Purpose: This study evaluated the practical accessibility of automated external defibrillators (AEDs) for public use and examined the appropriateness of AED placement by analyzing temporal, physical, and spatial accessibility in cases of out-of-hospital cardiac arrest (OHCA). Methods: This retrospective cross-sectional observational study analyzed 112 OHCA cases and 190 AEDs from City A, Province G. Accessibility was assessed according to temporal characteristics (operating hours), physical characteristics (walking distance), and spatial characteristics (installation location and lock status). A field survey of 125 local residents and workers was also conducted to evaluate public awareness of and access to AEDs. Results: Although AEDs had been installed, only 8 of 112 OHCA cases (7.1%) had a practically accessible AED within 200 m. AED accessibility differed significantly by temporal (χ²=71.946, p<.001), physical (χ²=47.520, p<.001), and spatial (χ²=41.310, p<.001) characteristics. In some cases, AEDs were installed within 100 m; however, actual access remained limited because of restricted operating hours, locked facilities, and indoor placement. Public awareness of AEDs was relatively high, but only 22.5% of respondents with cardiopulmonary resuscitation education correctly identified AED locations. Conclusion: Increasing the number of AEDs alone may not improve practical accessibility. Future AED placement policies should account for temporal, physical, and spatial accessibility to improve public access and support effective AED use during cardiac arrest emergencies.
목차
Abstract Ⅰ. 서론 1. 연구의 필요성 Ⅱ. 연구방법 1. 연구설계 2. 연구대상 3. 자료수집 방법 4. 연구도구 5. 분석방법 6. 연구의 제한점 Ⅲ. 연구결과 1. 연구대상 지역의 급성 심정지 환자발생 특성 2. 자동심장충격기 설치 현황 3. 시간적 특성에 따른 자동심장충격기접근성 4. 물리적 특성에 따른 자동심장충격기접근성 5. 공간적 특성에 따른 자동심장충격기접근성 6. 일반인 자동심장충격기 인지 및 접근 가능성 Ⅳ. 고찰 Ⅴ. 결론 및 제언 1. 결론 2. 제언 ORCID ID References
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 ]