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Improvement Strategies of Arriving Time to the Scene by Enhancing EMTs' Recognition of Triage

구급출동지령서 개선을 통한 구급대원 현장 도착시간 단축방안

  • 오원신 (서울시립대학교 일반대학원 재난과학과) ;
  • 정석환 (서울시립대학교 일반대학원 재난과학과) ;
  • 윤명오 (서울시립대학교 일반대학원 재난과학과)
  • Received : 2014.11.20
  • Accepted : 2015.03.13
  • Published : 2015.03.31

Abstract

The purpose of this investigation is to enhance the survival rate of patients by transporting them to the hospital within the golden hour through the operational improvement of emergency dispatch instruction. To this end, problems and improvements of current operating system were derived by carrying out a survey against paramedics of Incheon city in 2012 and analyzing the current emergency dispatch instruction. This study analyzed the emergency activity daily reports for one year from January 1 through December 31, 2012 and researched the consciousness of 119 emergency medical technician. According to the analysis of the survey, there were no meaningful differences in the on-site arrival times per triage. Therefore, the item of 'Emergency Classification' specified in the emergency dispatch instruction needs to be integrated in the scheme of "triage". Also, the feedbacks of the emergency action log and the emergency dispatch instruction are necessary for 'duty for operation' to review the adequacy to the severity after the end of emergency operation. Finally, the improvement of the system for the continuous communication between the paramedics and the command staff is necessary. This improvements as stated above are expected to contribute to raise survival rate of patients.

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