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KMID : 0356219920230010034
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Journal of the Korean Military Medical Association
1992 Volume.23 No. 1 p.34 ~ p.62
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An Analysis on the Management of General Hospital Emergency Rooms in the Army
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Abstract
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I have done questionaire about the emergency room operation and realities in the military Hospitals from march, 25th, to April, 25th, 1991.
@ES Conclusions as following-
@EN 1. The rank of answerer of the questionaire are 17 Cpt, 4Maj, and the position of answerer are 12 chief of out-patient division, 7 chief surgeon, and 2 others. The terms of service is that 2 people one year, 3 people two years, 8 people three
years,
3 people four years, 6 people five years more.
2. The number of beds in the emergency room didnot standarded. The number of treatment subject are 5 to 8 in the MASH, 8to 16 in the FH, 11 to 14 in the EH, 10 to 19 in the state Hospital.
3. The statistics of care an emergency patient maintain 11 Hospitals and 10 the other Hospital have not in the Emergency room. The space of Emergency room was very small, but I didhot measure, precisely.
4. Medical Equipments different to care a serious patient in the emergency room by the hospital, respectively.
5. Attached facilities does not model in the emergency room and not enough to support main function. 5 Hospitals operate special rooms for the serious patients respectively.
6. 16 Hospitals charges of emeryency room by the chief of outpatient division, 2 Hospitals by the chief surgean, others 3 Hospitals. Duty time of nurses and medic are fixed by the routine order, and 12 Hospitals operate special room for standby,
others
9 Hospitals do not operate.
7. 6(29%) Hospitals have an emergency room operating committee, but 15(71%) Hospitals were not made. Emergency care patient can be see orderly; Medic, nurses, duty docter, resident docter. The rank of NC serving in the Emergency room; Second Lt
to
one
Hospital first Lt 9 Hospitals, cpt to 10 Hospitals.
8. 7(33%) Hospitals have professional care team for Emergeney care, but 14(67%) Hospital were not composed, 6 Hospitals have been CPR Education Program, on the other hand 15 Hospitals were not established. First and techniques program
established
for
nurses to 17Hospitals, but the other 4 Hospitals were not.
9. The means of evacuation for emergency care patients, 91.8%(2636) AMB, 4.5%(128) Air AMB, 3.8%(109) the other means. Carring, Medical Equipments on the AMB includes a sort of ringers, medicines, blood pressure meter(18 Hospitals), Breathing
equipment, (18 Hospitals), Oxegen tanks(17 Hospitals), Air way (16 Hospital), Traction for Fracture(13 Hospitals).
10. The people who riding on the AMB While evacuate patients, most of them was duty officer(MC) Which at 14 Hospitals, and 4 Hospital resident charges their own subject, one Hospital NCO, one Hospital Medic. When Generated emergency care
patients
to
communicate from here to there. Which have good Liaison systems to 13 Hospital, normla Liaison to 6 Hospital, one Hospital was over poor.
11. After emergency care patients arriving at the Hospital that 11 Hospital have provided 80% level Emergeney care, 6 Hospitals 40% to 60% Level, 3Hospital 40% Level less more. The reason of Evacuate patient to higher Level medical facilities
after
Emergency care which is Lack of facilities and Equipments to 16 Hospitals, the short of whole medical matierials to 2 Hospitals.
12. The ratio of satisfation who charges Emergency room which is normal Level, 39% under normal Level. Answered unsatisfy people camplain that the Equipment(13 Hospitals), Medical Matierials(12 Hospitals), Facilities(11 Hospitals), Enviroments
(9
Hospitals).
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