KMID : 0385920200310050483
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Journal of the Korean Society of Emergency Medicine 2020 Volume.31 No. 5 p.483 ~ p.503
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A survey of work status of a local emergency medical services (EMS) personnel and the perception between EMS personnel and medical directors about on-line medical oversigh
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Park Song-Yi
Ryu Ji-Ho Kim Sun-Hyu Choi Byung-Ho Kim Seong-Chun Lim Dae-Sung Bae Byung-Kwan
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Abstract
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Objective: This study investigated the current work status of emergency medical services (EMS) personnel and the differences in perception between EMS personnel and medical directors (MD) regarding on-line medical oversight in a province.
Methods: A total of 1,781 EMS personnel and 51 medical directors were surveyed. The questionnaire consisted of the basic demographic data, work status, perception of on-line medical oversight, and the upcoming national pilot project of the expanding firefighter EMS personnel¡¯s clinical scope. The survey was conducted from May 17 to 27, 2019.
Results: The response rates for EMS personnel and MD were 73.7% and 65.3%, respectively. Of the local EMS personnel, 86.8% were male. The average age and field career was 33.5¡¾6.2 years and 50 months, respectively. The proportion of nurse and 1st-grade emergency medical technicians were 30.6% and 35.7%. The EMS personnel and MD answered ¡®on-scene basic life support¡¯ and ¡®patient¡¯s refusal of transport¡¯, respectively, as the most unnecessary medical oversight. Both responded to the main problem of current medical oversight as ¡®request for unnecessary medical oversight.¡¯ EMS personnel responded that all items in the national pilot project of expanding firefighter EMS personnel¡¯s clinical scope would be helpful, while MD reported that only ¡®use of epinephrine in anaphylactic patient¡¯ and ¡®use of pre-hospital 12 lead electrocardiogram in chest pain patient¡¯ would helpful (P<0.01).
Conclusion: There was a certain difference in perception of the most unnecessary medical oversight and the upcoming national pilot project of expanding the clinical scope of firefighter EMS personnel between EMS personnel and MD.
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KEYWORD
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Emergency medical services, Emergency medical technicians, Physician executives, Recognition
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