Earticle

Purpose: The study aimed to collect the first aid activity log data of patients who were retransferred through paramedics and to analyze the data in the hospital to improve the plan. Methods: We analyzed 434 retransferred patients, out of the 18,197 patients who visited the emergency medical center in the C area in G metropolitan city, from January 2017 through December 2018. The collected data were analyzed using the SPSS software. Results: The patients were retransferred for various reasons: 17.7% (77 cases) due to the absence of specialists, 15.0% (65 cases) required first aid, and 5.3% (23 cases) due to absence of medical department. In addition, the major medical department with the largest number of retransfer was the department of emergency medicine with 38.2% (166 cases). In the prehospital stage, 38.5% (167 cases) were classified as severe, but in the hospital stage, they were classified as mild. In addition, as a result of hospitalization and discharge, 60.4% (262 cases) were discharged. Conclusion: Most of the retransferred patients were non-emergency patients, and were discharged for mild conditions. The overcrowding in the emergency room of a tertiary hospital can be prevented by reducing the retransmission.

Based on ITAR(International Traffic in Arms Regulations) and EAR(Export Administration Regulations), theUS government requires any foreign stakeholder, irrespective of nationality and domicile, to obtain approvalprior to the export or transfer of strategic items to interested parties of the third country. This extraterritorialjurisdiction has been recognized as a significant burden for Korea’s commercial and governmental activities instrategic items trade, bringing concerns over its recent initiative to promote defense industry. Unlike previousresearches which simply snapshot ITAR and EAR, this study is to analyze procedural requirements of ITAR andEAR for reexport or retransfer and get some academic and policy implications for Korea.