High speed train is defined as train which can run at the speed of more than 200Km/h and Korean version of high speed train (Korean Train Express: KTX) runs at 300Km/h on average. Because of high speed, safety is the most important issue of high speed train, so the early detection of technical error and operational safety have been emphasized. But the research about emergency medical system for patients occurring in the high speed train and stations is insufficient. So author analyzed the project on development of emergency medical system for cardiac arrest in the high speed train and stations.

The project on development of emergency medical system for cardiac arrest in the high speed train and stations was analyzed retrospectively and the real situation was confirmed by interviewing the staffs and visiting the high speed train and stations. The education on both basic life support and PAD (public access defibrillation) for staff of the high speed train and stations was analyzed. Simulation was perfomred for adequate distribution and arrangement of AEDs (automatic external defibrillators) in the high speed train and stations.

The education on both basic life support and PAD (public access defibrillation) for staff of the high speed train and stations was performed to 1323 persons from October 2008 to June 2009. Total 51 AEDs were arranged in 6 stations and 87 AEDs were arranged in the high speed train. One AEDs were arranged for successive 6 passenger car in a train. Public education by repeated video playing in the high speed train was started.

The emergency medical system for cardiac arrest in the high speed train and stations was developed by training staffs and arranging AEDs initially. The next step will be developing the disaster medical system in the high speed train.