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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
Validation of a Korean version of the satisfaction with simulation experience scale for paramedic students
Kwon, Hye-Ji ; Yoou, Soon-Kyu ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 7~20
DOI : 10.14408/KJEMS.2014.18.2.007
Purpose: This study aims to assess the reliability and validity of a Korean version of the satisfaction with simulation experience (SSE) scale for low-, medium-, and high-fidelity simulations among paramedic students. Methods: Exploratory factor analysis with varimax rotation was used to determine construct validity. Cronbach's alpha was calculated to assess internal consistency reliability. Results: Cronbach's alpha for the overall scale was .841. Exploratory factor analysis yielded a three-factor structure composed of clinical learning, clinical reasoning and debriefing and reflection. Each of the subscales had high internal consistency, with Cronbach's alphas of .852, .790 and .913, respectively. With respect to year, freshmen scored the highest on the SSE scale. With respect to type of simulation, the medium-fidelity group reported the highest satisfaction. Generally, the students were satisfied with debriefing and reflection. Conclusion: The Korean version of the SSE scale was shown to be a reliable and valid instrument for assessing satisfaction with simulation learning in paramedic students.
Infection control awareness and practice for clothing management in 119 emergency medical technicians
Jeong, Ji-Yeon ; Jeong, Eun-Kyung ; Yun, Hyeong-Wan ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 21~33
DOI : 10.14408/KJEMS.2014.18.2.021
Purpose: A descriptive study design was used to investigate infection management awareness and infection management performance for clothing management in 119 emergency medical technicians (EMTs). Method: 188 paramedics and basic EMTs completed questionnaires between March 1 and April 30, 2013 in Jeollabuk-do. Results: Participants' average score for infection control awareness was 2.69 and that for performance was 1.58, with the differences being statistically significant (t = 931.455, p = .003). Participants' general characteristics resulted in differences in infection management performance. Women (1.63) have scored higher than men (1.28), and the difference was statistically significant (t = 11.174, p = .001). Participants who had clinical experience (1.63) had higher scores than participants who did have clinical experience before (1.53) and, again, the difference was significant (t = 7.167, p = .009). Conclusion: Education program for infection management is need to be developed for more effective infection management.
Comparison of bimanual laryngoscopy, backward-rightward pressure, and cricoid pressure in difficult airway management: A manikin study
Choi, Hea-Kyung ; Jung, Hyung-Keon ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 35~43
DOI : 10.14408/KJEMS.2014.18.2.035
Purpose: The purpose of this study was to establish novice user guidelines for efficient external laryngeal manipulation for intubation in difficult airway management. Methods: This study included 59 pre-qualified junior and senior emergency medical service students. The participants were instructed at random to intubate a manikin equipped with a cervical collar, thus simulating a difficult airway, using three types of external laryngeal manipulation: bimanual laryngoscopy, backward-rightward pressure, and cricoid pressure. The resultant intubation time and glottic view grade scores were estimated. Results: Intubation time was longest using the bimanual manipulation method, followed by cricoid pressure and backward-rightward pressure. A low Cormack-Lehane glottic view score was obtained regardless of the assisted compression method used. Conclusion: Backward-rightward pressure may be the most efficient method of external laryngeal manipulation on the basis of the intubation time and improvement in glottic view.
Knowledge and education levels regarding the basic life support among scuba divers
Lee, Hyo-Cheol ; Lee, Mi-Lim ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 45~58
DOI : 10.14408/KJEMS.2014.18.2.045
Purpose: This study aimed to investigate the level of knowledge and education regarding basic life support (BLS) among scuba divers. Methods: Data collected from 125 scuba divers in Jeju-do were subjected to frequency, t-test, ANOVA, and Chi-square analyses using the SPSS 18.0 program. Results: 42.1% of the subjects was trained BLS for more than an hour less than 4 hours, and 52.6% of the subjects was trained BLS for less than 3 months in scuba diving institutions. Statistically significant difference was observed in the competence for performing cardiopulmonary resuscitation during BLS education according to gender and age further regarding the necessity of BLS education, significant difference was observed with respect to age, job, academic background, monthly income, and participation period of scuba divers. The divers wished to learn cardiopulmonary resuscitation (72.8%), medical first aid (8.0%), and measures to be taken in cases of trauma (8.0%). The knowledge score for BLS among scuba divers was significantly different depending on the gender, age, marital status and frequency of participation. Conclusion: It is necessary to develop and implement a safety education program for scuba divers.
The influence of professional self-concept on empowerment and burnout of paramedics
An, Eun-Gyu ; Park, Jeong-Mi ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 59~71
DOI : 10.14408/KJEMS.2014.18.2.059
Purpose: This study aimed to examine the degree of paramedics' professional self-concept, empowerment, and burnout and to verify the effects of empowerment and burnout on their professional self-concept. Method: The study subjects were 116 in-hospital paramedics who completed a structured questionnaire. Data were collected between June 18 and 25, 2013. Results: The results were as follows. First, the paramedics' mean score for professional self-concept was 2.93 (range: 1-4), and the mean scores for empowerment and burnout were 2.87 (range: 1-4) and 2.48 (range: 1-5). Second, in terms of the general characteristics of the paramedics, professional self-concept showed significant differences based on sex, religion, work experience, and medical institution classification. Third, professional self-concept had a positive correlation with empowerment, and professional self-concept and empowerment had negative correlations with burnout. Fourth, the main variables affecting paramedics' professional self-concept were gender and total years of work experience. Conclusion: It is necessary to develop program to reduce paramedics' burnout and qualitatively improve paramedic services.
Liberal arts curricula for the 3-year emergency medical technology course: A comparative study
Kang, Hyun-Hee ; Kim, Hyo-Sik ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 73~94
DOI : 10.14408/KJEMS.2014.18.2.073
Purpose: This study aims to provide suggestions for improving the liberal arts curriculum for the 3-year emergency medical technology course by conducting a comparative research on the liberal arts curricula across 10 colleges. Methods: Various aspects of liberal arts subjects, such as basic directions set out by the curriculum, credit scores, and distribution, were studied. Results: Of the 10 colleges, 9 did not stated purpose of liberal arts education. All 10 offered courses including foreign language, computer, and self-management, however each subjects did not have reflections of course visions. Findings revealed the credit score ratio of liberal arts subjects to be relatively lower than the major subjects. Students had limited opportunity to choose liberal arts subjects, with only a small proportion of the course available for elective subjects. Most liberal arts subjects were completed in the first year. Subjects' experience was not expanded and deepened gradually. Subject choices often overlapped, with limited variety of available subjects. Conclusion: For competent emergency medical technicians, the 3-year emergency medical technology course should improve the quality of its liberal arts offerings. The study of liberal arts provides the opportunity to develop broad perspectives and mature attitudes.
Awareness of and ethical attitude toward "Do Not Resuscitate"orders in 119 emergency medical technicians
Lee, Jung-Eun ; Koh, Bong-Yeun ; Kim, Gyoung-Yong ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 95~108
DOI : 10.14408/KJEMS.2014.18.2.095
Purpose: This descriptive study examined awareness of and ethical attitudes associated with Do Not Resuscitate (DNR) orders in 119 emergency medical technicians (EMTs). Method: In total, 255 paramedics and basic EMTs completed questionnaires between March and May, 2013. Data were analyzed using the SPSS WIN 18.0 program. Results: A chi-square analysis revealed significantly different responses given by paramedics and basic EMTs: Paramedics gave "the reason in which DNR is not necessary", as being "due to unclear DNR decision time" whereas basic EMTs answered that this was "due to a legal problem" (
= 12.680, p < .05). Paramedics disagreed with the statement, "It is natural for medical teams to have less interest in patients with DNT orders", whereas basic EMTs agreed with the statement (
= 6.666, p < .05). Conclusion: A unified manual on attitude toward DNR orders, taking account of social and culture factors, needs to be developed. This research provides a base line for future research.
Recognition and acceptance of introduction of paramedic preceptorship in the clinical practice of paramedic students
Choi, Eun-Sook ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 109~123
DOI : 10.14408/KJEMS.2014.18.2.109
Purpose: This study attempts to provide information for developing a preceptorship education program by analyzing the recognition and acceptance of the introduction of paramedic preceptorship in the clinical practice of paramedic students in Korea. Methods: Data were collected from 120 paramedics from December 26, 2013, to February 20, 2014. A questionnaire consisting 33 questions was administered, and the collected data were analyzed using SPSS version 21.0. Results: The overall responses were positive, and the subjects were very interested in the introduction of paramedic preceptorship in paramedic education and clinical practice settings. The mean score for preceptorship acceptance was 3.97 on a 5-point Likert scale. In terms of recognition, 59.0% of the 78 subjects were able to explain preceptorship. In terms of acceptance, 85.8% of the subjects agreed with preceptorship and 81.7% considered an effective training method. Conclusion: Most of the subjects agreed that preceptorship is very important for the education of paramedic students. The preceptorship education program development will be the basis of clinical practice.
Prehospital care after return of spontaneous circulation in out-of-hospital cardiac arrest patients: Based on Heart Saver laureate
Koh, Bong-Yeun ; Hong, Sung-Gi ; Kim, Jin-Young ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 125~136
DOI : 10.14408/KJEMS.2014.18.2.125
Purpose: We aimed to improve the survival rates of out-of-hospital cardiac arrest patients. Methods: We analyzed data regarding cardiopulmonary resuscitation (CPR) outcomes and clinical characteristics of out-of-hospital cardiac arrest patients. The data included prehospital emergency medical service reports of 207 patients, 135 patients of Heart Saver, who survived over 72 hours after return of spontaneous circulation (ROSC) in Gyeonggi-do from January, 2012 to December, 2013. Data were analyzed using SPSS 18.0 descriptive statistics. Results: Among patients who achieved ROSC, 87.6% were men and 73.6% were aged 41-70 years; 86.7% were cases of witnessed cardiac arrest, and cardiopulmonary resuscitation was performed by bystanders in 65.9% of cases. The initial electrocardiogram showed ventricular fibrillation or pulseless ventricular tachycardia in 96.3% of patients. The call time was 1.0 minutes, arrival time was 6.3 minutes, time spent at the scene was 8.0 minutes, hospital arrival time was 10.0 minutes, and total CPR duration was 9.6 minutes. The certificate of them was paramedics in 89.6%. Conclusion: To improve the survival rates of out-of-hospital cardiac arrest patients, standard prehospital care for these patients and educational programs regarding CPR for lay rescues should be developed.
Training and role of paramedics in Japan
Lee, Kyoung-Youl ;
The Korean Journal of Emergency Medical Services, volume 18, issue 2, 2014, Pages 137~145
DOI : 10.14408/KJEMS.2014.18.2.137
Purpose: The emergency medical service (EMS) system in Japan is similar to that in Korea. This study reviewed the development of paramedics who are major personnel in the respective EMS system of their country. Methods: We searched law for paramedics and publications in J-stage, MEDLINE and the webpage of Japan's Fire and Disaster Management Agency. Results: Paramedic training had started in Japan in 1991, and most paramedics were employed in fire departments. In Japan, ambulances belonging to fire department are staffed by a three-person unit, including at least one paramedic. Medical control advisory boards were established in all Japanese prefectures in 2003 with the purpose of upgrading the activities of ambulance personnel, including paramedics. The scope of paramedics' work has been widened owing to the continued efforts of medical control advisory boards. This allows them to perform invasive procedures including tracheal intubation, intravenous line placement, and epinephrine administration under medical control of a physician. Conclusion: As paramedics' responsibilities expand, further development of the paramedic role and an effective medical control advisory board system are imperative both Korea and Japan.