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Korean J Emerg Med Ser > Volume 25(3); 2021 > Article
The Korean Journal of Emergency Medical Services 2021;25(3): 189-200.
DOI: https://doi.org/10.14408/KJEMS.2021.25.3.189    Published online December 31, 2021.
COVID-19에 의한 EMS 동반손상
이남진1  , 양진철2  , 문준동3 
1대전서부소방서 119구급대
2대전소방본부 구조구급과
3공주대학교 응급구조학과
Collateral damage of emergency medical services due to COVID-19
Nam-Jin Lee1  , Jin-Cheol Yang2  , Jun-dong Moon3 
1119 Emergency Medical Services Team, Daejeon Seobu Fire Station
2Daejeon metropolitan city Fire Headquarters Rescue and Emergency Medical Service Division
3Department of Emergency Medical Service, Kongju National University
Correspondence  Jun-dong Moon ,Tel: +82-41-850-0332, Fax: +82-41-850-0331, Email: jdm02@kongju.ac.kr
Submitted: November 2, 2021  Accepted after revision: December 28, 2021
We aimed to provide effective emergency medical services (EMS) response strategies for coping with high acuity patients during the pandemic by analyzing the influence of the COVID-19 and social distancing on EMS.
In this retrospective observational study, we analyzed the distribution of high acuity patients transported by Daejeon 1-1-9 EMS during the COVID-19 pandemic period, between February 1, 2020 and October 31, 2020 and the same period in 2019, as well as the level 3 social distancing enforced period, between July 27, 2020 and October 31, 2020.
The EMS dispatches decreased by 17% during the observed COVID-19 pandemic period compared to the same period in 2019. The number of cases with cardiac arrest and positive prehospital stroke scale rose by (p<.001). Patients with cardiac arrest, trauma, and positive prehospital stroke scale increased by during the level 3 social distancing period.
Unlike the decreased EMS call volume and patient transports during the COVID-19 pandemic, cardiac arrest cases and the severity of high acuity patients tended to increase. We suggest that EMS systems should contrive a response strategy considering the collateral effect of major epidemics on the incidence rate of high acuity patients.
Keywords: COVID-19, Emergency medical services, Collateral damage


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