지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose: Response time is an important factor in determining the quality of prehospital Emergency Medical Services (EMS). Our objective was to analyze the Daegu Korean Fire Department’s ambulances’ response time by use of the Geographic Information System (GIS) and to suggest general factors for quality improvement of EMS. Methods: We retrospectively reviewed computerized ambulance calls of the Daegu Korean Fire Department. During the period from July 2006 to June 2007, computerized ambulance calls could be pinpointed geographically by the GIS. Patients were divided into injury and disease groups. And each group was subdivided into emergency and non-emergency groups at triage. We reviewed the EMS response time, response velocity, distance from 119 safe center to scene, and distance from scene to hospital. Results: Of 46,606 patients, 27,825 patients could be pinpointed geographically by the GIS. The mean response time was 5.5±18.9 minutes. Among injury patients, there were no significant differences between emergency and non-emergency groups in mean response time and mean response velocity. In disease patients, however, emergency group response time was shorter than for the non-emergency group, and response velocity was faster for the emergency group. Distance from 119 safe center to scene and from scene to hospital was greater among all total patients for the emergency group than for the non-emergency group. Conclusion: Using GIS, we evaluated response velocity as a measure of the quality of prehospital EMS. We found that in injury patients, prehospital triage and transportation were not properly managed. We suggests that EMS could be more effective if GIS is used as a tool for the improvement of EMS quality.
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참고문헌 (18)
참고문헌 신청
Blackwell TH / 2002 / Response time effectiveness: comparison of response time and survival in an urban emergency medical services system / Acad Emerg Med 9:288~295
Vuklmir RB / 2006 / Survival from prehospital cardiac arrest is critically dependent upon response time / Resuscitation 69:229~234
Pons PT / 2002 / Eight minutes or less: does the ambulance response time guideline impact trauma patient ountcome / J Emerg Med 23:43~48
Peleg K / 2004 / A geographic information system simulation model of EMS: reducing ambulance response time / Am J Emerg Med 22:164~170
Lerner EB / 1999 / Use of a giographic information system to determine appropriate means of trauma patient transport / Acad Emerg Med 6:1127~1133
Vuklmir RB / 2006 / Survival from prehospital cardiac arrest is critically dependent upon response time / Resuscitation 69:229~234
Pons PT / 2002 / Eight minutes or less: does the ambulance response time guideline impact trauma patient ountcome / J Emerg Med 23:43~48
Peleg K / 2004 / A geographic information system simulation model of EMS: reducing ambulance response time / Am J Emerg Med 22:164~170
Lerner EB / 1999 / Use of a giographic information system to determine appropriate means of trauma patient transport / Acad Emerg Med 6:1127~1133
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