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A Study on Legal Status of Substitute Paramedics in the 119 Emergency Medical System

  • Legal Theory & Practice Review
  • Abbr : LTPR
  • 2025, 13(4), pp.319~342
  • Publisher : The Korea Society for Legal Theory and Practice Inc.
  • Research Area : Social Science > Law
  • Received : October 13, 2025
  • Accepted : November 26, 2025
  • Published : November 30, 2025

Hong, Young-Pyo 1

1충청소방학교

Accredited

ABSTRACT

In the emergency medical system, the 119 emergency response team is a crucial public resource that directly safeguards the lives and safety of citizens, playing a vital role in the pre-hospital stage. However, the current system falls short in addressing the manpower gaps caused by paramedics' leave, sick leave, and parental leave, and the substitute personnel deployed to fill these gaps are essentially performing emergency duties without the benefit of clear legal status. While paramedics perform tasks similar to those of regular paramedics, such as transporting emergency patients, monitoring patients, and providing basic first aid, they are exposed to the risk of accidents or legal disputes due to the unclear legal basis for their authority, responsibilities, and scope of liability. Furthermore, the education and hiring systems for substitute workers differ significantly from one region to another and institution to institution, which can limit the ability to ensure expertise and maintain consistency in work. This institutional vacuum raises concerns about the quality of emergency medical services and public safety, ultimately compromising the stability of emergency response operations. To ensure the effective functioning of emergency services, it's essential to establish a clear legal framework for paramedics, define their authority and responsibilities, and standardize their education and certification processes. This is expected to alleviate the legal and institutional uncertainties that may arise when introducing alternative personnel, while also ensuring the safety of citizens and the stability of emergency services.

Citation status

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