Steps to respond to infectious diseases

󰊱 119 Notification 시 Receipt → Identify suspicious symptoms such as high fever, pneumonia and cough
① In case of suspected infectious disease report to 119 situation room, guide to the competent public health center or disease management headquarters (hotline 109).
② Even if the 119 reporter is not included in the definition of a suspected patient, even if he or she claims to be a suspected patient, the public health center will be able to respond and handle it.
③ If the reporter is a general patient with simple fever (37.5 ℃ or higher), pneumonia, cough, or a history of infectious disease confirmation, wear personal protective equipment (5 types) to guide the transfer.

20150208과천소방서 119구급대 감염관리실3

On-site dispatch and transportation → Thorough wearing of personal protective equipment (5 types)
① When paramedics judge suspected patients * in the patient examination process
* Criterion for judgment: Reasonable decision based on the definition of suspected patient case (Ministry of Health)
-(Principle) Transfer to hospital 24 hours by ambulance
-(Exception) 119 ambulance support if the ambulance of the health center does not have a bulkhead facility and the arrival time of an ambulance with a bulkhead facility of a nearby health center takes more than 1 hour.
※ Application: 119 ambulance and driver (Health department officials)
② The transfer of suspect patients should be carried out by the emergency personnel (drivers) and health center personnel.
-Public health center officials (Quarantine officers) are responsible for the transfer of patients.
-Wear personal protective equipment for paramedics and wear masks to suspect patients
③ Paramedics do not judge suspected patients, but patients claim suspected
-Inform the health center to the patient for secondary verification (check-up) at the local health center
-Whether to transfer depends on the result *
* (suspect patient) use ambulance in public health center / (general patient) use 119 ambulance
④ Wear personal protective equipment (5 types) even for general patients with simple high fever (37.5 ℃ or higher), pneumonia, cough, etc.


󰊳 On return
① Thoroughly disinfect and sterilize the vehicle’s interior and first-aid equipment after disinfection
※ Disinfection practitioners also wear personal protective equipment to disinfect
② Unprotected personal protective equipment is transferred to the transfer hospital and treated as medical waste at the hospital.

󰊴 119 Ambulance transport support
① 119 ambulances are fully utilized in the national crisis stage when many infectious diseases occur simultaneously and it is difficult to cope with ambulance in public health center
② If suspected patients are in serious condition such as cardiac arrest or severe trauma, and need to transfer urgently, use 119 ambulance

Paramedics infection prevention Standard Precaution

1980년대 서울소방 119구급대원 활동사진

Standard Precaution applies to all patients treated in the hospital, regardless of whether the patient is diagnosed or suspected to prevent infection from blood, secretions, wounded skin, or mucous membranes (see Infection Control Guidelines in the Ministry of Health and Welfare).
❍ (Hand Washing) Hand Washing (Hygiene) is the simplest and most important way to reduce the risk of microbial transmission between the patient and the patient. After washing and disinfecting equipment, make sure to wash your hands.
❍ (Gloves) Gloves should be worn during patient contact by providing contamination protection and protection when in contact with blood, body fluids, feces, mucous membranes and damaged skin.
❍ (mask) Must be worn to protect the mucous membranes of eyes, nose and mouth when performing procedures that may cause blood or body fluids to splash or spray.
❍ (protective clothing) Must be worn to protect clothing or body when performing procedures that may cause blood or body fluids to splash or spray.
❍ (Goods used for patients) Various goods used for the treatment of patients are considered contaminated, so consumable items must be discarded and reused items must be disinfected and sterilized before reuse.
❍ (Environmental management) The emergency equipment such as stretchers and splints, which have many contact with patients, should be washed and disinfected at the infection control room from time to time.
❍ (Preventing occupational exposure) Be careful not to be punctured when handling needles and other sharp instruments used on patients (be careful when cleaning instruments or discarding needles after treatment), and avoid direct contact with patients.
󰊸 Specific (medical) waste disposal measures
❍ (Required) Prevention of infection due to the generation of waste such as objects contaminated with blood or liquid, human tissue, cotton wool, needles, and personal protective equipment during the treatment, transportation, and cleaning of equipment (emergency).
❍ (Collection and Storage) Ambulance operators store wastes generated from ambulances in the waste storage area of ​​the infection control room.
❍ (Disposal) Dispose of certain wastes from ambulances at designated hospitals *
* Daesung Hospital, Wonju Severance Christian Hospital, etc.
❍ (Post-management) Thorough data management such as registration of system processing result such as ESMI when processing specific waste