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J Korean Soc Emerg Med > Volume 34(5); 2023 > Article
Journal of The Korean Society of Emergency Medicine 2023;34(5): 429-436.
응급실 근무 응급구조사에 대한 폭력의 특성 및 영향
양진영1, 사공준2 , 강재환3, 김정호1
1영남대학교 의과대학 응급의학교실
2영남대학교 의과대학 예방의학교실
3영남대학교 환경보건대학원 보건학과
Characteristics and impacts from assault against emergency medical technicians in the emergency room
Jinyoung Yang1, Joon Sakong2 , Jae-Hwan Kang3, Jung Ho Kim1
1Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea
2Department of Preventive Medicine and Public Health, Yeungnam University College of Medicine, Daegu, Korea
3Department of Public Health, Graduate School of Environment and Public Health, Yeungnam University, Daegu, Korea
Correspondence  Jung Ho Kim ,Tel: 053-620-3191, Fax: 053-620-3191, Email: jhkimem@naver.com,
Received: February 23, 2022; Revised: May 16, 2022   Accepted: June 14, 2022.  Published online: October 31, 2023.
Assault in the emergency room can lead to a decrease in the quality of the entire emergency medical system due to the functional deterioration and increased fatigue of the medical staff. This research tried to identify and analyze the characteristics of assault against emergency medical technicians (EMTs) working in the emergency room and establish the factors related to poor post-assault-exposure response.
In this multicenter study, we conducted a survey of EMTs working in the emergency rooms. Response after assault was measured by Likert 5-point scale; the data of the participants were divided based on the median score. The demographic characteristics, hospital preparedness, and the characteristics of the assault were analyzed. Afterwards, the data of the risk factors for poor post-assault-exposure response were subjected to multivariable logistic analysis.
Of the 141 study participants, 84 (59.6%) were women. Most of them had experienced verbal violence (n=137, 97.2%) and physical threats (n=137, 92.2%), and 96 (68.0%) had experienced physical assault in the past year. The results of the multivariable logistic regression analysis revealed that female sex (adjusted odds ratio [aOR], 6.152; 95% confidence interval [CI], 2.687-14.120) and the increase in the number of physical assaults (aOR, 1.160; 95% CI, 1.036- 1.298) were associated with a poor response.
Considering the importance of the EMTs in the emergency medical system and the potential adverse effects on the status of their health and services, the provision of appropriate support to female EMTs and the active intervention for attenuation of physical assault escalation in case of aggressive situations is needed. Our present results can be used for the identification and resolution of the underlying causes of these problems.
Key words: Emergency room; Emergency medical technician; Surveys and questionnaires; Workplace violence
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