A Study on the Factors Affecting Physician Participation in Emergency Situations

Background@#This study was conducted on the experiences, limitations, and factors necessary for increasing participation in emergency care outside a medical institution for physicians working in a tertiary hospital. @*Methods@#This study was conducted by analyzing data from 150 physicians working in a tertiary hospital. The physicians’ intent to participate in emergencies outside the medical institution was measured as frequencies and percentages, and chi-square test was performed. Multi-logistic regression was used to determine factors affecting the physicians’ willingness to participate emergencies outside the medical institution. @*Results@#Out of 103 respondents, 52 (50.5%) said that they do not want to participate in future emergency situations. Among them, 38 (73.1%) said that legal burden associated with medical accidents dissuaded them from intervening in future emergencies. Also, 33 (63.5%) said that ‘a firm guarantee of exemption from legal responsibility’ was needed to convince them to participate in emergency patient care. There were no meaningful results in the analysis of factors affecting future participation in emergency care. @*Conclusion@#It was found that the reason they do not participate in emergency care is because they feel that they bear the risk of legal liability. We suggest that providing more legal immunity could be a way to encourage doctors to step up in emergency situations. At the same time, it is recommended that a more suitable environment be provided for physicians in such situations, so that they can be able to fulfill their ethical duties in emergency medical care.

The Clinical Study of Acute Poisoning in Children

PURPOSE: Poisoning represents one of the most common accidents encountered by young children. Recently, mortality due to poisoning has gradually decreased, but the incidence has not decreased. We performed this study to compare the following factors during 1980's and 1990's : sex distribution, urban and rural distribution, causative substances. METHODS: A clinical study was performed on 90 cases of acute poisoning who were admitted in the pediatric department of Cho Sun University Hospital from Jan. 1980 to Aug. 1995. RESULTS: 1) The poisoning occured more frequently in males than in females, and the highest incidence was observed in the 1 to 5 year age group(50.0%). 2) Seasonal incidence was more prevalent in summer(from June to August). 3) The frequency of poisoning in the country was higher than in urban, but no significant difference between urban and the country in 1990s. 4) The causative substances were agricultural chemicals(36.7%), drugs(23.3%), household inseticide(21.1%). 5) In 1990s, poisoning due to houshold insecticide was decreased, whereas poisoning due to drug increased. 6) The cause of poisoning was mainly accidental(82.2%). 7) Accident was the leading cause of poisoning in children up to 10 years old, whereas suicidal attempts happened at the 10 to 15 year age group. 8) Death in the hospital was one case(1.1%). CONCLUSIONS: Urban incidence gradually increased and accidental poisoning due to medicine also increased. So, we conclude that prevention such as education and use of grip-tight cap or similar safety devices is important.

Two Case of Systemic Candidiasis in Premature Infants

No abstract available.