• Title/Summary/Keyword: 골든 타임 내 도착율

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Pohang City Fire Vulnerable Area Prediction and Fire Damage Rating Measurement by Administrative District (포항시 화재 취약지역 예측 및 이에 따른 행정구역별 화재 피해 등급 측정)

  • Lim, Jung-Hoon;Kim, Heon-Joo
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.166-176
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    • 2021
  • Due to urbanization and industrialization, the importance of large-scale fire prevention, management and measures is increasing day by day. However, the fire site arrival rate in Golden Time, which is a factor that can minimize large-scale fire damage, of Pohang, a large city with a population of over 500,000, is relatively low. So additional fire fighting power deployment and infrastructure investment are required. However, as budget and manpower are limited, it is necessary to selectively deploy fire fighting power and invest in infrastructure. Therefore, this study attempted to present a fire damage rating that can compare the level of fire damage, which is an index that can help selectively provide fire fighting services in Pohang and make related decisions. For the index, the OD cost matrix was used to predict fire vulnerable areas with a high probability of increasing the fire scale in the event of a fire. Also fire damage was measured by predicting the level of fire damage in the event of a fire according to population, building density, and access of fire trucks. It is expected that the fire damage rating will be able to help in various decisions related to fire fighting service deployment and services not only in Pohang city, but also in other regions.

Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction (급성심근경색 환자의 증상 발현 후 골든타임내 응급의료센터 도착율 및 지연에 관련된 요인)

  • Ahn, Hye Mi;Kim, Hyeongsu;Lee, Kun Sei;Lee, Jung Hyun;Jeong, Hyo Seon;Chang, Soung Hoon;Lee, Kyeong Ryong;Kim, Sung Hea;Shin, Eun Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.804-812
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    • 2016
  • Purpose: This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI). Methods: Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour. Results: After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation. Conclusion: Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center directly should be implemented for patients and/or caregivers.