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J Korean Soc Emerg Med > Volume 32(6); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(6): 665-682.
구급지도의사 간접의료지도 평가 정확도
이성화1 , 김선휴2 , 김성춘3 , 김정은4, 양태원4, 김민희5, 차준재6, 영남지역의료지도연구회
1제주한라병원 응급의학과
2울산대학교병원 응급의학과
3창원경상대학교병원 응급의학과
4부산광역시 소방재난본부
5울산광역시 소방본부
6경상남도 소방본부
Accuracy of medical directors for indirect medical oversight on prehospital care
Seong Hwa Lee1 , Sun Hyu Kim2 , Seong Chun Kim3 , Jeong Eun Kim4, Tae Won Yang4, Min Hui Kim5, Jun Jae Cha6, Regionalization and Research of Emergency Medical Services in Yeongnam (RREMSY) Group
1Department of Emergency Medicine, Cheju Halla Hospital, Jeju, Korea
2Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
3Department of Emergency Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Korea
4Busan Metropolitan City Fire and Disaster Headquarters, Busan, Korea
5Ulsan Fire Department, Ulsan, Korea
6Gyeongsangnam-do Fire Department, Changwon, Korea
Correspondence  Sun Hyu Kim ,Tel: 052-250-8405, Fax: 052-250-8071, Email: stachy1@paran.com,
Received: November 27, 2020; Revised: January 30, 2021   Accepted: March 2, 2021.  Published online: December 31, 2020.
ABSTRACT
Objective:
This study aimed to evaluate the accuracy of the assessment of medical directors for indirect medical oversight on prehospital care.
Method:
Medical directors assessed the same prehospital care run sheets with six cases of cardiac arrest, four cases of withholding or interruption of cardiopulmonary resuscitation (CPR) and six cases of severe trauma patients. Demographics of the medical directors and the accuracy of their assessment for the prehospital care run sheets were investigated.
Results:
Board certified emergency physician was 14 of the total 21 medical directors (58%). Eleven medical directors were educated for the medical director course of the Korean council of emergency medical services physicians. The accuracy of the assessment of the medical directors was 50% in the assessment of electrocardiogram using an automated external defibrillator (AED) in cardiac arrest. Pulse check, respiration check, AED monitoring and the reason of interruption for CPR were lower than 60% for withholding or interruption of CPR. The lowest accurate assessment of medical directors was the appropriate treatment for trauma, with 36.5% in severe trauma.
Conclusion:
Lower accuracy in some assessments of the medical directors for indirect medical oversight on prehospital care was identified. Education and quality control are needed for medical directors to provide high-quality indirect medical oversight.
Key words: Emergency medical services; Prehospital emergency care; Quality control
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