• Journal of Korean Public Health Nursing
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• v.32 no.2
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• pp.288-303
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• 2018

Purpose: This study was a descriptive research to provide basic data for the development of a customized emergency education program to strengthen the capacity of first aid for nursing caregivers. Method: The number of caregivers in region G was 193, and data collection was conducted from April 1 to April 30, 2018. Data were analyzed using a t-test, one-way ANOVA, Pearson's correlation coefficients, and Scheffe test. Results: In the study group 47.2% experienced an emergency situation. The first aid knowledge was 10.21; the correct answer rate was 56.0%; the basic CPR knowledge was 3.99; the correct answer rate was 49.7%. After asking for help, first aid was the most difficult. In general first aid knowledge was 6.21 points and the correct answer rate was 62.2%. They understood well about strokes, injuries and trauma, but had difficulty in consciousness, depression, and burns. For first aid knowledge, there were significant differences according to age, working hours, place of work, working experience, emergency situation, and education. Of the study group, 59.6% experienced emergency training, 96.9% wanted it, and 72.0% had low emergency response skills. Moreover, 93.3% answered for having emergency education. Conclusion: The results suggest that a personalized emergency education program for nursing caregivers should be developed and applied.

• The Korean Journal of Emergency Medical Services
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• v.7 no.1
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• pp.95-108
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• 2003

This study was conducted to identify an initial clinical experience of EMT students, so to better understand their' experience in clinical training. The subjects were 30 EMT students of C department of Emergency Medical technology in C city, who were demonstrating at the emergency room in C, T, S, W city. This study was approached by phenomenological method, collected data were analyzed by Colaizzi's method. the results were as a follows. From the protocol, significant statements were organized into 34 formulated meanings. from the formulated meanings, 21themes were identified, organized into 8 theme clusters, and then categories. EMT students got experienced 'tension resulting from new situation', 'fear in contacting with patients', 'lack of knowledge and skill', 'confidence feeling from being adapted', 'facing up to Paramedic role', 'experience of death' and 'stress'. The results of this study are to use as basic data for students attending clinical experience for the first time.

• The Korean Journal of Emergency Medical Services
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• v.15 no.2
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• pp.5-14
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• 2011

Purpose: The aim of this study is to identify the legal concept of a license and a qualification for health care personnel. We analyze the appropriateness of the qualification for the first-class paramedics and the sufficiency of 3-year job experience in substitution for college level academic major. Method: We reviewed Laws on Healthcare which stipulate academic and career qualifications for healthcare personnel for whom college-level academic training and job experience to get a license. Results: There is no legal consideration which permits major and educational background substituted by job experience. Only third-class hygienist who graduated from a high school or the equivalent with 3 year job experience can apply for first-class hygienist' national license examination without educational requirements. However, it is nothing to compare with first-class paramedics because the work of hygienist is not directly related to patients care and there is no need of doctor's supervision for hygienist' job. Paramedics have a major role in saving emergency patients in making prompt decision, applying appropriate emergency treatment, securing intravenous route, managing intubation, applying defibrillator, and etc. Conclusion: Ministry of Health & Welfare should grant license to paramedics and annul replacement of academic major background. In addition, it is imperative to broaden the scope of paramedics' job so that they can guarantee patient's life saving in emergency situation with quality major curriculum of college level.

• Journal of The Korean Dental Society of Anesthesiology
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• v.14 no.1
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• pp.17-27
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• 2014

Background: Various medical emergency situations can occur during dental practices. Cardiac arrest is known to comprise approximately 1% of emergency situation. Thus, it is necessary for dentists to be able to perform cardiopulmonary resuscitation (CPR) to increase the chance of saving patient's life in emergency situation. In this paper, we conducted a survey study to evaluate to what extent dentists actually understood CPR practice and if they had experience in handling emergency situations in practice. Method: The survey was done for members of the Korean Dental Society of Anesthesiology (KDSA), who had great interest in CPR and for whom survey-by-mail was convenient. We had selected 472 members of the KDSA with a dental license and whose office address and contact information were appropriate, and sent them a survey questionnaire by mail asking about the degree of their CPR understanding and if they had experience of handling emergency questions before. Statistical analyses -frequency analysis, chi-square test, ANOVA, and so on- were performed by use of IBM SPSS Statistics 19 for each question. Result: Among 472 people, 181 responded (38.4% response rate). Among the respondents were 134 male and 47 female dentists. Their average age was $40.4{\pm}8.4$. In terms of practice type, there were 123 private practitioners (68.0%), 20 professors (11.0%), 16 dentists-in-service (8.8%), 13 residents (specialist training) (7.2%) and 9 military doctors (5%). There were 125 dentists (69.1%) who were specialists or receiving training to be specialist, most of whom were oral surgeon (57, 31.5%) and pediatric dentists (56, 30.9%). There were 153 people (85.0%) who received CPR training before, and 65 of them (35.9%) were receiving regular training. When asked about the ratio of chest pressure vs mouth-to-mouth respiration when conducting CPR, 107 people (59.1%) answered 30:2. However, only 27.1% of them answered correctly for a question regarding CPR stages, C(Circulation)- A(Airway)- B(Breathing)- D(Defibrillation), which was defined in revised 2010 CPR practice guideline. Dentists who had experience of handling emergency situations in their practice were 119 (65.6%). The kinds of emergency situations they experienced were syncope (68, 37.6%), allergic reactions to local anesthetic (44, 24.3%), hyperventilation (43, 23.8%), seizure (25, 13.8%), hypoglycemia (15, 8.3%), breathing difficulty (14, 7.8%), cardiac arrest (11, 6.1%), airway obstruction (6, 3.3%), intake of foreign material and angina pectoris (4, 2.2%), in order of frequency. Most respondents answered that they handled the situation appropriately under the given emergency situation. In terms of emergency equipment they had blood pressure device (70.2%), pulse oximetry (69.6%), Bag-Valve-Mask (56.9%), emergency medicine (41.4%), intubation kit (29.8%), automated external defibrillator (23.2%), suction kit (19.3%) and 12 people (6.6%) did not have any equipment. In terms of confidence in handling emergency situation, with 1-10 point scale, their response was $4.86{\pm}2.41$ points. The average point of those who received regular training was $5.92{\pm}2.20$, while those who did not was $4.29{\pm}2.29$ points (P<0.001) Conclusion: The result showed they had good knowledge of CPR but the information they had was not up-to-date. Also, they were frequently exposed to the risk of emergency situation during their dental practice but the level of confidence in handling the emergency situation was intermediate. Therefore, regular training of CPR to prepare them for handling emergency situation is deemed necessary.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.15 no.3
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• pp.46-56
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• 2007

This research examined how pilots perceive risks when faced with emergency flight situations. We had 116 commercial airline pilots evaluate riskiness of 39 non-routine flight situations. The pilots' risk perception was analyzed as a function of their position (captain vs. first officer), expertise (expert vs. novice), and military flight experience (with vs. without military experience). Results showed that captains evaluated potential-risk situations and low-risk situations more dangerous than first officers. However, there were no differences between experts and novices, and between pilots having military flight experience and pilots not having military flight experience in risk perception. The analysis of multi-dimensional scaling revealed that the pilots used controllability as a key dimension for evaluating riskiness, though the other dimensions they used varied with their position, expertise, and military flight experience.

• The Korean Journal of Emergency Medical Services
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• v.16 no.3
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• pp.63-75
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• 2012

Purpose : This study was attempted to explore the paramedic student's experience on simulation education. Methods : Data were collected through in-depth interviews from 15 paramedic students. The study was analyzed by phenomenological method, specifically Colaizzi's method. From the protocol, significant statements were organized into formulated meanings. Results : The formulated meanings were identified 35 themes, 12 theme clusters, and 6 categories. The 6 categories include burden of demonstration, role experience as a paramedic, confidence in field treatment, sense of disjunction caused by difference from real situation, realization and learning by oneself, and sense of stability from hypothetical situation. Conclusion : This study suggested that, even though some negative perceptions were observed, simulation education will fit as a replacement for the field practice of paramedic's students given that more field-like practice environment and repetitive simulation education are present.

• The Journal of the Korea Contents Association
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• v.10 no.12
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• pp.378-386
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• 2010

The concern regarding inability to perform CPR properly was widespread, and few studies, however, have queried bystanders regarding their responses to an actual emergency. This study assessed how often CPR was performed by CPR-trained bystanders and what factors were associated with the performance and nonperformance of CPR by trained bystanders. From a 2,000 sample survey of the National Emergency Medical Center in Korea (2008), it extracted object persons who actually experienced an emergency situation, and examined closely the relationship of CPR education experience and CPR performance in an emergency. 169 completely interviewed, 23(13.6%) had CPR education experience and performed CPR in an actual emergency, 40(23.6%) had CPR education experience but didn't performed, 12 (7.1%) didn't have CPR education experience but performed, and 94(55.6%) neither had CPR education experience nor performed. Specifically, within bystanders who had CPR education experience, those who CPR was performed were different from those who CPR was not on medical emergency-related characteristics such as CPR knowledge(p=0.001), 1339 emergency phone number(p=0.006) and 1339 emergency services(p=0.001). Consequently, to consider social characteristics or an economic condition, various CPR teaching strategies should be prepared to continuously propel.

• The Korean Journal of Emergency Medical Services
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• v.8 no.1
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• pp.19-32
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• 2004

This study was conducted to identify an initial fire station experience of EMT students, so to better understand their' practice experience in fire station. The subjects were 28 EMT students of C department of Emergency Medical technology in C city, who were demonstrating at the fire station in C city. This study was approached by phenomenological method, collected data were analyzed by Colaizzi's method, the results were as a follows. From the protocol, 201 significant statements were organized into 93 formulated meanings. From the formulated meanings, 30 themes were identified, organized into 16 theme clusters, and then 7 categories. EMT students got experienced 'tension' in resulting from new training situation and at the field practice, 'comport and gratitude', in feeling of identity and a bond sympathy with senior EMT, in training environment and heartfelt care, 'stress' from lack of knowledge and skill, difficulties in field practice for 24 hours, in dealing with making interpersonal relationship with patient and staffs and from the insufficiency of instruction, 'confidence feeling' from the participation of field treatment, in improving of learning, in self-esteem of EMT job, 'confusing feeling' of conflict of the path in work, 'disappointment and doubt' by the discrepancy between learning and actuality, and disappointment of actuality, 'feeling of lack' based on the passive attitude. The results of this study are to use as basic data for students attending fire station experience for the first time.

• Journal of Digital Convergence
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• v.16 no.12
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• pp.359-371
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• 2018

The aim of this study was to investigate experience and education needs on medication and emergency situations for young children of child caregivers. The data from 190 caregivers were collected using open-ended questionnaires composed of four items and analysed by content analysis. The categories derived for each theme were as follows: experience of medication of six categories(no referral for medication, young children refused medication, inaccurate referral, a variety of medication, sick children but not having medication), education need of four categories(for child caregivers, for parents, for children, guideline required), experience of emergency situation of six categories(skin damage or bleeding, decreased consciousness due to seizures, high fever persisted, asphyxiation due to foreign body, dislocation or fracture, emergency not knowing how to cope), education need of emergency situation of five categories(contents, methods, cycle, necessity, institutionalization). It is required to improve more practically the education contents and methods related to medication and emergency situation of child caregivers.

• Journal of Korean Society for Geospatial Information Science
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• v.16 no.3
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• pp.87-94
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• 2008

In this study, deals with selection of monitoring objects to handle emergency cases of multi-modal transfer stations and information required for emergency surveillance, recognition, verification, propagation, processing and situation closing. Furthermore, this article suggests integrated management scheme for the above information and methods which offer appropriate information required for situation handling decisions at each stage of situation changes. The transfer station which consists of facilities, passengers, and transportations has limitations in required monitoring information. So, for the situation recognition and handling strategy, case-based reasoning of the expert system was used to apply experience, knowledge, and past cases of situation handling experts. The article also suggests methods to control facilities which are operated at transfer stations and these methods can minimize spatial confusions and damages at the emergency situation. The real time situation information will be shared by proper facility controls to support services from external institutions.