• Title/Summary/Keyword: 병원 전 응급의료체계

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Strategies for Improving Pre-hospital Emergency Medical Service (병원전단계 응급의료서비스 고도화 전략)

  • Chai, Seung-Gi;Jang, Dai-Hyun;Lee, Hyun-Woo;Han, Woo-Chul
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2011.01a
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    • pp.127-130
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    • 2011
  • 사회가 고령화, 초핵가족화 및 재난취약계층이 늘어나면서 요구호자에 대한 고품질 맞춤형서비스가 필요하게 되었고, 급성진환, 심뇌혈관 고위험 환자 및 자살 등 예방가능 사망률이 선진국에 비해 높음에 따라 신속하고 전문적인 구조 구급서비스가 요구된다. 따라서 본 논문에서는 응급환자가 발생하였을 때 병원 도착 전 환자의 정보를 이용하여 응급처치가 가능하도록 하고, 응급의료기관에서는 환자 진료준비를 사전에 할 수 갖출 수 있도록 하여 응급환자 진료의 효율성을 극대화하였다. 또한 사회적 인지도가 높은 119번호를 이용한 다양한 복합 응급신고 접수 시 유관기관과 통합적 대응체계를 구축하는 효율적 응급의료서비스 고도화 전략을 제시하고자 한다.

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Factors Associated with the Prehospital Delay in Acute Myocardial Infarction (급성 심근경색증 환자의 병원내원시간 지연에 관련된 요인)

  • Choi, Kyu-Chul;Choi, Sung-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.2
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    • pp.707-712
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    • 2013
  • In patients with acute myocardial infarction (AMI), the delay from symptom onset to hospital arrival has a critical effect on morbidity and mortality. This study examined to find out the determinants of the prehospital delay in patients with AMI. The study sample consisted of 597 patients hospitalized with AMI between Jan and Dec 2009. Demographic, medical history, and clinical data were abstracted from the hospital medical records of patients with confirmed AMI, the prehospital delay was categorized as less than or greater than 6 hours. Older age, low socioeconomic status(medical aid), and low use of Emergency medical system were associated with delays in seeking emergency care for Acute myocardial infarction. Education programs to improve patient knowledge of acute coronary syndrome symptoms and promote patient responsiveness with regard to seeking medical care should be used to reduce the prehospital delay time, especially in the low socioeconomic group.

Strategy for Advancement of Current Pre-hospital Emergency Medical Service (현 병원 전 단계 응급의료서비스의 선진화 전략)

  • Shin, Seong-Yoon;Chai, Seung-Ki;Jang, Dai-Hyunl;Park, Sang-Joon;Choi, Byeong-Seok
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.12
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    • pp.265-271
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    • 2011
  • High-quality customized services demand was growing due to the increase of aging, extremely nuclear family, disaster vulnerable of society. Ambulance service is required of fast and professional rescue and emergency service because of preventable death rate such as acute diseases, cerebral and cardiovascular diseases, suicides, etc. was higher than in developed countries. First aid will be available using patients information when emergency occurs, before arriving at the hospital. And emergency department is equipped with that patient care can be prepared in advance, increase the efficiency of emergency care. We received a variety of complex emergency call using high social awareness of 119 number and propose an efficient emergency medical service advancement strategy building an integrated response system with relevant organization.

Design of Wireless Communication System for Emergency Care of Patient (환자의 응급 상황 관리를 위한 무선 통신 시스템 설계)

  • Seo, Jung-hee;Park, Hung-bog
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.10a
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    • pp.985-986
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    • 2009
  • 기존 연구에서 환자의 응급 상황이 발생했을 경우 병원에 도착하기 전 신속하고 정확한 체계적인 관리가 환자의 생명에 많은 영향을 미친다는 연구 결과가 보고되고 있다. 대부분의 어플리케이션에서는 많은 응급 상황에 대해 실시간 생체 신호들을 모니터링이 하기 위해 전송되는 생체 신호들은 많은 제한을 두고 있으므로 이런 생체 신호들을 무선 통신 기반에서 효율적인 설계가 요구되고 있다. 따라서 본 논문은 응급 상황의 이동 중에 환자의 생체 데이터와 환자의 영상을 실시간으로 전문가에게 전송하는 시스템을 설계함으로써 병원에 도착하기까지 숙련된 전문 의료 서비스 지원을 통해서 의사가 환자의 데이터를 분석 및 평가하고 치료 과정에서 환자의 처방을 즉각적으로 지시할 수 있다.

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An Empirical Study on Emergency Medical Care Transportation Policy (응급의료 이송정책에 관한 실증적 연구)

    • Fire Science and Engineering
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    • v.17 no.4
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    • pp.42-56
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    • 2003
  • This research made a survey to 119 EMT laying stress on general contents connected with job in a frame of mutually organic cooperation system between the processes, composing Emergency Medical Care Transportation Policy in Korea, as a step before hospital, of happening emergency patients, 119 first-aid service of the spot, transportation of patients, construction of communication network etc.. As a result of analysis to that, it is found that there must be systematic devices which makes EMT not to be caught on medical dispute, a modernization of emergency equipments, professional first-aid agents, a proper personnel arrangement. Consequently, it suggests policy plan focusing on structural and functional aspect to improve an Emergency Medical Care Transportation system into a realistic one.

A Study on the Radio Transmission of Bio-Signal for Tele-Medicine (원격진료를 위한 생체신호의 무선전송에 대한 연구)

  • 김정년;곽준혁;최조천;조학현
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.6 no.3
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    • pp.379-385
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    • 2002
  • Tele-medicine and emergency medical system are necessary for moving from an accidental point or far distance to a hospital and emergency treatment or home treatment before a hospital. Emergency treatment is extremely important in the case of death before arriving a hospital and deformed of disabled by medical treatment delay. A necessary element for this medical system is the emergency communication system. This system is on preparing for an ability of furnishing patient status to a corresponding health service by monitoring the patient at an ambulance of the accident place. This is the transportation of basic biological information of a patient to a medical center by wireless communication system and the corresponding hospital of medical center examine the patient by monitoring, then they can send emergency medical order to the patient for emergency treatment. The TRS is most efficient way of emergency medical communication system, which is currently used with popularity. In this paper studied simultaneously a way of detecting and transporting bio-logical signals, and monitoring of transporting data with communication of voice in the accident place of ambulance.

A Study on the Manual for Emergency Medical Facility Constructing at Disaster Site (재난현장 응급의료시설 구축을 위한 매뉴얼에 관한 연구)

  • Yoon, Yousang;Suh, Sangwook;Lee, Young
    • Korean Journal of Construction Engineering and Management
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    • v.18 no.6
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    • pp.38-46
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    • 2017
  • Recently, various types of disasters have been occurring all over the world, and the importance of disaster management system to minimize damage caused by disasters is emerging. In Korea, we have made many policy improvements related to disaster safety, such as the establishment of the National Security Service and the announcement of the National Safety Management Plan and made a lot of effort to secure facilities such as disaster relief hospitals after the Mauna Ocean Resort Gymnasium Collapse and the Sewol-ho incident, However, compared to advanced countries such as the US, Europe, and Japan, there is a shortage of emergency medical center per population, and disaster management systems have not been implemented efficiently due to lack of coordination among various agencies. The purpose of this study is to propose the efficient construction and systematic management of emergency medical facilities required for disaster situations. For this purpose, it is necessary to identify the current status of domestic emergency medical facilities compared to developed countries.

Analysis of characteristics of out-of-hospital cardiac arrest patients by region in Chungcheong buk-do (충청북도 내 지역별 병원 전 심장정지 환자의 특성에 대한 분석)

  • Seong Bin Im;Hyeon Mo Yang;Young Jae Kim
    • Smart Media Journal
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    • v.13 no.5
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    • pp.33-44
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    • 2024
  • Chungbuk has various regional characteristics in terms of population composition by region, industrial facilities, and distribution of emergency medical institutions. However, there are no studies yet that have analyzed regional characteristic factors related to the occurrence characteristics of cardiac arrest patients. Therefore, this study provided basic data to establish a response system for OHCA patients suitable for the characteristics of the Chungcheongbuk-do region by analyzing the characteristics of OHCA patients and the transfer status of 119 paramedics in Chungcheongbuk-do. This study is a retrospective study that analyzed 1,188 cardiac arrest patients transferred by ambulance based on raw data from the survey on acute cardiac arrest in Chungbuk (2020). There are a total of 11 emergency medical institutions in Chungbuk-do, which are concentrated in city-level areas, so the transfer time of patients to hospitals in county-level areas was delayed. In the county-level area, the frequency of dispatch of special paramedics was relatively small, and the frequency of administration of cardiac arrest drugs to help resuscitate cardiac arrest patients was also low. In conclusion, efforts should be made to improve accessibility of emergency medical services (deployment of emergency vehicles in marginal areas, proper placement of emergency medical institutions, etc.), to promote prevention of traumatic cardiac arrest patients, and to expand the scope of work to strengthen the first aid expertise of paramedics.

Utility of the Dispatch Protocol to Triage the Emergency Patients who presented with Symptoms of Stroke or Chest Pain (흉통 및 뇌졸중 증상 환자에 대한 전화 중증도분류 지침의 유용성)

  • Cho, Suck-Ju;An, Byeung-Ki;Park, Jae-Yong
    • The Journal of the Korea Contents Association
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    • v.12 no.12
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    • pp.345-355
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    • 2012
  • Delayed treatment of acute cardiovascular and cereb-directrovascular diseases is related to poor prognosis and sequelae. For rapid and adequate treatment, role of prehospital emergency dispatchers for adequate triage and selection of hospital is important. In several advanced countries, emergency dispatchers use standardized protocols for decision of rescuer resources or distribution of patients at each hospital. ut, there has not been developed standardized protocol for emergency dispatchers in Korea. We developed standardized protocol based on NHS-direct and CTAS system for triage of symptoms of chest pain and Stroke. Groups with standardized protocol and without protocol was compared to triage result at emergency department which patient visited. The accuracy of triage on chest pain was 70.0% in group A, 94.0% in group B(p<0.01). The accuracy of triage in stroke symptoms was 64.2% in group A, 84.6% in group B(p<0.01). Conclusion: In this study, the accuracy of telephone triage with the protocol was more accurate than without the protocol. But, more studies are needed to generalize the protocol in South korea.

A Study on Emergency Medical System Out of Hospital (Centering on the Limitation of Emergency Medical Service Out of Hospital in the Emergency Medical Technicians) (병원 전 응급의료체계에 관한 연구(응급구조사의 병원 전 응급의료의 제한 중심으로))

  • Park, Sang-Sub;Baek, Hong-Seok
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.2
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    • pp.89-100
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    • 2005
  • Due to the improvement in life, we, human beings, are living in the more convenient world. However, as society gets complex, it comes to be faced a dangerous situation that needs to request a help due to an unexpected accident. The promptly emergency relief and emergency treatment from this accident, can be said to be extremely important in increasing a rate of resuscitation. This study analyzed on a case study and problems about the Emergency Medical System out of hospital in our country. The contents in the results of a study can be summarized as follows. 1. given the occurrence of medical disputes in a situation of emergency treatment, the regulation in the legal protection 'Will need to be reinforced. 2. in relation to the mobilization of ambulance, the preferentially passage right in ambulance needs to be guaranteed. In general, the preferentially passage right in ambulance is secured, but it will need to be supplemented by improving the education in civic consciousness and the social system. 3. in case of emergency duties in the emergency medical technician, the countermeasure will need to be strengthened in terms of abusive language and violence from a citizen. 4. in terms of emergency duties in the emergency medical technician, aiming to keep safety from a sudden situation, the possession of the protective equipments will need to be completely provided. 5. the limitation of activity will need to be eased by expanding the range of duties in the emergency medical technician within the ambulance, and the opening of duties will need not to be allowed to the similarly job category. 6. it needs to be reinforced the safety of the emergency medical technician from infectious diseases. Aiming at these emergency medical technicians whose service spirit is thoroughgoing, the nation and the local government will need to form all the conditions in which emergency medical technicians can be active passionately.

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