A Survey on Prehospital Emergency Medical Service for the Improvement of Acute Coronary Syndrome Assessments - Focus on the Jecheon.Danyans Area -

Sang-Gyun, Roh

Fire Science and Engineering 2008;22(3):293-299.
Published online September 30, 2008.

급성관상동맥증후군 환자의 병원 전 119구급의료서비스 실태 및 개선방안 -충북 제천.단양을 중심으로-

노상균

호원대학교 응급구조학과

A Survey on Prehospital Emergency Medical Service for the Improvement of Acute Coronary Syndrome Assessments - Focus on the Jecheon.Danyans Area -

Roh Sang-Gyun

요약

119 구급대를 이용하여 급성관상동맥증후군을 진단 받은 97명의 환자평가로는 혈압 27.8%, 호흡 23.7%, 맥박 33.0%를 측정하였고, 응급처치로는 산소공급 52.6%, 안정 12.4%, 심전도 체크 4.1%, Nitroglycerin(NTG) Aspirin 정맥로 확보 둥은 0%로 전체적인 수행율이 낮게 확인되어 급성관상동맥증후군 환자의 병원 전 처치가 제대로 이루어지지 못하고 있다. 따라서 구급대인의 질적 향상을 위해서 실무중심의 지속적인 교육, 교육 후에는 반드시 평가를 병행하여 적정수준 미달자에게는 재교육을 받도록 하는 등 구급대원의 자질을 강화시킬 수 있도록 내부적인 초안이 마련되어야 할 것이다.

Abstract

From January, 2004 to July, 2007, 97 patients were diagnosed with Acute coronary syndrome(ACS) in Emergency Medical Center in Jecheon City in Korea. Among 97 patients, the prehospital assessment rates were as follows ; blood pressure check(27.80%, pulse rate check(33.0%), respiration check(23.7%). In hospital emergency care, oxygen supply was 52.6%, absolute bed rest was 12.4%, electrocardiogram(EKG) check was 4.1%, and nitroglycerin and intravenous fluid therapy was 0%. Therefore, ACS patients have not received sufficient prehospital cares till now. In order to improve the proficiency of the first aid emergency medical technicians(EMTs), it is necessary to provide the continuing On-the-job training(OJT) programs for prehospital emergency care.

Key Words: ACS(Acute Coronary Syndrome), Physical assessments, Emergency medical treatment