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Korean J Emerg Med Ser > Volume 25(3); 2021 > Article
The Korean Journal of Emergency Medical Services 2021;25(3): 63-70.
DOI: https://doi.org/10.14408/KJEMS.2021.25.3.063    Published online December 31, 2021.
119 구급요청 거절 대상 환자의 이송 현황 분석
문준영1,3  , 최준원2,3 
1남부대학교 응급구조학과
2조선대학교병원 응급의료센터
3공주대학교 응급구조학과
Analysis of the patient who were rejected by 119 emergency requests transferred
Jun-Young Mun1,3  , Jun-Won Choi2,3 
1Department of Emergency Medical Technician, Nambu University
2Department of Emergency Medical Center, Chosun University Hospital
3Department of Emergency Medical Technician, Kongju National University
Correspondence  Jun-Won Choi ,Tel: +82-10-4607-3030, Fax: +82-62-224-3501, Email: chjw1004@naver.com
Submitted: November 5, 2021  Accepted after revision: December 28, 2021
Abstract
Purpose
The study aimed to collect data from patients who were rejected by emergency requests for transfer to a tertiary hospital through 119 EMT and to analyze the data in the hospital to improve the plan.
Methods
We analyzed 4,702 cases of emergency requests made by patients who were rejected by 119 emergency assistance out of the 22,568 patients who visited the emergency medical center in the C area of G metropolitan city from January 2018 through December 2020. The collected data were analyzed using IBM SPSS Statistics Version XX (IBM Corp., Armonk, N.Y., USA).
Results
The major medical department with the largest number of such cases was the department of emergency medicine, with 2,519 cases (53.6%). Simple bruises were the most common diagnosis, with 2,819 cases (61.2%). KTAS classification was the highest with 3,562 patients (75.8%) in grade 4. As for the results, 4,084 patients (86.9%) were discharged from the hospital.
Conclusion
Most of the patients who were rejected by emergency requests were non-emergency patients and were discharged from the hospital. emergency requests must be rejected at public relations and sites. In addition, the law should be amended to specifically present the reasons for refusal of emergency requests.
Keywords: 119 Emergency medical technician, Emergency room, Rejected


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