 2013 to February 12, 2014. The questionnaire consisted of 31 questions and the data were analyzed by SPSS version 21.0. Results : Most of the subjects answered the positive choice and were very interested in the introduction of preceptorship in the prehospital settings. Mean of preceptorship acceptance level was 3.64 points in 5 points Likert scale and 75.4% of the subjects were able to explain the preceptorship. 57.4% of the subjects considered that preceptorship was an effective training method. Conclusion : Most of the subjects agreed that the preceptorship is very important to the education of paramedic students. The preceptorship education program development will be the basis of ambulance ride practice.
The effect of global disaster competency development program on paramedic and nursing undergraduate students
Kang, Sun-Joo ; Piao, Mei-Hua ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 83~94
DOI : 10.14408/KJEMS.2014.18.1.083
Purpose : This study assessed the improvement of competency levels for participants, as well as their satisfaction from completion of the special international disaster response program. Methods : The program structure followed an intensive two-week course that included a combination of lectures, discussions, case studies, and field trips. "ICN Framework of Disaster Nursing Competencies" was used for designing the program. A pre-post survey was done to measure the change in the competencies of students and assess their satisfaction after finishing the program. Focus group interviews were also performed to further understand the attitudes of participants toward the disaster issues. Results : The overall pre-program test score for disaster competency was
and the post-program test score was
, which showed statistically significant gains in all competency items (p <.001). The general satisfaction of participants with the program was quite high, demonstrated by a mean score of
. The benefits for students from program participation included increased knowledge and better understanding of the important roles of international organizations and NGOs. Conclusion : The international disaster education programs are necessary to provide an opportunity for students to increase their disaster competency. In addition, future development of a unified educational competency framework is also necessary.
A study on job satisfaction and the turnover intention of fire fighters
Kim, Hong-Jo ; Baek, Hong-Seok ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 95~106
DOI : 10.14408/KJEMS.2014.18.1.095
Purpose : This study was attempted to check the correlation between job satisfaction and turnover intention and to provide the basic information to increase job satisfaction of fire fighters. Methods : A total of 369 questionnaires were distributed and 354 questionnaires were filled out and collected for analysis. Results : There was difference in turnover intention by general characteristics. According to position, group of Fire lieutenant or more is lower than that of Fire sergeant or less (F=3.61, p=.014). The group of rescue & emergency service and administration was significantly lower than other groups(F=4.84, p=.001). In pattern of duties, day service group was significantly lower than shift work group in .05 level(t=2.59, p=.022). Finally, in the correlation, the more job satisfaction increase, the more turnover intention decrease that represents inverse correlation between job satisfaction and turnover intention(r=-.523, p <.001). Namely, it represents the results that the higher job satisfaction is low turnover intention. Conclusion : More studies of fire officer in other cities are required to generalize the results. We have to develop program for job satisfaction for fire officer firstly, because program for job satisfaction used in this study was not developed for fire fighters.
Changes in the quality of chest compressions applying a digital sensor device
Yang, Hyun-Mo ;
The Korean Journal of Emergency Medical Services, volume 18, issue 1, 2014, Pages 107~116
DOI : 10.14408/KJEMS.2014.18.1.107
Purpose : The purpose of this study is to demonstrate the effectiveness of using a digital sensor device during CPR by analyzing the results from that chest compressions with a digital sensor device are applied to cardiac arrest patients. Methods : This study analyzed the results from the experiment that 42 people were selected randomly among Korean 119 rescuers, and they divided into the experimental group using a digital sensor device and the control group only using their hands, then they had been observed to conduct chest-compressions to mannequins for 10 minutes. Results : The results were found that compression depth in both the control and experimental group was gradually decreased over time, but the experimental group not only kept the depth but also maintained the speed of chest-compressions close to 100 times a minute. In addition, due to the use of the digital sensor device, the insufficient recoil ratio of chest-compressions was significantly reduced. Conclusion : The results show that conducting chest-compressions with a digital sensor device keeps the compression-death, maintains the speed of chest-compression properly and makes the insufficient relaxation ratio of chest-compressions reduce significantly.