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중증외상환자에 대한 119구급대원의 척추고정 실태 및 장애요인

A study on the current status and the obstacles to prehospital spinal motion restriction performed by 119 paramedics to major trauma patients

Korean Journal of Emergency Medical Services 2020년 24권 3호 p.89 ~ 106
박정승, 조근자,
소속 상세정보
박정승 ( Park Jung-Seung ) - Chungcheongnam-do Seosan Fire Station
조근자 ( Cho Keun-Ja ) - Kongju National University Department of Emergency Medical Service

Abstract


Purpose: This study attempts to improve the status of emergency care for major trauma patients transferred by 119 paramedics by analyzing the status of emergency care and the obstacles to the spinal motion restriction (SMR) for major trauma patients.

Methods: A total of 600 rescue logs were collected from major trauma patients transported by 119 paramedics in the C fire department from Jan. 1, 2015, to Dec. 31, 2017. And then, 280 questionnaires were collected from the 119 paramedics in C fire department from May 3 to Jun. 3, 2019. Data were analyzed using SPSS 24.0 version.

Results: Among 499 spinal motion restriction adaptive patients, the spinal motion restriction rate was 51.1% (255 individuals). Lack of human resources and quality control problems were among the obstacles to spinal motion restriction.

Conclusion: The 119 paramedics should improve their activeness and skills in performing emergency care, and since training and experience are of crucial importance, they should expand various education systematized according to demand.

키워드

Major trauma; Spinal motion restricton (SMR); Obstacles; 119 Paramedics; Emergency care

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