The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
권호 표지
DOI QR코드

DOI QR Code

Factors influencing the performance of emergency medical technicians utilizing smart advanced life support (SALS)

119구급대의 스마트의료지도 직무수행능력 영향요인

  • Choi, Jun-Won (Department of Emergency Medical Center, Chosun University Hospital) ;
  • Lee, Hyo-Cheol (Department of Emergency Medical Service, Honam University)
  • Received : 2019.09.11
  • Accepted : 2019.12.13
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The present study was conducted to identify the factors influencing the perfromance of the emergency medical technicians (EMTs) utilizing smart advance life support (SALS) and to provide appropriate feedback to improve SALS performance. Methods: The study subjects were recruited from 119 EMT members working in G city participating in SALS project. A total of 155 data were used in the analysis. Results: Of the three areas, the mean score of importance was the highest (4.53±0.48). followed by educational needs (4.24±0.66), and SALS performance (4.08±0.55). Importance was identified as a significant factor influencing SALS performance (β=.187, p<.047).The length of education. work scope. amd role of level 1 EMTs vary significantly depending on the type of qualifications they have as emergency medical professionals, while the supply of level 1 EMTs has already reached a point of saturation. Accordingly, the current regulation on allowing level 2 EMTs with at least three years of experience to take the level 1 EMT test presents serious inequity for students just graduating from their emergency medical services program. It is also a factor that degrades the professionalism of level 1 EMTs. Conclusion: Based on the results of this study, it was found that mediation and education programs need to be implemented to highlight the importance of the tasks performed in SALS situations in order to improve performance.

Keywords

References

  1. Jong GL. The recent telehealth trends in the united states and the review of the amendment draft of the Korean medical act. Dankook Law Review 2016:40(4):3-38. https://doi.org/10.17252/dlr.2016.40.4.001
  2. National emergency medical center. Report on the result of the smart advanced life support pilot project of 119 rescuers and emergency medical technicians. 2016.
  3. Moon HJ. Effect of intravenous vascular access and drug administration on out-ofhospital cardiac arrest outcomes following prehospital advanced life support: results from the smart advanced life support study. Unpublished master's thesis, Soonchunhyang University 2016, Asan, Korea.
  4. Lee EK, Kim JS. Factors influencing triage nurses' the korean triage and acuity scale performance ability. J Korean Clin Nurs Res 2018;24(1):94-102. https://doi.org/10.22650/JKCNR.2018.24.1.94
  5. Kim NG. Recognition and performance of 119 emergency medical technicians for the medical oversight. Unpublished master's thesis, Dong-a University 2013, Busan, Korea.
  6. Benger JR, Kirby K, Black S, Brett SJ, Clout M, Lazaroo MJ et al. Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome, the AIRWAYS-2 randomized clinical trial. JAMA 2018;320(8):779-91. https://doi.org/10.1001/jama.2018.11597
  7. Cournoyer A, Notebaert E, Iseppon M, Cossette S, Londei-Leduc L, Lamarche Y, et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: A cohort study. Academic Emer Med 2017 2017;24:1100-9. https://doi.org/10.1111/acem.13246
  8. Kim JH, Shim GS. Convergence study on the intravenous access of paramedics in ambulances. Journal of the Korea Convergence Society 2017;8(11):177-82. https://doi.org/10.15207/JKCS.2017.8.11.177
  9. Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW et al. Part 8: adult advanced cardiovascular life support: 2010 american heart association guidelines for cardiopulmonary resuscita-tion and emergency cardiovascular care. Circulation 2010;122(18 Suppl 3):729-67. https://doi.org/10.1161/CIRCULATIONAHA.110.970988
  10. Nolan JP, Soar J, Zideman DA, Biarent D, Bossaert LL, Deakin C et al. European resuscitation council guidelines writing group. european resuscitation council guidelines for resuscitation 2010 section 1. executive summary. Resuscitation 2010;81(10):1219-76. https://doi.org/10.1016/j.resuscitation.2010.08.021
  11. Shin SD, Ahn KO, Jung JH, Kim DK. Evaluation of the effect of the education on prehospital drill type intraosseous access of level 1 emergency medical technicians. J Korean Soc Emerg Med 2008;19(6):611-6.
  12. Park JH, Kim JM, Hyeon SY, Sin YS, Lee DW, Kim JY et al. Implementation of a direct medical direction system for 119 EMS providers and expansion of scope of practices under the indirect protocols-experience in gyunggi province. J Korean Soc Emerg Med 2015;26(4):276-85.
  13. Park, YN, Cho BJ, Kim GY. The effects of out of hospital ACLS simulation training on the paramedic's duty ability. Journal of the Korea Convergence Society 2017;10(4):99-106. https://doi.org/10.15207/JKCS.2017.10.4.099
  14. Lee SH, Choi YH. A study on job stress and job satisfaction of 119 relief squads. Journal of Korean Acad Comm Health Nurs 2006;17(4):521-9.
  15. Min BJ, Cho HJ. An analysis of the perception gap of importance and performance of the master teachers' job. The Journal of Curriculum Studies 2010;28(4):103-33. https://doi.org/10.15708/KSCS.28.4.201012.005005