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KMID : 0895520140180020137
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Journal of the Korean Society of Emergency Medical Technology
2014 Volume.18 No. 2 p.137 ~ p.145
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Training and role of paramedics in Japan
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Lee Kyoung-Youl
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Abstract
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Purpose: The emergency medical service (EMS) system in Japan is similar to that in Korea. This study reviewed the development of paramedics who are major personnel in the respective EMS system of their country.
Methods: We searched law for paramedics and publications in J-stage, MEDLINE and the webpage of Japan’s Fire and Disaster Management Agency.
Results: Paramedic training had started in Japan in 1991, and most paramedics were employed in fire departments. In Japan, ambulances belonging to fire department are staffed by a three-person unit, including at least one paramedic. Medical control advisory boards were established in all Japanese prefectures in 2003 with the purpose of upgrading the activities of ambulance personnel, including paramedics. The scope of paramedics’ work has been widened owing to the continued efforts of medical control advisory boards. This allows them to perform invasive procedures including tracheal intubation, intravenous line placement, and epinephrine administration under medical control of a physician.
Conclusion: As paramedics’ responsibilities expand, further development of the paramedic role and an effective medical control advisory board system are imperative both Korea and Japan.
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KEYWORD
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Paramedics, Japan, Training, Role, Medical control advisory board
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