원문정보
The current status and legal review of advanced airway management implemented by 119 EMTs
초록
영어
Purpose: This study aimed to analyze the data from public information disclosure about pre-hospital advanced airway management and identify the problem by considering domestic laws and guidelines. Methods: Data were collected between 2017 and 2018 and analyzed using SPSS 25.0. Then, the problems of the analysis results based on the relevant laws and practical guidelines were reviewed. Results: The review of domestic laws and practice guidelines revealed that ambulance nurses can implement supraglottic airway device only under the following three conditions: ① smart advanced life support pilot project area, ② trained to insert I-Gel, and ③ member of a special ambulance. In total, 21,574 cases of advanced airway management (endotracheal intubation: 2,428, I-Gel: 18,502, LMA : 499, KING AIRWAY: 144) were reported. In many cases, advanced airway management was performed by ambulance nurses who did not meet the above conditions, which was in violation of laws and guidelines. In addition, the prognosis of intubated patients was not followed up. Conclusion: The Korea National Fire Agency must stop all unlicensed medical practice by untrained, uneducated, and uncertified nurses and demand quality control programs for intubated patients.
목차
Ⅰ. 서론
1. 연구의 필요성
Ⅱ. 연구방법
1. 연구설계
2. 자료수집 방법
3. 전문기도유지술 관련 국내외 법률및 지침 분석
4. 자료수집의 제한점
5. 분석방법
Ⅲ. 연구결과
1. 최근 2년(2017년부터 2018년)간 전국17개 소방 119구급대원 의해 행해진 병원 전 전문기도유지술(EndotrachealIntubation, I-Gel, LMA, KING AIRWAY) 결과
2. 전문기도유지술 관련 국내·외 법률 및 지침
Ⅳ. 고찰
Ⅴ. 결론
References