간행물

대한응급의학회> 대한응급의학회지

대한응급의학회지 update

Journal of the Korean Society of Emergency Medicine

  • : 대한응급의학회
  • : 의약학분야  >  외과학
  • : KCI등재
  • :
  • : 연속간행물
  • : 격월
  • : 1226-4334
  • :
  • :

수록정보
수록범위 : 1권1호(1990)~30권4호(2019) |수록논문 수 : 2,488
대한응급의학회지
30권4호(2019년 08월) 수록논문
최근 권호 논문
| | | |

KCI등재

1응급의료기관 평가에서 한국 응급환자 중증도 분류기준의 오용

저자 : 정진우 ( Jinwoo Jeong )

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 293-295 (3 pages)

다운로드

(기관인증 필요)

초록보기

The Korean Triage and Acuity Scale (KTAS) is a localized modification of the Canadian Triage and Acuity Scale (CTAS). Although CTAS was not intended for defining the severity of individual patients or to be used in reimbursement processes, the misuse of KTAS is commonplace in Korea. In particular, the national assessment of emergency medical facilities in 2019 includes several indicators based on the improper application of KTAS scores.

KCI등재

2기관 내 삽관 시 굴곡기관지경과 비디오속심 비교: 시뮬레이션 연구

저자 : 윤지은 ( Jieun Youn ) , 한상국 ( Sang Kuk Han )

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 296-300 (5 pages)

다운로드

(기관인증 필요)

초록보기

Objective: The UE Video Stylet VL400-S2 (UE Medical Devices, Newton, MA, USA) and Ambu aScope (Ambu, Copenhagen, Denmark) were recently introduced rigid video stylets and single-use fiberoptic bronchoscopes, respectively. To compare the utility of the two sets of equipment, this study conducted a randomized cross-over study using a manikin.
Methods: Twenty-eight novice doctors performed tracheal intubation on an airway trainer manikin (Laerdal, Stavanger, Norway). The sequence of intubation devices was randomized. The following data were measured and recorded: time to complete tracheal intubation (primary end point), overall success rate, time to see the glottis, and time to tube passage.
Results: The video stylet (24 seconds; interquartile range [IQR] 18-36) showed a significantly shorter completion time of the tracheal intubation than the fiberoptic bronchoscope (43 seconds; IQR, 32-84) (P<0.001). The overall success rate of tracheal intubation was 96.4% (27/28) in the video stylet and 82.1% (23/28) in the fiberoptic bronchoscope, and the cumulative success rate over time to complete intubation was significantly higher in the video stylet (P<0.001).
Conclusion: The video stylet was superior to the fiberoptic bronchoscope in terms of the time to complete and the cumulative success rate of intubation for novice operators in manikin model. Further research will be needed to determine the degree of education required to use fiberoptic bronchoscopy.

KCI등재

3전국 설문조사를 통한 자동심장충격기 교육현황과 저해요인 분석

저자 : 최마이클승필 ( Michael Sung Pil Choe ) , 이미진 ( Mi Jin Lee )

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 301-308 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objective: Public concerns and awareness of automated external defibrillators (AEDs) are essential for improving the survival outcomes of out-of-hospital cardiac arrest (OHCA) in the community. On the other hand, the proportion of OHCA, in which AED is used in a prehospital setting, is very low in Korea. The aim of this study was to identify the barriers and training issues of AEDs.
Methods: A nationwide population-based survey was conducted to analyze the current public trends in AED awareness, training, and intention to use in 2017 (n=506). The barriers and training issues of AEDs were then documented. For trend analysis, previous tri-temporal surveys were obtained in 2007, 2011, and 2015.
Results: Public awareness of AEDs has increased: from 5.8% in 2007, to 30.6% in 2011, 82.6% in 2015, and 79.4% in 2017 (P<0.001). The training experience of AEDs has increased over time: from 0.5% in 2007 to 8.2% in 2011 and 33.2% in 2017. Thirty-two percent of respondents knew how and where to find the AEDs, but only 12.5% were able to certainly locate their public-access AED near their residency or work places. The reasons for being unwilling to use the AED included not knowing how to use (65.0%), fear of causing harm to the victim (21.3%), and legal liability (11.7%).
Conclusion: Not knowing the location of AED and how to use it, and being unaware of the Good Samaritan Law were the major barriers to public access defibrillation. Further research is urgently needed if AEDs are to be increased and more lives saved.

KCI등재

4한국형 응급환자 분류도구(Korean Triage and Acuity Scale) 적용 시 의사-간호사 간의 일치율 분석

저자 : 김형일 ( Hyung Il Kim ) , 오성범 ( Seong Beom Oh ) , 최한주 ( Han Joo Choi )

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 309-317 (9 pages)

다운로드

(기관인증 필요)

초록보기

Objective: The Korean Triage and Acuity Scale (KTAS) has been used in all emergency departments (EDs) since 2016. Medical personnel can provide the treatment priority based on the KTAS levels. The inter-rater agreement with KTAS has not been reported, even though most triage assignments are performed by nurses in Korea. This study was aimed to verify the agreement of triage levels between emergency physicians (EPs) and nurses with KTAS.
Methods: This was a prospective, single-center study of an academic tertiary medical center. If the patient visits the ED, the triage nurse and EP meet the patients together. The nurse performed the history taking and physical examinations including vital signs measurements then recorded the KTAS levels. The EP did not interfere with the nurse's decision. The EP also decided the KTAS levels. The designated codes and levels were compared. The EP recorded the detailed reasons for the disagreement if there was discrepancy.
Results: Comparisons were performed with 928 patients. The number of patients in each KTAS level was 95 (10.2%) in level I, 263 (28.3%) in level II, 348 (37.5%) in level III, 144 (15.5%) in level IV, and 78 (8.4%) in level V. The overall agreement was 761 (82%), and the Kappa coefficient was 0.691. The errors of history taking were most frequent (131, 78.4%). Insufficient understanding of the disease pathophysiology, inaccurate neurological examinations, and errors that did not consider the vital signs except for the blood pressure were encountered in 12 (7.2%).
Conclusion: The agreement rate was high between EPs and nurses using KTAS (K=0.691, substantial agreement).

KCI등재

5A nationwide study of the emergency department utilization rates according to season, day of the week, time of the day, region, and type of emergency department

저자 : Jun Ho Han , Sung Min Lee , Goeun Choi , Hyo Cheol Lee , Tag Heo

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 318-327 (10 pages)

다운로드

(기관인증 필요)

초록보기

Objective: The mismatch in the demand and supply of emergency medical resources has been a constant issue in Korean emergency departments (EDs). This study analyzed the characteristics and actual utilization of medical bed resources in these EDs.
Methods: The emergency department utilization (EDU) rate was calculated using the Emergency Medical Resource Information System (EMRIS) on the available beds in EDs from April 2014 to January 2015. The EDU rate was analyzed according to the season, day of the week, time of day, and ED type. Furthermore, the ratio between the maximum and minimum EDU rates was also compared between the regions.
Results: A total of 14,889,750 data points were included. The EDU rate was relatively high during winter and on Sundays, and was highest between 20:00 and 22:00. The ratio between the maximum and minimum EDU rates according to the time of day was highest in Gyeongbuk (5.4) and lowest in Daegu (1.4). Moreover, the EDU rate according to the ED type was highest in the regional emergency medical center (66.7%).
Conclusion: Significant differences were observed in the EDU rates according to the season, day of the week, time of the day, region, and ED type. Therefore, EMRIS should allocate resources based on the data on both the hospital and regional characteristics.

KCI등재

6응급의료기금 지원 사업 평가를 위한 델파이 연구

저자 : 이선영 ( Sun Young Lee ) , 손유동 ( Youdong Sohn ) , 신상도 ( Sang Do Shin ) , 송경준 ( Kyoung Jun Song ) , 홍기정 ( Ki Jeong Hong ) , 노영선 ( Young Sun Ro ) , 김태한 ( Tae Han Kim ) , 박정호 ( Jeong Ho Park ) , 박관진 ( Gwan Jin Park ) , 고서영 ( Seo Young Ko ) , 이승철 ( Seung Chul Lee

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 328-347 (20 pages)

다운로드

(기관인증 필요)

초록보기

Objective: This study aimed to achieve expert consensus for the evaluation of Emergency medical system operation fund (EMSOF) support projects using the Delphi method in Korea.
Methods: The Delphi study was performed in June 2018. Experts who are members of the policy committee of the Korean Society of Emergency Medicine (KSEM) participated in the study. Respondents were asked to express their level of agreement of appropriateness for the following 6 categories for 21 projects: project contents, amount of support, indicators, performance, overall evaluation, and need to maintain. With a possible score of 9 points, the project categories were classified into 3 groups, inappropriate, moderate and appropriate, based on the median score of the respondents' ratings in each question.
Results: Sixteen of the 18 policy committee members participated in the survey. Their average professional work years were 8.2 years. All 21 projects were evaluated as appropriate for content. Amount of support and indicators were evaluated as moderate. Only 5 out of the 21 projects were evaluated as having appropriate indicators. No projects were evaluated as ineffective. Comprehensive evaluation of the projects was evaluated as moderate, and no project was evaluated as inappropriate in fund support.
Conclusion: Overall, the contents of the EMSOF assistance project were rated high; however, there was a disagreement on the amount of support and evaluation indicators for each project. The results of this study are expected to be used as basic data to improve the use of EMSOF.

KCI등재

7호남지역 응급실 환자의 유출입 유형 분석

저자 : 오미라 ( Mira Oh ) , 전병욱 ( Byunguk Jeon ) , 이재현 ( Jaehyun Lee ) , 정태오 ( Taeoh Jeong ) , 허탁 ( Tag Heo )

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 348-354 (7 pages)

다운로드

(기관인증 필요)

초록보기

Objective: This study examined the inflow and outflow patterns of emergency department patients with si-gun-gu in the Gwangju, Jeonbuk, and Jeonnam areas.
Methods: Data from the Gwangju, Jeonbuk, and Jeonnam were extracted from the National Emergency Department Information System in 2016. The extracted data (on 42 areas in Gwangju, Jeonbuk, and Jeonnam) using the variables of the patient's address (zip code) and the emergency medical institution code (emergency medical institution address) were used to calculate the relevance index and commitment index. The calculated indices were classified into the regional types by applying NbClust and cluster analysis (K-means) of the R package.
Results: The relevance indices ranged from 12.5% to 90.4%, and the commitment indices ranged from 9.2% to 90.3%. The results of cluster analysis with the relevance indices and commitment indices revealed three types for 39 areas. In cluster 1, the relevance indices ranged from 43.5% to 61.6%, and the commitment indices ranged from 9.2% to 49.5%. Three out of the thirty-nine areas were classified as the inflow type. In cluster 2, the relevance indices ranged from 12.5% to 56.0% and the commitment indices ranged from 62.5% to 90.3%; 12 areas were classified as the outflow type. The areas in cluster 3 were classified as the self-sufficient type, with relevance indices ranging from 60.1% to 90.4% and commitment indices ranging from 59.0% to 89.7% for 24 areas.
Conclusion: Three area types and 11 out of 12 areas classified as outflow types were found to be emergency medical vulnerable areas. The results of this study can be used to establish local emergency medical policies.

KCI등재

8응급센터에 내원한 급성충수돌기염 환자에서 비천공성과 천공성 충수돌기염의 혈액검사 지표 비교분석

저자 : 조두호 ( Dooho Cho ) , 서정열 ( Jeong Yeol Seo )

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 355-359 (5 pages)

다운로드

(기관인증 필요)

초록보기

Objective: Unperforated and perforated acute appendicitis need to be differentiated because appendicitis with a free perforation requires an emergency operation to prevent contamination inside the bowel from spreading into the peritoneal cavity. The sensitivity of imaging tests is not reliable enough alone for determining the existence of a perforation. The aim of this study was to determine the differences in laboratory values between unperforated and perforated acute appendicitis to help distinguish perforated acute appendicitis.
Methods: The laboratory values and demographic data of a total of 175 patients who visited the emergency room and were diagnosed with acute appendicitis were collected. The time elapsed from symptom presentation to the ER visit, length of admission, patient demographics, and laboratory values, including sex, age, leukocyte count, neutrophil %, neutrophil count, C-reactive protein (CRP), platelet count, prothrombin time (PT), activated partial thromboplastin time, international normalized ratio (INR), serum glucose, blood urea nitrogen, creatinine, total and direct bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, and gamma-glutamyltransferase were analyzed.
Results: The factors associated with appendix perforations were an elevated leukocyte count, neutrophil count, neutrophil %, CRP, serum glucose and total bilirubin; and delayed PT and INR.
Conclusion: Acute appendicitis patients without definite imaging evidence of the perforation but with the laboratory values suggesting a perforation, such as elevated leukocyte count, neutrophil count, neutrophil %, CRP, serum glucose, and total bilirubin; and delayed PT, and INR should raise concern for a possible undiscovered perforation.

KCI등재

9외상환자에게 적용하는 focused assessment with sonography for trauma의 변형된 방식(modified FAST)에 대한 유용성 예비연구

저자 : 김부경 ( Bu Kyeong Kim ) , 김형일 ( Hyung Il Kim )

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 360-365 (6 pages)

다운로드

(기관인증 필요)

초록보기

Objective: Focused assessment with sonography for trauma (FAST) is used routinely for evaluating patients with major trauma. After a primary survey, the existence of hemoperitoneum or hemopericardium must be searched using FAST. Traditionally, hemopericardium can be assessed through the subcostal approach with the curved probe for the abdomen. On the other hand, satisfactory images (four chamber view) are difficult to obtain with this approach.
Methods: This was a prospective, single-center pilot study of an academic tertiary medical center. When FAST is performed on the patients, traditional FAST (subcostal approach with the curved probe) is generally conducted. During a FAST examination, the time consumed, numeric rating scale (NRS) for pain, and success rate of satisfactory images are recorded. After the traditional FAST was used, we used the curved probe like echo probe. The curved probe was positioned beside the left nipple with the probe marker opposite-sided (modified FAST) like the parasternal long-axis view of echocardiography. Finally, the existence of hemopericardium is confirmed using an echo probe. In this study, the consumed time, NRS, and success rate of satisfactory images were compared.
Results: The consumed time was shorter (57.4 vs. 71.2 seconds, P<0.001) and the pain score was lower (0.1 vs. 1.8, P<0.001) with the modified FAST compared to the traditional FAST. Satisfactory images were obtained in 23 cases (51%) with traditional FAST, whereas satisfactory images were obtained in 37 cases (82%) using modified FAST.
Conclusion: Modified FAST is more accurate for the detection of hemopericardium than traditional FAST. The pain is less severe and the time consumed is shorter.

KCI등재

10Incidentally detected gallbladder agenesis in a child: the importance of identifying anatomic structure

저자 : Jae Hun Jung , Hyo Rim Suh , Dong Eun Lee , Jae Young Choe , So Mi Lee , Ben Kang , Byung-ho Choe

발행기관 : 대한응급의학회 간행물 : 대한응급의학회지 30권 4호 발행 연도 : 2019 페이지 : pp. 366-370 (5 pages)

다운로드

(기관인증 필요)

초록보기

The absence of a gallbladder is a very rare anomaly. While it is usually asymptomatic, it can cause biliary colic symptoms. For these reasons, gallbladder agenesis can be misdiagnosed as a hepatobiliary disease and is diagnosed correctly after surgery. This condition may also be detected through an autopsy for other causative diseases. Abdominal ultrasonography is used as a diagnostic method to detect gallbladder agenesis. Hepatobiliary scintigraphy, magnetic resonance cholangiopancreatography, and endoscopic cholangiopancreatography are also used to make a more accurate diagnosis. In the emergency room, however, gallbladder agenesis can still be misdiagnosed as acute or chronic cholecystitis, leading to the detection of gallbladder agenesis in the operating room. Although some cases of gallbladder agenesis detected in adults during surgery have been reported in Korea, there are no reports of gallbladder agenesis in pediatric patients to date. This paper reports a case of gallbladder agenesis in a symptomatic child that was detected incidentally by a radiographic examination.

12
권호별 보기
가장 많이 인용된 논문

(자료제공: 네이버학술정보)

가장 많이 인용된 논문
| | | |
1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

(2006)홍길동 외 1명심리학41회 피인용

다운로드

2미국의 비트코인 규제

(2006)홍길동심리학41회 피인용

다운로드

가장 많이 참고한 논문

(자료제공: 네이버학술정보)

가장 많이 참고한 논문

다운로드

2미국의 비트코인 규제

(2006)홍길동41회 피인용

다운로드

해당 간행물 관심 구독기관

서울대학교 연세대학교 국회도서관 조선대학교 부산대학교
 54
 48
 38
 33
 27
  • 1 서울대학교 (54건)
  • 2 연세대학교 (48건)
  • 3 국회도서관 (38건)
  • 4 조선대학교 (33건)
  • 5 부산대학교 (27건)
  • 6 일산병원 (22건)
  • 7 백석대학교 (18건)
  • 8 부경대학교 (18건)
  • 9 고려대학교 (18건)
  • 10 한양대학교 (16건)

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기