응급실 폭력 행위의 현황과 개선방안

박형곤 ( Park Hyeong-kon ) 한국융합과학회(구 한국시큐리티융합경영학회) 2020 한국융합과학회지 Vol.9 No.1

연구목적: 이 연구의 목적은 응급의료에 대한 수요가 증가하고 있으며, 응급상황에 처한 환자나 보호자의 여러 가지 특성으로 인해 응급실 의료진들에 대한 폭력이 갈수록 심각해지고 있는 것과 관련하여 응급실 폭력의 현황 및 문제점을 분석하였다. 연구방법: 이 연구는 응급실 폭력에 대한 현황과 사례에 대하여 문헌적 고찰을 하였다. 결론: 이 연구는 응급실에서의 의료진을 대상으로 한 효과적인 폭력 예방방안과 일반인들에 대해 다음과 같이 제언한다. 첫째, 응급실 근무자는 환자나 보호자에게 환자의 현재 상태와 응급실 내원 후 진료 과정을 충분히 설명하고 이해하도록 하고 환자의 대기시간을 최소화해야 한다. 둘째, 응급실 종사자에게 폭력의 인지 및 예방과 올바른 대처 방법에 대한 체계적인 교육이 정기적으로 시행되며, 의료현장 및 응급실에서 폭력 사태에 대한 경찰과 병원 당국의 협조체계를 구축하여 적극적인 대처를 할 필요가 있다. 셋째, 3차 병원에서의 응급실 안전요원 배치를 통한 응급실 폭력에 대한 해결 노력이 필요하다. 그러나 경비인력 부족 등으로 효과적인 대응은 이루어지지 않고 있으며, 응급실 경비전문 인력에 대한 교육과 충분한 인력을 확보할 수 있는 재정적 지원과 경찰과의 협조체계도 개선할 필요가 있다. 이는 현실적으로 응급실에서 발생할 수 있는 폭력으로부터 모두를 보호할 수 있다고 본다. Pupose: The purpose of this study was to analyze the status and problems of emergency room violence in relation to the increasing demand for emergency care and the increasing severity of violence against emergency room medical staff due to the various characteristics of patients or carers in emergency situations. Methods: This study gave a literature review of the current status and cases of violence in emergency rooms. Conclusion: The study suggests effective measures to prevent violence against the medical staff in emergency rooms and to the general public as follows. Firstly, emergency room workers should have patients or carers fully explain and understand the patient's current condition and post-emergency care processes and minimize patient wait time. Secondly, systematic education on the recognition and prevention of violence and the proper methods of coping with the violence are regularly conducted in emergency room workers, and it is necessary to establish a system of cooperation between police and hospital authorities against violence in the medical field and emergency room to take active measures. Third, efforts to address emergency room violence through the placement of emergency room safety personnel in tertiary hospitals are needed. However, no effective response is being made due to the lack of security personnel, and the government needs to improve financial support and cooperation with the police to secure sufficient manpower and education on emergency room security personnel. We believe that this can protect everyone from violence that can occur in the emergency room in reality.

응급실을 내원한 약물중독 자살시도자의 응급실 기반 자살시도자 사후관리사업 참여 영향요인

윤인아(In Ah Yun),전미양(Mi Yang Jeon) 사단법인 한국안전문화학회 2024 안전문화연구 Vol.- No.27

목적: 본 연구는 국가에서 자살시도자의 자살 재시도를 예방하기 위해 시행하는 응급실 기반 자살시도자 사후관리사업에 약물중독 자살시도자가 참여하는데 영향을 미치는 요인을 파악하는 것이었다. 방법: 본 연구는 2020년 1월 1일부터 2021년 12월 31일까지 약물중독으로 자살을 시도하고 응급실을 내원한 자살시도자 중 응급실 기반 자살시도자 사후관리사업 참여자와 미참여자의 일반적 특성, 약물중독관련 특성, 치료관련 특성을 비교한 후향적 조사연구이었다. 결과: 약물중독 자살시도로 응급실을 내원한 대상자는 416명이었으며, 자살시도자 사후관리사업 참여자는 246명(59.1%), 미참여자는 170명(40.9%)이었다. 사후관리사업 참여자와 미 참여자간에 정신질환(χ2=124.91, p<.001), 내원시간(χ2=8.92, p=.030), 수축기혈압(χ2=4.71, p=.030), 중등도(χ2=12.42, p=.006)에 차이가 있었다. 결론: 본 연구결과를 기반으로 약물중독 자살시도자의 응급실 기반 자살시도자 사후관리사업 참여률을 높이기 위해서는 자살시도자를 최초 면담하고, 퇴원교육을 실시하는 응급실 간호사의 자살시도자 대응 역량을 강화시킬 수 있는 교육프로그램과 자살시도자가 응급실 퇴원 후 지역사회 상담기관과 연계할 수 있는 행정시스템의 개발 등 자살 재시도를 방지할 수 있는 전략을 개발할 것을 제안한다. Purpose: The purpose of this study was to identify factors that affect the participation of drug intoxication suicide attempters in emergency room-based post-suicide attempt care program for suicide attempters, which is implemented by the country to prevent re-attempts by suicide attempters. Method: This study targeted suicide attempters who attempted suicide by drugs intoxication and visited an emergency room from January 1, 2020 to December 31, 2021. This was a retrospective study that compared the general characteristics, drug intoxication-related characteristics, and treatment-related characteristics of participants and non-participants in an emergency room-based post-suicide attempt care program. Results: There were 416 subjects who visited the emergency room due to suicide attempt drug intoxication. 246 (59.1%) participated in the emergency room-based post-suicide attempt care program and 170 (40.9%) did not participate. Between participants and non-participants in emergency room-based post-suicide attempt care program was significant difference mental illness was significant difference mental illness (χ2=124.91, p<.001), hospital visit time (χ2=8.92, p=.030), systolic blood pressure (χ2=4.71, p=.030), and moderate severity (χ2=12.42, p=.006). Conclusion: Based on the results of this study, in order to increase the participation rate of drug intoxicated suicide attempters in the emergency room-based post-suicide attempter care program, it is necessary to strengthen the capacity of emergency room nurses who initially interview suicide attempters and provide discharge education to respond to suicide attempters. We also suggest developing strategies to prevent suicide re-attempts, such as the development of an administrative system that allows suicide attempters to connect with community counseling organizations after being discharged from the emergency room.

종합병원 응급실 방문환자의 특성과 환자가 지각한 불편 요인

정복례 경북대학교 간호과학연구소 2003 경북간호과학지 Vol.7 No.2

The purpose of this study was to identify the general characteristics and the perceived inconvenient factors of patients visiting emergency rooms in general hospital. The questionnaire was used to gather data from 295 patients and their families who visited emergency rooms in one general hospital from September to November 2001. The data were analyzed by basic statistics and content analysis for semi-structured questions. The results were as follows. 1.The characteristics of subjects were as follows: There was 53.9% representing men and 46.1% for women. There was 16.0% in 31-40 age and 13.6% in 51-60 age. Admission ratio by department was 10.2% in pediatrics and 7.8% in orthopedics. The reasons for visiting emergency rooms are due to diseases 60.3%, traumas 19.3% and car accidents 5.8%. The duration between symptom occurrence and visiting emergency rooms was 39.3% within one day and 22.% within 2 days. Transmission methods from home to emergency rooms were 27.8% by ambulance cars and 25.4% by taxi. The walking conditions of subjects when they arrived in emergency rooms were 47.5% the ones who needed families support and 35.3% for the ones who could not walk. The arriving time in emergency rooms was 21,7% at morning time (7am-12am) and 21.7% at early morning time(0am-6am). The patients consider the use of the general hospitals for two reasons: either through request from other hospitals(36.3%) or due to the fact that the general hospital is the biggest in the local community(25.4%). 2. Perceived inconvenient factors of emergency rooms were identified by four themes such as 'environment of emergency room', 'health personnels', 'various diagnostic test/ treatments', and 'hospital management' by content analysis. Perceived inconvenient factors of 'emergency rooms environment' were 'limited space for one patient/stay too many patient in a small space/no space for families to stay', limited facilities(chairs, beds, restaurants, public phones, trash can, water for drinking, noisy/out of control', no privacy/do not differentiated from men and women(by department, disease severity) ', airpolution'. Perceived inconvenient factors of 'health personnels' were difficult to meet doctors/can not identify health personnels/need to stay for doctor at emergency room, need to treat carefully/unkindness/health personnels pretended to be 'busy, disregarded with health personnels. Perceived inconvenient factors of 'diagnostic test/treatment' were 'delayed treatment, do not inform us about patients' conditions, delayed diagnostic results of various tests. Perceived inconvenient factors according to the aspect of 'hospital management' were 'delayed admission, shortage of beds, and no prepared food for family. Patients and families mostly solved their concerns related with their disease by nurses and doctors. The percentage were 66.8% and 10,8% respectively.

일개 치과대학병원 응급실 운영시간 변경에 따른 환자의 방문시기와 주요상병의 차이

노희진 ( Hie Jin Noh ),문소정 ( So Jung Mun ),전현선 ( Hyun Sun Jeon ),배성숙 ( Sung Suk Bae ) 한국치위생학회 2015 한국치위생학회지 Vol.15 No.4

Objectives: The purpose of the study is to investigate of visiting time and major cause of disease by operating time changes of a university dental emergency room. Methods: This study was a retrospect study carried out by reviewing 9,172 records visiting the university emergency room from January 1997 to December 2009. Data were analyzed by frequency test, chi-square test, and logistic regression using SAS version 9.3. Results: Twenty four hours emergency room had 19 percent more patients than those in daytime emergency room. Daytime emergency room had more male patients during spring(26.6%) and winter(20.2%) than female patients(p<0.05). Female patients exceeded male patients during summer(24.4%) and autumn(36.2%)(p<0.05). Twenty-four hours emergency room had the maximal patients in autumn and the minimal patients in winter(p<0.05). The most common injury in the daytime was tooth fracture from 0 to 19 years old(p<0.05). Tooth fracture, jaw fracture, and soft tissue injury were the most common injury in dental emergency room and majority of the patients were the male(p<0.05). Conclusions: Twenty-four hours dental emergency room had a variety of causes of dental emergency thant that in the daytime. Twenty four hours dental emergency room must be prepared for the dental emergency patients at any time provided with personnel and facilities.

최근 3년간(2004-2006년) 마산삼성병원 응급실로 내원한 소아환자중 급성 발작으로 인한 환자들에 대한 임상적 고찰

이원덕,이주석,이준화,조경래 대한소아청소년과학회 2008 Clinical and Experimental Pediatrics (CEP) Vol.51 No.4

Purpose:The purpose of this study was to evaluate acute childhood seizures, one of the most important causes of emergency room visits, to provide appropriate medical services. Methods:We reviewed the medical records of 433 (4.6%) pediatric patients with acute seizures that visited the emergency room at Masan Samsung hospital from 2004 to 2006. Results:The male to female ratio was 1.4:1 and the mean age was 40.9±34.9 months range. The order of geographical distribution was Masan, Changwon, Haman, and others. Fever was present in 40.6% of patients; December (14.8%) was the most frequent month for visits and generalized tonic clonic seizures (62.7%) were the most common type of seizure. The average frequency and duration of the seizure was 1.5±1.0 and 6.7±13.2 minutes respectively. Febrile seizures were present in 69.7% of patients and afebrile seizures in 30.3%. The causes of the febrile seizures were acute pharyngotonsillitis (44.6%), acute bronchitis, gastroenteritis, pneumonia, urinary tract infection, and unknown origin, in order of frequency. The most common cause of an afebrile seizure was epilepsy (71.5%) followed by a benign convulsion with mild gastroenteritis (BCwMG), sequela of a perinatal brain injury or brain malformation, and acute CNS infection. Evaluation of the causes of an acute seizure according to age showed that febrile seizures, epilepsy, and the sequela of perinatal brain injuries were more common between 2 and 6 years of age and epilepsy, febrile seizures and acute CNS infection, in order of frequency, were common between 6 and 15 years of age. Many patients, 49.4%, were discharged without admission. Conclusion:The common characteristics of pediatric patients presenting to the emergency room were male gender, an age between 2-6 years, presenting during the month of December, with generalized tonic clonic seizures due to acute pharyngitis. The most common presentation for the group less than 6 years of age was a febrile seizure and in the group more than 6 years of age, it was epilepsy. In many cases, the seizures stopped by the time the family presented to the emergency room. (Korean J Pediatr 2008;51:420-425) Purpose:The purpose of this study was to evaluate acute childhood seizures, one of the most important causes of emergency room visits, to provide appropriate medical services. Methods:We reviewed the medical records of 433 (4.6%) pediatric patients with acute seizures that visited the emergency room at Masan Samsung hospital from 2004 to 2006. Results:The male to female ratio was 1.4:1 and the mean age was 40.9±34.9 months range. The order of geographical distribution was Masan, Changwon, Haman, and others. Fever was present in 40.6% of patients; December (14.8%) was the most frequent month for visits and generalized tonic clonic seizures (62.7%) were the most common type of seizure. The average frequency and duration of the seizure was 1.5±1.0 and 6.7±13.2 minutes respectively. Febrile seizures were present in 69.7% of patients and afebrile seizures in 30.3%. The causes of the febrile seizures were acute pharyngotonsillitis (44.6%), acute bronchitis, gastroenteritis, pneumonia, urinary tract infection, and unknown origin, in order of frequency. The most common cause of an afebrile seizure was epilepsy (71.5%) followed by a benign convulsion with mild gastroenteritis (BCwMG), sequela of a perinatal brain injury or brain malformation, and acute CNS infection. Evaluation of the causes of an acute seizure according to age showed that febrile seizures, epilepsy, and the sequela of perinatal brain injuries were more common between 2 and 6 years of age and epilepsy, febrile seizures and acute CNS infection, in order of frequency, were common between 6 and 15 years of age. Many patients, 49.4%, were discharged without admission. Conclusion:The common characteristics of pediatric patients presenting to the emergency room were male gender, an age between 2-6 years, presenting during the month of December, with generalized tonic clonic seizures due to acute pharyngitis. The most common presentation for the group less than 6 years of age was a febrile seizure and in the group more than 6 years of age, it was epilepsy. In many cases, the seizures stopped by the time the family presented to the emergency room. (Korean J Pediatr 2008;51:420-425)

종합병원 응급실 진료공간의 특성과 색채 분석

김소희,박신률 한국문화공간건축학회 2018 한국문화공간건축학회논문집 Vol.- No.61

As aging have been accelerated, More emergency patients have visited emergency medical centers, on account of frequently occurring crimes, traffic accidents, industrial accidents, and diseases. Recently, Emergency room in the general hospital decided the policy of ‘Master Plan of Emergency Medical care’, according to which emergency service is reorganized into functional and emotional based service and more reasonable hospital study tried to investigate healing space for patients and medical staff. The color environment of emergency room as healing space is very important visual perception environment in psychological, emotional and functional aspects. The application of color to emergency room with finish material should be done in consideration with purpose of the healing space, emotional and functional factor and design element about patients. As result the survey, the use of color and material for patient is no difference with general space in spite of emergency room's speciality. Considering this study, in usage and analysis of color to emergency room, who are main users, should be developed and applied because there is visuality but not enough color arrangement element with finish material as design element. Color plan should be more diversified based on emergency room as wall, floor, ceiling, door, furniture, and signage.

응급실 신규간호사의 응급간호 역량별 교육 요구도 분석

박미리(Mi Ri PARK),장승경(Seung Gyeong JANG) 학습자중심교과교육학회 2024 학습자중심교과교육연구 Vol.24 No.10

목적 응급실 신규간호사의 응급간호 역량에 대한 교육 요구도 및 우선순위를 확인함으로써 응급실 신규간호사의 응급간호 역량 강화를 위한 교육안 개발에 대한 기초자료로 사용되고자 하였다. 방법 부산, 경남 소재 26개 기관의 권역응급의료센터, 지역응급의료센터, 지역응급의료기관에 근무하는 경력 1년 미만의 응급실 신규간호사 110명을 대상으로 2023년 6월 15일부터 7월 31일까지 구조화된 설문지를 사용하여 온라인 설문을 하였다(회수율 88.2%). 수집된 자료는 기술통계, 대응표본 t검정, Borich 요구도 공식, The Locus for Focus Model을 사용하여 분석하였고, 결과를 종합하여 교육 요구의 최우선 순위 및 차우선 순위를 도출하였다. 연구 도구는 구조화된 자가 보고식 설문지를 사용하였으며 일반적 특성 문항9,응 급간호 역량에 대한 요구수준 3문4항 및 현재수행능력 34문항으로 총 7문7항이다. 결과 첫째, 응급간호역량에 대한 응급실 신규간호사의 현재수행능력과 요구수준의 차이 분석 결과 34개의 항목 중 26개의 항목에서 통계적으로 유의한 차이를 보였다. 둘째, Borich 요구도와 The Locus for Focus Model을 종합한 결과 응급실 신규간호사의 응급간호 역량 강화를 위한 교육 요구도로 34가지 중 4가지 항목(심혈관 환자 상태 악화의 임상 지표, 발작 관리, 신경계 환자 상태 악화의 임상 지표, 인공호흡기 관리)이 최우선 순위로 도출되었으며, 10가지 항목(응급상황시 약물 투여량 계산, 기본 심장 생리학에 대한 지식, 비정상적인 심전도 판독, ABCDE 평가, ABLS, 수동 제세동기, 심폐소생술 중 투여되는 약물, 기본 신경 생리학에 대한 지식, 체외-심실 배수관 관리, 호흡기 환자상태 악화의 임상지표)이 차우선 순위로 도출되었다. 결론 응급실 신규간호사의 응급간호 역량을 강화하기 위해 최우선 순위 항목을 중심으로 한 교육에 대한 전략 개발 및 차우선 순위 항목을 중심으로 한 장기적인 교육 개발이 필요하다. Objectives The purpose of this study was to identify the education needs and priorities for emergency nursing competencies of newly employed emergency room nurses, with the aim of using the findings as foundational data for the development of an educational plan to enhance the emergency nursing competencies of newly employed emergency room nurses. Methods This study is descriptive survey research. Subjects were new nurses in emergency room working at re-gional emergency medical centers, local emergency medical centers and local emergency medical service in-stitutions at 26 institutions, and 110 people who understood the purpose of the study and agreed to participate in the study. The data collection period was from June 15 to July 31, 2023, conducted through an online survey through a QR code, and a total of 97 copies were used in the final analysis(88.2% collection rate). As a research tool, a structured self-report questionnaire was used and consisted of a total of 77 questions, including 9 general characteristics, 34 required competency level for emergency nursing competency, 34 perceived competency level for emergency nursing competency. The collected data were analyzed using frequency and percentage, mean and standard deviation, paired t-test, Borich's needs assesment, and The Locus for Focus Model. The priority items from Borich's formula for demand and the items in quadrant 1 of The Locus for Focus Model were examined to determine any redundancy and to establish the priority order of educational needs, distinguishing between top priority and secondary priority. Results The educational needs for reinforcing emergency nursing competencies of newly employed emergency room nurses revealed four top priority items out of 34 (Clinical indicators of deterioration in cardiovascular patient status, Seizure management, Ventilator management, Clinical indicators of deterioration in neurological patient status). Additionally, ten secondary priority items were identified. Conclusions This study identified four top priority items by analyzing the ranking of educational needs to strength-en the emergency nursing competency of new nurses in the emergency room. Accordingly, it is necessary to de-velop strategies for education on top priority items and long-term education on second priority items in order to strengthen the emergency nursing competency of new nurses in emergency rooms.

응급실 폭력에 대한 대응 및 개선방안

신승균(Shin, Seung-Gyoon) 한국민간경비학회 2016 한국민간경비학회보 Vol.15 No.2

최근 국민의 안전을 위협하는 사건·사고로 인하여 공공안전에 대한 사회적 관심과 우려가 높아진 가운데 국민의 생명·건강과 직결된 급박한 응급처치가 이루어지는 병원 응급실 내에서의 취중난동 등 의료방해 행위로 인해 응급환자에 대한 진료가 지연되는 사례가 빈발하여 응급의료시설 내에 안전 확보를 위해 소란행위 발생 시에는 경찰의 신속한 출동 및 엄정한 대처가 필요하다. 병원 내에서 응급실은 폭력에 가장 많이 노출되어 있는 부서이지만 대부분의 응급의료기관에서 폭력예방을 위한 대처방안은 미흡한 실정이며, 응급실 종사자들은 폭력경험 으로 인해 안전에 대한 불안과 직무만족의 저하, 이직률의 증가, 의료서비스의 질적 저하 등을 초래하게 된다. 본 연구에서는 응급실에서의 의료진을 대상으로 한 효과적인 폭력예방방안과 일반인들에 대한 제한사항으로 다음과 같이 제언한다. 첫째, 의사-환자 인식 개선 프로그램 마련이다. 둘째, 경찰과의 긴급 대응시스템 개선이다. 셋째, 민간경비시스템의 신속 대응시스템 마련이다.넷째, 응급실의 출입제한이다. 현재 응급실 폭력 방지에 대한 대응방안은 민간경비서비스의 확대차원에서 생각해 볼 문제이다. 민간경비가 병원 응급실 현장에서 활동하면서도 법률상 제한적인 규정으로 인해 민간경비서비스와 산업의 발전을 어렵게 하고 있다. 제한적이긴 하나 민간경비서비스가 경찰서비스의 영역을 보완하고 협력하는 가운데 영리성 추구와 더불어 사회적 공익추구를 뒷받침한다면 서로 상생할 수 있다고 본다. As there are much high social attention and concerns about public safety due to recent accidents that threat people's safety, frequent incidents occur where medical treatments for emergency patients are delayed due to unfortunate occurrence such as disturbance while drunk in the hospital emergency rooms where urgent first aid directly related to people's life and health is performed. This calls for immediate dispatch and strict responsive measures of the police to secure safety when such act of disturbance occur. Emergency room is the section that is most vulnerably exposed to violence in the hospital, and yet, very limited response measures are established for violence prevention. The staff in the emergency room experience insecurity due to violent incidents and this leads to fall of work satisfaction, rise of turnover rates and decline in the quality of medical service. This study suggests the following preventive measures for violence and restrictions to general public for the sake of medical team in the emergency room. First is the improvement in the awareness of doctor-patient relationship. Second is the improvement of emergency response system with the police. Third is the immediate response system of private security guard. Fourth is the limited access to emergency room. Responsive measures for violence prevention in the emergency room should be considered from the perspective of the expansion of private security guard services. Private security guards work on site in the emergency room and yet the development of private security service and its industry is hindered by the legal limitation of the regulation. Co-existence of private security and police is possible, although limited, if the two cooperate and compensate in the areas of their services to pursue profit as well as public interest.

응급실 간호사의 일상에 대한 문화기술지

하재현(Ha, Jae-Hyun),박형숙(Park, Hyoung-Sook) 기본간호학회 2016 기본간호학회지 Vol.23 No.4

Purpose: This ethnographic study was conducted to explore and understand themeaning of the daily life of nurses in emergency departments. Objectives for this study were to identify and describe the true nature of emergency roomnurses’ daily experience and create a theoretical model based on the findings. Methods:Data were collected through in-depth interviews and participants observation. These data were recorded and transcribed verbatimwith consent of the informants, 10 nurses who had cared for patients in emergency rooms. Data were collected between November 2013 and October 2014. Interviews continued until no new information could be identified from transcripts. Data were analyzed using the taxonomic analysis method developed by Spradley. Results: Based on the data acquired from interviews, nurses’ cultural domains were classified as ‘extensity of emergency room nurses’, ‘temporality of emergency room nurses’, ‘relationships among emergency room nurses’ and ‘becoming an emergency roomnurses’. Conclusion: The daily culture of emergency room nurses could be summarized as ‘busy daily life amidst confusion’. However, many nurses boosted their self-esteem by taking care of patients’ collaboration with fellow nurses. In other words, nurses in emergency room forms a dynamic culture and pursue professionalism, rather than a simple chaotic daily life culture.

Dual room hybrid emergency room system in trauma center

이성도,박찬용,문성남,서상현,정현석 대한응급의학회 2020 대한응급의학회 학술대회초록집 Vol.2020 No.2

Introduction There is a golden time in the treatment of trauma patients, and early diagnosis and treatment are required to save the patient within this golden time, and early bleeding control is particularly important among treatments. Computed tomograpjy (CT) is useful for accurate diagnosis of trauma patients, and surgery or angio-embolization is required for treatment. However, even if the CT room and operation room are installed near the emergency room (ER), it is not easy to move unstable patients from ER to the CT room, operation room, and angiography room. Hybrid emergency room system, developed in Japan in 2011, is a system that can perform resuscitation, CT, surgery and angio-embolization without moving a patient on a table. Material & Method This study is a retrospective study that reviewed the medical records of patients who visited the regional trauma center of Wonkwang University Hospital from January 1, 2018 to October 31, 2020. We compared the patient treatment results before and after the Hybrid ER system was operated. Result Among the patients admitted to the regional trauma center of Wonkwang University Hospital from January 1, 2018 to October 31, 2020, 371 patients underwent emergent angiography. Among them, 226 patients visited before the operation of the Hybrid ER system, and 145 patients visited after that. The average ISS score of patients who came before the operation of the hybrid ER system was 24 points, the average door to CT time was 56 minutes, the door to puncture time was 132 minutes, and the door to embolization time was 170 minutes. The average ISS score of patients who came after the operation of the hybrid ER system was 26 points, the average door to CT time was 10 minutes, the door to puncture time was 29 minutes, and the door to embolization time was 79 minutes. Conclusion CT is a useful tool for diagnosis of trauma patients, but in the case of patients whose vital signs are unstable, there is a disadvantage that it can be performed after initial resuscitation. In the hybrid ER, resuscitation and CT examination can be performed at the same time, so the examination can be performed quickly even in the case of unstable patients. A quick test can make a quick treatment plan, and even if surgery or angio-embolization is required, it can be performed directly from the ER. Hybrid ER system is excellent for trauma patients where golden time is important.