Earticle

초록

영어

Purpose : The purpose of this study is to provide the basic data to improve pre-hospital phase emergency care for acute myocardial infarction (AMI) patients by analyzing AMI patients’ clinical characteristics and emergency care situations. Methods : Data were collected through medical records of 385 AMI patients including ambulance records of 107 AMI patients transferred to the emergency medical center for three and a half years. Results : Regarding emergency care for AMI patients in pre-hospital phase, 47% of the care revealed moderate level or higher, and appropriateness of pre-hospital phase emergency care for cardiopulmo‐nary complaints practiced by paramedics showed statistically significant improvement in recent years (p< .001). The time from onset of symptom to ballooning intervention by 119 emergency services was shorter than that in other cases. However, emergency care by paramedic was mainly basic life support. Conclusion : Since prognosis of AMI shows vast differences depending on prompt detection and medical intervention, cooperation between pre-hospital and in-hospital phase is highly required. 119 paramedics should be trained focusing on the accurate assessment and emergency care, and medical direction should be activated. In addition, regulation on 12-lead EKG, cardiac enzyme analysis, use of analgesics and thrombolytic agents should be legally implemented.

목차

Abstract
 Ⅰ. 서론
  1. 연구의 필요성
  2. 연구의 목적
 Ⅱ. 연구방법
  1. 연구 설계
  2. 연구대상
  3. 연구도구
  4. 자료수집방법
  5. 자료 분석 방법
 Ⅲ. 연구결과
  1. 급성심근경색증 환자의 일반적인 특성
  2. 구급활동일지 분석
  3. 의무기록 분석
 Ⅳ. 고찰
  1. 급성심근경색증 환자의 일반적인 특성
  2. 구급활동일지 분석
  3. 의무기록지 분석
 Ⅴ. 결론
 참고문헌

키워드

저자

• 이한나 [ Han-Na Lee | 서정대학교 응급구조과, 수원소방서 남부 119안전센터 ]
• 조근자 [ Keun-Ja Cho | 공주대학교 응급구조학과, 공주대학교 건강산업연구센터 ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]

• 간기

  연3회

• pISSN

  1738-1606

• eISSN

  2384-2091

• 수록기간

  1997~2025

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 616