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J Korean Soc Emerg Med > Volume 7(1); 1996 > Article
Journal of The Korean Society of Emergency Medicine 1996;7(1): 69-74.
QUANTITY & QUALITY OF PREHOSPITAL EMERGENCY CARE
Seoung Han Lee, Ok Kyoung Choi, Koo Young Jung
Department of Emergency Medicine, Ewha Womans University Mokdong Hospital
  Published online: March 31, 1996.
ABSTRACT
The Emergency Medical Technitian(EMT) is the main personnel of Emergency Medical Service Systems, requiring a whole set of special rescue skills and the knowledges for emergent patients in prehospital area. The most important aspects of the EMT system is the medical direction, which is education, protocol, and quality assurance especially in implementing phase. The EMT system just has been started in Korea with legislative effort of Emergency Medical Act since 1994. There has been no data about the frequencies of prehospital emergency care and it's medical evaluation. Therefore, we investigated the volume of the prehospital emergency care performed by 119 rescue personnel, and assessed the accuracy of cardiopulmonary resuscitation(CPR) skills. We also analyzed which personal factors influence the accuracy of CPR skills by using the multiple regression test in SAS program. One hundred sixty four(64.5%) of the 259 rescuer graduated highschool, and 66.4% had less than 4 years career as a rescuer. Sixty one percentage has less than four times of CPR training. The interval from the last CPR training was less than 6 months in 59.1%, and less then 1 year in 71.4%. While over 75% of 119 rescuers had the experiences of primary emergency cares, about 50% had of CPR and of vital sign check. The accuracy of chest compression were 48.3%, 50.2%, and 52.2% in the rate, depth, and the site, but the accuracy of ventilation were 16.6%, 34.4%, and 35.1% in volume, interval of each ventilation, and the ratio of inspiration and expiration. The accuracy of CPR was influenced only by times of CPR training(p=0.0083), not by the education level, the professional career, nor interval after the last training. From the above results, we could have conclusion that EMT training program should be focused to the initial patient assessment , and CPR training should be shared more time in ventilation than in chest compression. Also we could reach to a conclusion that it is important to increase the times of CPR training for improving the accuracy of CPR and that the proper interval of the training might be less than 3 months in early phase.
Key words: Prehospital emergency care, Accuracy of CPR, CPR education
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