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J Korean Soc Emerg Med > Volume 34(6); 2023 > Article
Journal of The Korean Society of Emergency Medicine 2023;34(6): 568-585.
코로나바이러스감염증-19 대유행 1년 후 감염병 유행 대비 국내 응급의료기관 운영현황
조영준1 , 문성배1 , 류현욱1 , 안재윤1 , 백진휘2 , 정유진3 , 정주4 , 최욱진5 , 홍기정6
1경북대학교 의과대학 응급의학교실
2인하대학교병원 응급의학과
3전남대학교병원 응급의학과
4분당서울대학교병원 응급의학과
5울산대학교 의과대학 울산대학교병원 응급의학과
6서울대학교병원 응급의학과
Operational status of Korean emergency medical institutions in preparation for infectious disease outbreak after COVID-19 pandemic: 1 year later
Young Jun Cho1 , Sungbae Moon1 , Hyun Wook Ryoo1 , Jae Yun Ahn1 , Jinhui Paik2 , Eujene Jung3 , Joo Jeong4 , Wook Jin Choi5 , Ki Jeong Hong6
1Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
2Department of Emergency Medicine, Inha University Hospital, Incheon, Korea
3Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea
4Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
5Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
6Department of Emergency Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
Correspondence  Sungbae Moon ,Tel: 053-420-6400, Fax: 053-428-2820, Email: snbaem@gmail.com,
Received: October 17, 2022; Revised: October 25, 2022   Accepted: October 30, 2022.  Published online: December 31, 2023.
ABSTRACT
Objective:
A regional pandemic may result in a crisis in providing emergency care to the community and disrupt emergency medical services. This study examined how the recent coronavirus disease 2019 pandemic impacted emergency department (ED) preparedness nationwide by describing the current ED operations.
Method:
A cross-sectional survey was developed and distributed nationwide to emergency physicians. All 57 severe emergency care centers and 35 selected local emergency medical institutions nationwide were invited to participate. The survey consisted of basic ED information, infection guidelines, and operations for ED, preemptive pretriage area details, ED quarantine area details, cohort isolation and preemptive quarantine area, and difficulties or problems in treating infectious patients.
Results:
Forty-nine severe emergency care centers (86%) and 24 (68.6%) local emergency medical institutions answered the survey. Most EDs (95.9% and 91.7% of severe emergency care centers and local emergency medical institutions, respectively) operated under infection guidelines. In addition, 51% and 72.3% of preemptive pretriage areas in severe emergency care centers and local emergency medical institutions, respectively, placed doctors. Both negative and normal pressurized ED quarantine areas were more placed in severe emergency care centers (3 and 3 vs. 0.5 and 1 of severe emergency care centers and local emergency medical institutions, respectively). In severe emergency care centers, the preemptive quarantine areas were operated more than the cohort isolation areas (63.3% vs. 40.8%). Common difficulties expressed by EDs were delayed polymerase chain reaction test results (4.5 and 4.1 of severe emergency care centers and local emergency medical institutions, respectively) and a fear of infection with ED shutdown (4.4 and 4.1 of severe emergency care centers and local emergency medical institutions, respectively).
Conclusion:
This study surveyed how ED care was changed by the pandemic and how current resources are redeployed nationwide. These results may be used as a basis for future ED pandemic preparedness.
Key words: Pandemics; COVID-19; Emergency preparedness; Triage; Quarantine
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