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논문 기본 정보

자료유형
학술저널
저자정보
Lee Hyeonseung (Department of Pediatrics Yonsei University Wonju College of Medicine Wonju Korea.) Kwon Jae-Woo (Division of Allergy and Clinical Immunology Department of Internal Medicine Kangwon National Univer) Jeong Yong Whi (Department of Information and Statistics Yonsei University Wonju Korea .) Lee Changhoon (Department of Pediatrics Yonsei University Wonju College of Medicine Wonju Korea.) Lee Jeongmin (Department of Pediatrics Yonsei University Wonju College of Medicine Wonju Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.42
발행연도
2021.11
수록면
1 - 11 (11page)
DOI
10.3346/jkms.2021.36.e258

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Background: Early recognition and prompt intramuscular epinephrine administration are critical for the treatment of anaphylaxis. The special emergency medical service team (SEMST) is a reorganization plan that incorporates first-level emergency medical technicians (EMTs) and nurses from Korea to give the authority to administer epinephrine. This study evaluates the experience of SEMST and aims to investigate further needs in the pre-hospital management of anaphylaxis. Methods: An online survey of 29 questions on the Gangwon-do 119 EMST was conducted. IBM SPSS Statistics ver. 20.0 (IBM Co., Armonk, NY, USA) and R ver.4.0.3. were used for statistical analysis. Results: A total of 428 (44.6%) participants responded to the questionnaire, and 55.6% (238/428) experienced anaphylaxis. The common presumed cause was insect sting/animal bites at 84.5% (201/238), followed by food (7.6%, 18/238), and drugs (6.3%, 15/238). The frequency of occurrence was highest for tourist attractions (58.6%, 167/285), followed by homes (31.9%, 91/285) and workplace (3.5%, 10/285). Among 136 medical personnel (31.8%) who were currently active or had been active as the SEMST, 95 (70.0%) experienced anaphylaxis, and 58 (61.1%) used epinephrine, which was significantly lower in the nonSEMST group (n = 36, 25.2%). The biggest difficulty in pre-hospital treatment was the limitation of drug administration authority (23.4%, 22/95). The lack of experience and tricky treatment are the chief difficulties in pediatric anaphylaxis. The percentage of correct answers regarding anaphylaxis awareness was significantly higher in the educated (n = 374) than in the non-educated group (n = 54), both for diagnosis (24.9% vs. 11.1%) and treatment (73.5% vs. 37.0%). Conclusion: Proper administration of epinephrine is particularly important for pre-hospital anaphylaxis management in rural areas. Expanding SEMST and conducting periodic education using virtual experiences is necessary.
#Anaphylaxis #Special Rescue Team #Rural #Pre-hospital Management #Survey

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참고문헌 (30)

참고문헌 신청
Simons FE / 2013 / World Allergy Organization anaphylaxis guidelines : 2013 update of the evidence base / Int Arch Allergy Immunol 162(3):193~204 google schola Yang MS / 2017 / True rise in anaphylaxis incidence:epidemiologic study based on a national health insurance database / Medicine (Baltimore) 96(5):e5750 google schola Yu JE / 2018 / The epidemiology of anaphylaxis / Clin Rev Allergy Immunol 54(3):366~374 google schola Jeong K / 2020 / A multicenter anaphylaxis registry in Korea : clinical characteristics and acute treatment details from infants to older adults / World Allergy Organ J 13(8):100449 google schola Nannan Jiang / 2016 / Characteristics of Anaphylaxis in 907 Chinese Patients Referred to a Tertiary Allergy Center: A Retrospective Study of 1,952 Episodes / Allergy, Asthma & Immunology Research 8(4):353~361 dbpia

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