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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
Analysis of trunk angle and muscle activation during chest compression in 119 EMTs
Shin, Dong-Min ; Lee, Chang-Sub ; Kim, Seung-Yong ; Kim, Chang-Kook ; Hong, Eun-Jeong ; Lee, Young-Chul ; Choi, Ga-Ram ; Kim, Gyoung-Yong ; Jang, Mun-Sun ; Kim, Jeong-Hee ; Han, Boong-Ki ; Lee, Jong-Kun ; Tak, Yang-Ju ;
The Korean Journal of Emergency Medical Services, volume 18, issue 3, 2014, Pages 7~18
DOI : 10.14408/KJEMS.2014.18.3.007
Purpose: We aimed to investigate trunk angle and muscle activation of the extremity and back to evaluate the effect of chest compression on work-related musculoskeletal disorders in 119 emergency medical technicians (EMTs). Methods: Eighteen 119 EMTs performed 2-minute chest compression without interruption on a cardiopulmonary resuscitation manikin, during which we measured changes in the trunk and shoulder joint angles, muscle activation (triceps brachii, biceps brachii, erector spinae, gluteus maximus, pectoralis major, rectus abdominis, and rectus femoris) and chest compression accuracy. Results: The decrease in trunk angle by trunk muscle activation was the highest in event 2, the major direction of chest compression. Both shoulder joint angles had no significant difference. Muscle activation of the triceps brachii (p < .01), biceps brachii (p < .05), rectus abdominis (p < .05) and rectus femoris (p < .01) significantly increased during the compression phase compared with the decompression phase, with the rectus femoris showing an increase of 19%. Muscle activation of the erector spinae significantly increased in the decompression phase compared with the compression phase (p < .01). Conclusion: 119 EMTs mainly use the triceps brachii, biceps brachii and pectoralis major muscles during chest compression.
Current prehospital care status, knowledge, and prehospital care confidence toward the elderly among 119 emergency medical technicians
Cho, Yu-Ri ; Lee, Kyoung-Youl ;
The Korean Journal of Emergency Medical Services, volume 18, issue 3, 2014, Pages 19~35
DOI : 10.14408/KJEMS.2014.18.3.019
Purpose: This study aimed to improve the quality of prehospital emergency care for elderly patients by determining current prehospital care status based on run sheets and level of knowledge, and prehospital care confidence toward the elderly through questionnaires answered by 119 emergency medical technicians (EMTs). Methods: This study was conducted with 4,946 elderly patients who were transferred to the hospital by 119 ambulances in D city from March 1, 2013 to February 28, 2014. This study was a descriptive study of 119 run sheets. The questionnaire was completed by 160 EMTs working in D city. All data were analyzed by using SPSS 21.0. Results: 74.2% was due to disease among the 4,946 elderly patients who were transferred by 119 ambulances, and a rest was due to injury. The mean knowledge score of the 119 EMTs regarding elderly patients was low. Their confidence on prehospital care of the elderly patients statistically significantly differed according to career at hospital and education. Conclusion: Theoretical knowledge, education on prehospital care of the elderly, and repeated technical prehospital care education and training accompanied by feedback assessment by 119 EMTs are needed.
Effect of first aid and cardiopulmonary resuscitation education on self-efficacy and social contribution of disadvantaged youth
Lee, Hyo-Cheol ; Jung, Hyun-Min ;
The Korean Journal of Emergency Medical Services, volume 18, issue 3, 2014, Pages 37~51
DOI : 10.14408/KJEMS.2014.18.3.037
Purpose: This study aimed to evaluate the educational experience, re-demand, pre-post self-efficacy, subjective social contribution of disadvantaged youth after first-aid and cardiopulmonary resuscitation (CPR) education. Methods: The subjects in this study were 967 disadvantaged youth from the general population. Data analyzed were frequency, percentage, and results of the
, t = test, one-way analysis of variance, and Pearson correlation by using the SPSS 18.0 statistical program. Results: Of the subjects, 51.7% had educational experiences, mostly less than 1 year. First-aid and CPR education improved self-efficacy. In particular, a higher the self-efficacy resulted in a higher subjective social contribution. Conclusion: This study showed that first aid and CPR education positively affected the self-efficacy, and awareness of social contribution in disadvantaged youth. Therefore, appropriate first aid and CPR education program for disadvantaged youth is beneficial.
Duty-related incidental stress and the coping method in new firefighters
Baek, Mi-Lye ;
The Korean Journal of Emergency Medical Services, volume 18, issue 3, 2014, Pages 53~62
DOI : 10.14408/KJEMS.2014.18.3.053
Purpose: This study aimed to investigate duty-related incidental stress, coping method, and stress factors in 133 new firefighters. Methods: A self-reported questionnaire was administrated to 133 new firefighters between April and May 2010. It consisted of 33 and 62 items concerning duty-related incident stress and coping methods, respectively. Data were analyzed by using the t-test, analysis of variance, Pearson correlation coefficient analysis, and multiple regression analysis. Results: New firefighters experienced the most stress when inappropriately dispatched. Duty-related incidental stress correlated with active (r = .420, p < .001) and passive coping (r = .450, p < .001). Also active coping statistically correlated with passive coping (r = .890, p < .001). Influencing factors of duty-related incidental stress were passive coping (t = 2.12, p < .05), experience of having a co-worker in a dangerous situation (t = 3.30, p < .001), having less than 6 months of work experience (t = 2.30, p < .05), and experience of having oneself in a dangerous situation (t = 2.05, p < .05). Conclusion: New firefighters need to be provided with training on active coping to prevent posttraumatic stress disorders and, social support immediately after an inappropriate and stressful dispatch.
Factors influencing the image about emergency medical technology jobs in paramedic students
Hwang, Seong-Hak ; Uhm, Dong-Choon ;
The Korean Journal of Emergency Medical Services, volume 18, issue 3, 2014, Pages 63~75
DOI : 10.14408/KJEMS.2014.18.3.063
Purpose: The purpose of this study was to investigate the image about emergency medical technology (EMT) jobs and to identify factors influencing the image of EMT jobs among students of this department. Methods: A self-reported questionnaire was administered to 532 paramedic students in the cities of D, G, and J between May 28 and June 19, 2013. Data were analyzed by using the SPSS version 21.0 program. Results: The image about EMT jobs was positively related to self-esteem. However, the image about EMT jobs was negatively related to grade and hospital practice experience. In the multiple regression analysis, the adjusted
value was .220 (p < .001). Conclusion: The importance of enhancing the self-esteem of paramedic students should be emphasized. Further research on the image about EMT jobs in the hospital practice setting is needed.
Stress in pregnant women and the effect of cesarean delivery on anxiety and subjective anxiety statuses
Shim, Chung-Sin ; Chong, Ji-Yon ; Bae, Sang-Yeol ;
The Korean Journal of Emergency Medical Services, volume 18, issue 3, 2014, Pages 77~90
DOI : 10.14408/KJEMS.2014.18.3.077
Purpose: This study was a descriptive survey research that aimed to investigate the stress level of pregnant women and subsequent effect of emergency cesarean delivery on anxiety and subjective anxiety statuses. Methods: The study samples were 233, including 109 emergency cesarean delivery and 124 normal vaginal deliveries between May 1, 2014, and August 26, 2014, in the Gwangju Metropolitan City. Results: None of the results showed any significant statistical difference in psychological stress between emergency cesarean delivery during mid-pregnancy and normal vaginal delivery (t = 1.784, p = .076). Emergency cesarean delivery has a significantly high level of anxiety (t = 10.849, p < .001) and subjective anxiety statuses (t = 13.294, p < .001) compared with normal vaginal delivery. Conclusion: A prenatal education program for stress and anxiety from emergency cesarean delivery needs to be developed for more effective stress management.
Effect of a simulation-based program for post-operative care of emergency patients
Chae, Min-Jeong ; Choi, Soon-Hee ; Kim, Jeoung-Suk ;
The Korean Journal of Emergency Medical Services, volume 18, issue 3, 2014, Pages 91~104
DOI : 10.14408/KJEMS.2014.18.3.091
Purpose: This study aimed to confirm the effects of a simulation-based program on knowledge and clinical performance in the post-operative management of emergency patients. Methods: This was a pre- and post-research design with a nonequivalent control group and randomly sampled 29 experimental and control groups, respectively from nursing department juniors for 4 weeks from September of 2014. The experimental group received lectures, team study, team simulation, and debriefing in post-operative management of simulation-based emergency patients and control group conducted in the traditional lecture-type setting. Educational learning effects were measured by using the knowledge and clinical performance measurement tools of 15 and 20 items, respectively. Data were analyzed by using the SPSS program, including frequency, ratio, and results from the Chi-square test, Fisher's exact test, Kolmogorov-Smirnov test, t-test. Results: Our research results indicate that, the experimental group showed significantly higher knowledge and clinical performance score compared with the control group. Conclusion: We confirmed that education on post-operative management of simulation-based emergency patients was an effective educational method to improve the knowledge and clinical performance of nursing students.