Fire Science and Engineering (한국화재소방학회논문지)

Korean Institute of Fire Science and Engineering (한국화재소방학회)
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A Research of Prehospital 119 Emergency Medical Service for Stroke Patients

병원 전 뇌졸중 환자의 구급의료 실태 분석

  • 송현목 (가톨릭대학교 성바오로병원 정형외과) ;
  • 노상균 (선문대학교 응급구조학과)
  • Received : 2012.02.01
  • Accepted : 2012.06.08
  • Published : 2012.06.30
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Abstract

This study analyzes the influencing factors of prehospital 119 Emergency Medical Service for Stroke Patients in prehospital. From July, 2010 to June, 2011, 123 patients were diagnosed with Stroke in Emergency Medical Center. Among 123 patients, the prehospital assessment rates were as follows : blood pressure checked 73.2 %, pulse checked 73.2 %, respiratory checked 64.2 %, $SpO_2$ checked 79.7 %, pupil reflex test 88.6 %, Electrocardiogram checked 14.6 %, blood sugar checked 19.5 %. Prehospital emergency medical care, Oropharyngeal airway insertion 2.4 %, Manual airway maneuvers 17.1 %, endotracheal intubation 2.7 %, oxygen supply 35.4 %, and suction and intravenous fluid therapy 0 %. The property of mental status evaluation by 119 Emergency Medical Service was nearly perfect, but the patients assessment and emergency medical care were not.

이 연구는 뇌졸중 환자에게 시행되는 환자평가와 응급처치의 실태를 파악하는 연구이다. 구급대에 의해 이송된 뇌졸중환자 123명을 대상으로 하였으며, 수집된 자료는 SPSS 18.0 프로그램을 이용하여 분석하였다. 분석 결과 뇌졸중으로 진단 받은 123명의 환자 중 환자평가는 혈압 73.2 %, 맥박 73.2 %, 호흡 64.2 %, 산소포화도 79.7 %, 공동반응 88.6 %, 심전도 감시 14.6 %, 혈당측정 19.5 %의 시행률을 보였고, 시행된 응급처치로는 기도유지기 삽입 2.4 %, 손으로 조작하는 기도확보 17.1 %, 기관내삽관 2.7 %, 산소공급 35.4 %, 흡인, 정맥로 확보 및 수액투여가 시행된 환자는 아무도 없었다. 전반적으로 의식상태 평가는 적절하였으나 119구급대원에 의해 시행되는 환자평가 및 응급처치는 전반적으로 적절하지 못하였다.

Keywords

References

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