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J Korean Soc Emerg Med > Volume 29(4); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(4): 350-357.
심폐소생술 전화 지도를 포함한 119구급상황관리센터 이용 현황 분석
김창성1 , 김혁훈2 , 김기운3 , 이슬기4 , 김수태5 , 최상천2 , 조준필2
1아주대학교 대학원 의학과
2아주대학교 의과대학 응급의학교실
3순천향대학교 부천병원 응급의학과
4동의과학대학교 응급구조과
5강원대학교 응급구조학과
Analysis of the 119 emergency situation control center usage including dispatcher-assisted cardiopulmonary resuscitation instructions
Chang Seong Kim1 , Hyuk Hoon Kim2 , Gi Woon Kim3 , Seul Ki Lee4 , Soo Tae Kim5 , Sangchun Choi2 , Joonpil Cho2
1Ajou University Graduate School of Medicine, Suwon, Korea
2Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea
3Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
4Department of Emergency Medical Technology, Dong-Eui Institute of Technology, Busan, Korea
5Department of Emergency Medical Technology, Kangwon National University, Chuncheon, Korea
Correspondence  Sangchun Choi ,Tel: 031-219-7750, Fax: 031-219-7760, Email: avenue59@ajou.ac.kr,
Received: April 2, 2018; Revised: June 10, 2018   Accepted: July 16, 2018.  Published online: August 31, 2018.
Analyses of the status of 119 emergency situation control center (119 ESCC) usage are lacking. Therefore, this study investigated the status of the 119 ESCC usage, including dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) instructions.
The emergency activity daily reports and emergency instruction sheets of 119 ESCC from January to December 2016 were reviewed. For more accurate status analysis, the computerized data of the 1339 Emergency Medical Information Center from January to December 2011 were also reviewed.
In 2016, the total usage of the 119 ESCC was 1,393,876 calls, which was 27.8% lower than the 1,930,977 calls in 2011. Of the 1,393,876 eligible calls, the most common call was hospital guidance (n=743,799, 53.4%), followed by first aid (n=397,620, 28.5%), disease consultation (n=150,128, 10.8%), medical oversight (n=81,174, 5.8%), and interhospital transfer (n=5,123, 0.4%). Regarding the user number per 10,000 persons, Daejeon was the greatest at 57.2, whereas Changwon was the lowest at 11.5. A total number of DA-CPR was 19,439. The time from the call to chest compression were 173±88.6 seconds in the subjects having previous cardiopulmonary resuscitation training and 184.0± 88.2 in the subjects having no such training (P<0.001).
The ratio of first aid instructions, including DA-CPR, among total usage of the 119 ESCC increased but the overall usage of the 119 ESCC decreased. Therefore, further efforts will be needed to improve the quality and professionality of the information provided through the operation of 119 ESCC.
Key words: Emergency medical services; Heart arrest; Cardiopulmonary resuscitation; Emergency medical dispatcher
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