• Title/Summary/Keyword: 비응급

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Development of the Disaster Medical Manual in Korea (국가재난의료매뉴얼의 개발)

  • Wang, Soon-Joo
    • Journal of Korean Society of Disaster and Security
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    • v.9 no.1
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    • pp.39-45
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    • 2016
  • The disasters in Korea, such as the Sewol Ferry Ship sinking disaster has had problems related to the medical response system, with the problems of emergency medical support team in the site, the cooperation between medical staff and fire department officer at disaster site, field medical support and hospital acceptance of the wounded in trouble, the lack of specific systematic medical response manual. Therefore, from May 2014, when the disaster emergency information center in Central Emergency Medical Center starts, collection, modification and education of scattered preexisting disaster emergency medical manual had appeared as important issues. So, it was necessary to develop the early medical response system to disaster. The correction planning of disaster emergency medical response system by Central Emergency Medical Center included quick response system with the fast medical team operation, but the practical application was not enough. So the researcher and his team developed the first Korean disaster emergency medical response manual and the process of development was documented and arranged with the application by education and training.

Cardiopulmonary Resuscitation Education & Performance by Bystanders in an Emergency (일반인 응급 상황 경험자의 심폐소생술 교육 및 수행에 대한 특성 고찰)

  • Kang, Kyung-Hee;Kim, Yun-Mi;Lee, Hee-Joo
    • The Journal of the Korea Contents Association
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    • v.10 no.12
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    • pp.378-386
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    • 2010
  • The concern regarding inability to perform CPR properly was widespread, and few studies, however, have queried bystanders regarding their responses to an actual emergency. This study assessed how often CPR was performed by CPR-trained bystanders and what factors were associated with the performance and nonperformance of CPR by trained bystanders. From a 2,000 sample survey of the National Emergency Medical Center in Korea (2008), it extracted object persons who actually experienced an emergency situation, and examined closely the relationship of CPR education experience and CPR performance in an emergency. 169 completely interviewed, 23(13.6%) had CPR education experience and performed CPR in an actual emergency, 40(23.6%) had CPR education experience but didn't performed, 12 (7.1%) didn't have CPR education experience but performed, and 94(55.6%) neither had CPR education experience nor performed. Specifically, within bystanders who had CPR education experience, those who CPR was performed were different from those who CPR was not on medical emergency-related characteristics such as CPR knowledge(p=0.001), 1339 emergency phone number(p=0.006) and 1339 emergency services(p=0.001). Consequently, to consider social characteristics or an economic condition, various CPR teaching strategies should be prepared to continuously propel.

A Study on Decrease of False Positive Rate of Detection against Sniffing Attack over Switched Network (Switched Network 상에서 스니핑 공격 탐지에 있어서의 오탐율 감소를 위한 연구)

  • Lim, Jung-Muk;Yang, Jin-Seok;Han, Young-Ju;Lee, Eun-Sun;Lim, Hyung-Jin;Chung, Tai-Myung
    • Proceedings of the Korea Information Processing Society Conference
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    • 2004.05a
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    • pp.1083-1086
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    • 2004
  • Switched Network는 Shared Network 에 비해서 스니핑에 안전하다. 하지만 비교우위일뿐 절대적으로 스니핑에 안전한 것은 아니다. 이미 Switched Network 상에서 스니핑을 할 수 있는 공격툴들이 많이 소개되어 있다. 본 논문에서는 Switched Network 상에서 ARP(Address Resolution Protocol) 스푸핑을 통한 ARP 캐시 오염을 통하여 스니핑이 가능한 시나리오를 기술한다. 이러한 시나리오를 탐지하기 위한 기존의 방법은 DHCP와 같은 동적인 환경이 포함된 경우 False Positive 를 자주 발생시키기 때문에 문제가 된다. 여기에서는 이러한 False Positive를 줄인 탐지 방법을 제시하고자 한다.

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A Study on the Relation between Knowledge and Attitude on Coronavirus Disease-19 (COVID-19) and Infection Control Performance of Paramedic students (응급구조(학)과 대학생의 코로나바이러스감염증-19(COVID-19)에 대한 지식 및 태도와 감염관리 수행도 간의 관련성 연구)

  • Park Dae-Sung;Kim Gap-Seon;Lee Man-Jin;Kim Ye-Rim
    • Journal of Advanced Technology Convergence
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    • v.2 no.3
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    • pp.25-32
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    • 2023
  • This study was conducted to find out the relationship between knowledge and attitudes about COVID-19 and infection control performance among college students in paramedicine. The subjects of the study were 154 university students attending a 3-4 year paramedicine located in Gwangju Metropolitan City, Jeollabuk-do Province, and the collected data were frequency, percentage, sum, average and It was analyzed by standard deviation, t-test, ANOVA(Scheffe), Pearson's Correlation Coefficient, and Multiple Linear Regression. The order of attitude and knowledge about COVID-19 affected the infection control performance of college students in the paramedicine. Therefore, it is necessary to develop and apply regular or non-regular curriculum and multidisciplinary curriculum that can improve knowledge and attitudes about COVID-19 in order to improve the infection control performance of paramedic students.

Development of a Prehospital Protocol on Cardiopulmonary Resuscitation of 119 Emergency Medical Technicians (구급대원의 심폐소생술에 대한 현장업무 프로토콜 개발)

  • Jung, Ji-Yeon;Chung, Young
    • Fire Science and Engineering
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    • v.24 no.2
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    • pp.185-193
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    • 2010
  • This study aimed to develop a prehospital protocol on CPR to patients with nontraumatic cardiac arrest for emergency medical technicians. For the purpose, we prepared a protocol based on preliminary items and demonstrated its validity to confirm a final protocol from March 1, 2007- August 30. 2008. The practical CPR protocol on cardiac arrest victims can be used as means to support quick and exact decision-making on CPR, which will contribute to enhancement of emergency medical services.

Voice inactivity detection for Analysis of Acoustic data of Emergency Rescue (응급구조에서의 음향데이터 분석을 위한 음성 부재구간 검출 기술)

  • Huang, Seng Hyun;Chang, Joon-Hyuk
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.10a
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    • pp.1348-1349
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    • 2015
  • 본 논문에서는 응급구조의 신고 상황에서의 수보자의 보다 정확하고 신속한 대응를 위하여 수화자의 음향환경을 분석하여 주변상황에 대한 정보를 알고자 심화 신경망 기반의 음성 부재구간 검출 기법을 제안한다. 제안한 알고리즘은 음성 신호에서의 23차의 Mel-filter bank를 추출하고 이를 심화 신경망 기법을 이용하여 음성 부재구간을 검출한다. 객관적인 성능 평가를 위해 제안된 기법은 실제 응급구조 상황에서 평가되었으며, 기존의 음성검출기를 이용한 음성 부재구간 검출 성능에 비하여 향상된 성능을 보였다.

A Life-Critical Data Transmission Scheme for Wireless Body Area Networks (무선 인체 통신 네트워크를 위한 응급데이터 전송기법)

  • Choi, Won-Suk;Cho, Sung-Rae
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.34 no.12B
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    • pp.1329-1335
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    • 2009
  • In this paper, we propose a new medium access control protocol referred to as DCTW (Dual Channel Transmission Scheme for wireless body area networks). Wireless body area networks (WBANs) requires prioritization mechanism for life-critical data to transmit the data as early as possible. The proposed DCTW exploits a narrow band for transmitting life-critical data while it uses a broadband channel to transmit normal data. Since the narrow band is dedicated to life-critical data, the DCTW can effectively reduce the delay of life-critical data transmission. Through extensive simulation, we show the DCTW outperforms other existing schemes.

Indications and Estimations of the Needs for Direct Medical Control in the Patients Transported by 119 Rescuers (119 구급대에 의해 이송된 환자들 중 직접적 의료지도가 필요한 범위와 그에 따른 수요 추정)

  • Park, Jae-Young;Jung, Koo-Young;Bae, Hyun-A
    • Fire Science and Engineering
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    • v.20 no.3 s.63
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    • pp.42-47
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    • 2006
  • Direct medical control by medical doctors is an essential part of emergency medical services system (EMSS). However, the indications are not specifically defined, even in 119 system with their own medical control team. The Seoul Metropolitan Fire and Disaster Management Department has operated internal medical consultation services on its own since January 2004. Based on the experiences from these services, we reviewed the cases of the direct medical consultation and establish the indications for direct medical control. And we presumed the demand of direct medical control with the established indications. The crews of 119 in Seoul made 793 calls to Medical Control Team during November 2004. We reviewed all of the calls according to the level of consciousness (AVPU), the kinds of emergency care done by crews during transport (10 categories), and the mechanisms of injuries (9 categories). The need for direct medical control was judged by authors with reviewing the records reported by the crews and control teams. Among 23 items, 14 items assigned as the indications, which were abnormal level of consciousness (VPU), 6 kinds of emergency care, and 5 mechanisms of injures. The sum of the three of them, 7,782 cases (45.9%), was in need of direct medical control. In conclusion, about half of the patients transported by 119 crews in Seoul require direct medical control. The need for the direct medical control in Seoul was estimated as many as 260 calls per day. To fulfill the need for direct medical control and to provide a effective medical control, the direct medical control should be accomplished through the communications between the crews and the medical staffs in the local hospitals.

Usefulness of the SAFARI score for predicting convulsive seizure in patients with aneurysmal subarachnoid hemorrhage (비외상성 동맥류성지주막하출혈 환자에서 SAFARI 점수를 이용한 경련 발생 예측의 유용성)

  • Baik, Seung Jun;Hong, Dae Young;Kim, Sin Young;Kim, Jong Won;Park, Sang O;Lee, Kyeong Ryong;Baek, Kwang Je
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.5
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    • pp.449-454
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    • 2018
  • Objective: The SAFARI score was introduced to assess the risk of convulsive seizure during admission for aneurysmal subarachnoid hemorrhage in 2017. This study was conducted to determine whether the SAFARI score derived from the afore-mentioned study could be applied to patients with aneurysmal subarachnoid hemorrhage in Korea. Methods: We conducted a retrospective study of patients who were diagnosed with aneurysmal subarachnoid hemorrhage from March 2013 to October 2017. Patients' age, sex, blood pressure, pulse rate, body temperature, Glasgow-Coma Scale, Hunt-Hess scale, modified Fisher grade, size of ruptured aneurysm, surgery type, transfusion, and SAFARI score were compared between the seizure and non-seizure groups. The area under the receiver operator characteristic curves was calculated to evaluate the predictive ability for seizure during admission. Logistic regression analysis was used to analyze predictive factors for seizure during admission. Results: A total of 220 patients were included. Ninety-seven (44.1%) were male and 123 (55.9%) were female. The mean age of the patients was 65.8 years old (range, 56-75). The area under the curve of the SAFARI score for predicting seizure was 0.813. The SAFARI score was the only significant predictor of seizure during admission, while other factors were not statistically significant upon logistic regression analysis. Conclusion: The SAFARI score could be used for predicting seizure during admission in patients with aneurysmal subarachnoid hemorrhage.