Purpose: This study aimed to analyze the data from public information disclosure about pre-hospital advanced airway management and identify the problem by considering domestic laws and guidelines. Methods: Data were collected between 2017 and 2018 and analyzed using SPSS 25.0. Then, the problems of the analysis results based on the relevant laws and practical guidelines were reviewed. Results: The review of domestic laws and practice guidelines revealed that ambulance nurses can implement supraglottic airway device only under the following three conditions: ① smart advanced life support pilot project area, ② trained to insert I-Gel, and ③ member of a special ambulance. In total, 21,574 cases of advanced airway management (endotracheal intubation: 2,428, I-Gel: 18,502, LMA : 499, KING AIRWAY: 144) were reported. In many cases, advanced airway management was performed by ambulance nurses who did not meet the above conditions, which was in violation of laws and guidelines. In addition, the prognosis of intubated patients was not followed up. Conclusion: The Korea National Fire Agency must stop all unlicensed medical practice by untrained, uneducated, and uncertified nurses and demand quality control programs for intubated patients.
목차
Abstract Ⅰ. 서론 1. 연구의 필요성 Ⅱ. 연구방법 1. 연구설계 2. 자료수집 방법 3. 전문기도유지술 관련 국내외 법률및 지침 분석 4. 자료수집의 제한점 5. 분석방법 Ⅲ. 연구결과 1. 최근 2년(2017년부터 2018년)간 전국17개 소방 119구급대원 의해 행해진 병원 전 전문기도유지술(EndotrachealIntubation, I-Gel, LMA, KING AIRWAY) 결과 2. 전문기도유지술 관련 국내·외 법률 및 지침 Ⅳ. 고찰 Ⅴ. 결론 References
키워드
NursesUnlicensed medical practiceAirway managementIntubation
저자
박시은 [ Si-Eun Park | 동강대학교 응급구조과 ]
Corresponding Author
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]