A prospective research of 1,573 patients who visited emergency room was completed by the emergency physician of Wonju College of Medicine of Yonsei University, and Youngdong Hos pital. This prospective study demonstrate the problems of
prehospital
emergency care and transfer system of the emergency patient. Among 1,573 patients, 86.9% were admitted to the Emergency room by the non-emergency vehicle such as taxi and bus, and only 13.1% was admitted via ambulance. At the situation of
emergency, the
most of patients and patient's families could not call for the help to emergency telemetry center because only 3.1% among total patients knew the emergency call number (Tel. No:129).
Because the emergency delivery system between emergency centers from Level. I, II to Level III was not established yet, only 492 patients (31.3%) were transferred from Level I. II emergency room to our emergency center but 1081 patients (68.7%)
were
admitted directly to Level III emergencycenter from emergency fields. Among 1,081 patietns who visited Level III emergency center directly, only 240 patietns (23%) were admitted for further treatmet, but in transferrend cases (492 patients), 271
patients (55%) were admitted. Especially in the injured patients, severely injured patients (ISS 16) occupied only 6% among 441 patrents who visited directly, but it occupied 21% among 150patients who were transferrd from local community
hospital.
This
results means that many non-urgent patients visited Level III emergency centers without the previous visiting of Level I, II emergency room.
This study reveals that EMSS (Emergency Medical Services System) including the telemetry systems must be organized in short-time to reduce the mortality and morbidity of emergency patients. First. the educations about the emergency call system
and
First
Aids to the people must be stsryed initially through the school and mass-media such as television and radio network. Second, emergency delivery system between Level I, II, II emergency center must be organized for the effective and rapid
transportaion
of acute ill patients.
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