Earticle

초록

영어

Purpose: This study systematically examined the policy validity of expanding the scope of personnel authorized to perform prehospital endotracheal intubation (ETI). The analysis focused on whether this expansion aligns with patient safety principles and the national qualification system, using clinical evidence, the domestic legal and qualification framework, and international emergency medical services (EMS) personnel models. Methods: A systematic literature review and comparative legal analysis were conducted. Domestic and international literature was searched using major medical and legal databases. The analytical framework comprised three dimensions: (1) clinical evidence and skill maintenance requirements for ETI; (2) coherence of domestic legal and qualification systems; and (3) comparative analysis of EMS personnel models across 11 major countries. Results: Analysis of 63 domestic ETI-related medical malpractice cases showed that more than 95% resulted in death or severe permanent disability, and 88.9% were attributable to intubation failure or delay. The national licensing examination for Level 1 paramedics includes practical skills testing for high-risk procedures, including ETI. In contrast, the nursing examination is primarily written-based, indicating asymmetry between the qualification systems. International comparisons showed that nurses who perform prehospital ETI require additional paramedic certification or field-specific training, and no country permits equivalent duties based solely on nursing licensure. Conclusion: The findings suggest that the proposed enforcement decree revision has important limitations in clinical evidence, legal and institutional coherence, and consistency with international standards. Given the high-risk nature of ETI, policy decisions should be based on objective competency verification and continuous quality assurance systems. Careful reexamination of the proposed authorization of nurse ambulance personnel to perform ETI is therefore warranted.

목차

Abstract
Ⅰ. 서론
1. 연구의 필요성
Ⅱ. 연구방법
1. 연구설계
2. 문헌 검색 및 선정
3. 분석 방법
4. 윤리적 고려
Ⅲ. 연구결과
1. 기관내삽관의 임상적 위험성 및 숙련도 관련 근거
2. 국내 법·자격 체계 비교 분석 결과
3. 주요국 EMS 인력 체계 비교 분석결과
Ⅳ. 고찰
1. 기관내삽관의 임상적 위험성과 숙련도 요건
2. 국내 법·자격 체계의 정합성 문제
3. 해외 EMS 사례와의 비교
4. 연구의 한계
Ⅴ. 결론
1. 결론
2. 제언
ORCID ID
References
Appendix

키워드

저자

• 현진숙 [ Jin-sook Hyun | 선린대학교 응급구조학과 교수 ]
• 김근영 [ Keun-young Kim | 대구보건대학교 응급구조학과 교수 ] Corresponding Author
• 문준동 [ Jun-dong Moon | 국립공주대학교 응급구조학과 교수 ]
• 최미영 [ Mi-young Choi | 강원대학교 응급구조학과 교수 ]
• 서혜진 [ Hye-jin Seo | 대구보건대학교 응급구조학과 교수 ]
• 강민주 [ Min-ju Kang | 국립한국교통대학교 응급구조학과 교수 ]
• 강인혜 [ In-hye Kang | 대원대학교 응급구조학과 교수 ]

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

  1997~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 616