아나필락시스 반응 환자의 구급활동 현황 및 개선방안: 대전광역시를 기준으로

• 영문명: The Conditions and Improvement Plan for 119 EMS Activities with Anaphylactic Reaction Patients: Focused on Daejeon Metropolitan City
• 발행기관: 한국화재소방학회
• 저자명: 신소연(So-Yeon Shin)
• 간행물 정보: 『한국화재소방학회논문지』Vol.38 No.6, 104~111쪽, 전체 8쪽
• 주제분류: 공학 > 공학일반
• 파일형태: PDF
• 발행일자: 2024.12.31

국문 초록

이 연구는 구급활동일지를 기준으로 아나필락시스 반응에 노출된 환자에게 시행된 구급활동 실태를 살펴보고, 개선방안을 제시하기 위하여 2021년 1월 1일부터 2021년 12월 31일까지 일개 광역시에서 아나필락시스 반응에 노출된106명을 대상으로 하였다. 연구 결과 아나필락시스가 유발된 장소는 집, 산과 들(field)이 많았고, 원인추정물질로는벌 쏘임이 가장 많았다. 아나필락시스 반응은 중증 26.4%, 중등도 36.8%, 경증 36.8%로 조사되었다. 중증의 아나필락시스 반응 환자는 심혈관계와 호흡기계 관련 임상 양상이 많았고, 현장 응급처치는 심장리듬 모니터 21.4%, 산소투여 46.3%, 수액투여 28.6%, 에피네프린 투여 7.1%, 항히스타민제 투여 3.6%의 시행률을 보였다. 결과적으로 정확한병력청취를 통해 환자의 원인추정물질을 파악하고, 노출 후 환자의 임상 양상과 생체징후를 토대로 중증의 아나필락시스 환자를 조기에 예측하여 집중적인 감시와 적절한 응급처치의 적용이 필요하다.

영문 초록

This study examined the current state of emergency services (EMS) provided to patients experiencing anaphylacticreactions based on 119 EMS activity reports and proposed improvement measures. From January 1, 2021, to December 31,2021, a total of 106 individuals with anaphylactic reactions in a metropolitan city were analyzed. The results showed thatthe most frequent locations for anaphylaxis were homes, mountains, and fields, with bee stings identified as the leading cause. Among the individuals with anaphylactic reactions, 26.4% were classified as severe, 36.8% as moderate, and 36.8% as mildreactions. Severe anaphylactic reactions were associated with increased cardiovascular and respiratory clinical manifestations. Implementation rates for cardiac rhythm monitoring and oxygen, fluid therapy, antihistamine, and epinephrine administrationwere 21.4%, 46.3%, 28.6%, 3.6%, and 7.1%, respectively. It is crucial to identify the suspected causative agent throughaccurate medical history taking to improve outcomes. Early prediction of severe anaphylaxis based on a patient’s clinicalmanifestations and vital signs after exposure is essential to ensure intensive monitoring and appropriate emergency treatment.

목차

1. 서 론

2. 연구 대상과 방법

3. 결 과

4. 논 의

5. 결 론

References

키워드

Anaphylactic reaction Anaphylaxis Epinephrine Bee sting 119 EMS activity reports

참고문헌

• Allergy
• Journal of the Korean Society of Emergency Medicine
• Circulation
• Annals of Allergy, Asthma and Immunology
• Annals of Allergy, Asthma and Immunology
• Annals of Allergy, Asthma and Immunology
• PLoS One
• Allergy
• The Journal of the American Medical Association
• Archives of Internal Medicine
• Investgational Allergology and Clinical Immunology
• Allergy, Asthma and Clinical Immunology
• Journal of the Korean Society of Emergency Medicine
• The Korean Journal of Emergency Medical Services
• The Korea Contents Association
• Journal of Allergy and Clinical Immunology
• Journal of Allergy and Clinical Immunology
• Public Health Weekly Report
• Journal of The Korean Society of Emergency Medicine
• The World Allergy Organization Journal
• Allergy
• Journal of The Korean Society of Emergency Medicine
• The World Allergy Organization Journal
• Allergy Asthma and Respiratory Disease
• Current Opinion in Allergy and Clinical Immunology