1급 응급구조사의 드릴형 골내 주사의 병원전 사용에 대한 교육 효과 평가 (Evaluation of the Effect of the Education on Prehospital Drill Type Intraosseous Access of Level 1 Emergency Medical Technicians)

서지정보

· 발행기관 : 대한응급의학회
· 수록지 정보 : 대한응급의학회지 / 19권 / 6호 / 611 ~ 616페이지
· 저자명 : 안기옥, 정진희, 김도균, 신상도

초록

Purpose: Intraosseous (IO) is an alternative vascular
access method for critically ill patients, especially pediatric
arrest patients. This study was aimed to evaluate the effect
of the education on pre-hospital IO Access of Level 1
Emergency Medical Technicians (Level-1 EMTs).
Methods: Forty four Level-1 EMTs participated in the IO
educational program at Seoul Fire Academy. The IO educational
program was consisted of a one-hour lecture followed
by a one-hour practical training about the use of the
powered device (EZ-IO) to artificial bones. Before and after
the program, the knowledge and attitude about IO access
were measured with 5 points-scale (1 in lowest and 5 in
highest positive response) by the structured questionnaire.
After the program, the participants were tested on skill performance
(success rate of insertion and procedural time) of
IO access.
Results: The mean working time and age of participants
was 7.6±2.4 years and 32.1±4.2 years, respectively.
Median score (5%~95%) of knowledge about indication of
IO access was increased from 2(1-4) to 4(3-5) (p<0.01).
Median score (5%~95%) on attitude was improved from
2(1-4) to 4(2-5) (p<0.01). Twelve EMTs (30.7%) showed
negative response on IO access in the prehospital area.
The success rate of insertion at first time was 84.1% and
the mean time to success was 45.5±9.4 seconds.
Conclusion: After 2 hour educational program for Level-1
EMTs, the knowledge and attitude of IO access improved
significantly and skill performance was very excellent. We
can consider the prehospital IO access of level-1 EMTs in
Korea.

영어초록

Purpose: Intraosseous (IO) is an alternative vascular
access method for critically ill patients, especially pediatric
arrest patients. This study was aimed to evaluate the effect
of the education on pre-hospital IO Access of Level 1
Emergency Medical Technicians (Level-1 EMTs).
Methods: Forty four Level-1 EMTs participated in the IO
educational program at Seoul Fire Academy. The IO educational
program was consisted of a one-hour lecture followed
by a one-hour practical training about the use of the
powered device (EZ-IO) to artificial bones. Before and after
the program, the knowledge and attitude about IO access
were measured with 5 points-scale (1 in lowest and 5 in
highest positive response) by the structured questionnaire.
After the program, the participants were tested on skill performance
(success rate of insertion and procedural time) of
IO access.
Results: The mean working time and age of participants
was 7.6±2.4 years and 32.1±4.2 years, respectively.
Median score (5%~95%) of knowledge about indication of
IO access was increased from 2(1-4) to 4(3-5) (p<0.01).
Median score (5%~95%) on attitude was improved from
2(1-4) to 4(2-5) (p<0.01). Twelve EMTs (30.7%) showed
negative response on IO access in the prehospital area.
The success rate of insertion at first time was 84.1% and
the mean time to success was 45.5±9.4 seconds.
Conclusion: After 2 hour educational program for Level-1
EMTs, the knowledge and attitude of IO access improved
significantly and skill performance was very excellent. We
can consider the prehospital IO access of level-1 EMTs in
Korea.

참고자료

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