• Title/Summary/Keyword: 응급부

Search Result 141, Processing Time 0.035 seconds

A Study on the Development of Facility Model for Safety Training Class in School (학교 내 안전체험교실의 시설모형 개발 연구)

  • Park, Sung-Chul;Ahn, Yoo-Jeong;Song, Byung-Joon;Cho, Jin-ll
    • The Journal of Sustainable Design and Educational Environment Research
    • /
    • v.16 no.2
    • /
    • pp.19-33
    • /
    • 2017
  • The purpose of this study is to derive education programs for safety training class, create unit spaces and present components and methods of utilizing the spaces for the development of facilities models closely related to various policy, operation plan and facility construction projects promoted by related institutions such as the Ministry of Education, schools, architects and companies. This study is divided into five steps. First, we reviewed the literature related basic directions for safety education and facility plan, second, field survey included both field conditions such as spatial size and facility configuration and analysis of operating conditions like hours of operation and personnel. Base on literature review and field survey, it were used to analyze strengths and weaknesses of existing safety training classes, and five facility models was developed based on the Delphi method and expert participatory design. The result show that the facility models (drafts) of safety training class were developed as follows: (1)the facility model for traffic safety(pedestrian safety, vehicle safety, subway safety) (2)the facility model for first aid(emergency rescue, how to report) (3)the facility model for disaster safety(fire evacuation safety, life earthquake safety) (4)the facility model for elevator safety(elevator safety, escalator safety) (5)the facility model for drugs and violence safety (smoking drinking, sexual harassment safety, food safety) The safety training class can be composed by combining or separating each module according to affordable space size of each school.

A Study on the Implementation and Modeling of 20kW Scale ESS Load Test Device for Emergency Generator (소방용 비상발전기의 현장부하시험을 위한 20 kW급 ESS 부하시험장치 모델링과 구현에 관한 연구)

  • Choi, Seung-Kyou;Lee, Hu-Dong;Choi, Sung-Sik;Ferreira, Marito;Rho, Dae-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.9
    • /
    • pp.541-550
    • /
    • 2019
  • An emergency generator is key equipment for fire-fighting to supply power to fire-fighting facilities, which protect property and people in cases of fire accidents. A rated load test for emergency generators must be carried out by connecting an emergency load to the generator in accordance with related regulations. However, a no-load test has been performed for emergency generators in general since serious problems can occur when the main power is cut off, including the damage of customer devices and shut down of critical loads. Therefore, this paper proposes a load test method for an emergency generator using energy storage system (ESS) without the interruption of main power. The emergency power system was also modeled based on PSCAD/EMTDC software, and a 200-kW scale ESS load test device was implemented. The simulation and test results show that the load test method is useful and practical for an emergency power supply system.

Seven Cases of Severe Esophageal Stricture (고도의 식도 협착증 7 예)

  • 김기주;김호성;조중환
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1982.05a
    • /
    • pp.5.2-5
    • /
    • 1982
  • With the improvement of living standard and socioenvironmental change, esophageal stricture due to acetic acid, Hcl, insecticides and lye has led to decrease remarkably. Esophageal stricture has decreased because of immediate treatment and adequate management. However there are still sporadic incidents of esophageal stricture due to inadequate treatment and uncooperation of patients. The authors recently have experienced seven severe cases of esophageal stricture. All six patients were treated with 18-51 French Sippy esophageal dilating bougie. One patient was transfered to thoracic surgery department due to complete esophageal obstruction. Case 1. A 23 year old housewife who ingested Hcl for suicide. After Witzel's operation, she visited to dilate esophageal first constriction stircture due to swallowing difficulty postoperation 2 months later. We were treated successfully. Case 2. A case of esophageal stricuture in the second and third physiologic constriction part. The patient was 51 years old man who ingested lye accidently, and was dilated by bougination. Case 3. The patient was 43 year-old man who ingested acetic acid as a mistake and was treated inadequately at hopsital. Inspite of treatment, esophageal stricture developed at the third physiologic part. We are trying to dilate the esophagues now. Case 4. The patient was 55 year-old woman who had ingested Hcl for the purpose of suicidal attempt. 2 months later gastroduodenal anastomoisis due to pyloric region stenosis, the first physiologic constriction stricture was dilated successfully. Case 5. The patient was 41 year-old woman who ingested Hcl for suicide 4 months ago. There was indwelled orogastric tube for 1 month but esophageal stricture developed at the first and 3rd constriction part. She was treated by using a bougination. Case 6. An athlete 21 year old man, ingested acetic acid 2 spoonful per 3 days by purpose in order to soften the bone for last 14 months. There was complete esophageal obsturction in esophagogram and transferred to the thoracic surgery department. Case 7. A 3 year-old girl was ingested lye at a accident. She had a bougination for 16 months under the general anesthesia for dilation due to whole irregular esophageal stricture. She developed lower esophageal perforation, but healed eventually.

  • PDF

Status of Health and Safety Management in Occupational Hygiene Laboratories in Korea

  • Yang, Hyukseung;Choi, Jaewook;Yoon, Seokjoon;FARR, Terry
    • Journal of Korean Society of Occupational and Environmental Hygiene
    • /
    • v.17 no.1
    • /
    • pp.53-62
    • /
    • 2007
  • 목적: 1990년대 초반부터 시작된 우리나라의 산업 보건에 대한 사회적 관심의 증대와 시장의 요구에 따라 산업위생기관의 양적인 팽창이 이루어지긴 하였으나 실험실 관련 안전보건규정이 미비한 상태에서 추진되어 산업위생 실험실에서 다양한 유해 위험성 인자를 취급함에도 불구하고 사용되는 량이 소규모로 인해 안전보건과 관련된 사항은 대부분 간과하고 있으며, 산업위생 실험실의 안전보건관리 실태는 선진외국에 비해 상당히 낙후되어 있는 실정이다. 따라서 본 연구는 우리나라 산업위생 실험실과 관련한 안전보건관리 실태를 평가함으로써 향후 실험실의 안전보건관리 수준을 향상 시키는데 효과적인 자료로 활용하는데 기여하고자 한다. 방법: 산업위생실험실의 안전보건 실태를 파악하기 위해 설문조사를 수행하였으며, 설문은 실험실의 전반적인 안전보건, 화학물질 저장 및 용기, 가연성 및 인화성 화학물질, 가스 실린더, 의사전달, 응급처치 및 비상사태 장비, 정리정돈, 소방안전, 전기안전, 개인보호구, 흄후드 및 환기, 및 이황화탄소 취급 사례로서 12개 영역으로 구성되었다. 연구대상은 2001년 한국산업안전공단 정도관리프로그램에 참여한 기관으로서 총 대상은 119개 기관이었다. 연구기간은 2002년 7월 01일부터 8월 30일까지 약 60일 이었다. 설문은 반송봉투에 넣어 설문완성 후 연구자에게 보낼 수 있도록 배려하였으며, 1차 설문을 보낸 후 2주 후에 설문 참여를 독려하기 위해 엽서를 발송하였고, 다시 2주 후에 각 산업위생기관에 개별 전화 연락을 취하였다. 그 결과 63% (75개 기관)의 완성된 설문을 얻을 수 있었다. 설문의 총 조사항목은 79문항으로 구성되어 있으며, 산업위생실험실의 안전보건 수준을 정량적으로 평가하기 위해 안전보건 매뉴얼, 교육훈련프로그램 및 한국산업안전공단 실험실 지침서를 보유한 기관과 그렇지 않은 기관간의 차이는 선별된 67문항에 대해 각 문항에 합당하거나 적절할 경우 1점을 부여하는 방식으로 점수화하였다. 이들의 관련성을 파악하기 위하여 Microsoft-Excel 2000 프로그램을 이용하여 two-tailed t-test 분석을 실시하였다. 결과 1. 산업위생실험실 운영과 관련한 67개 항목(항목별로 각 1점 부여)에 대한 안전보건 성과지수화 (100점으로 점수 환산) 결과 안전보건 매뉴얼을 보유한 기관은 $42.98{\pm}13.36$(p<0.001)점, 교육훈련프로그램을 보유한 기관은 $50.75{\pm}14.12$(p<0.01)점, 한국산업안전공단 실험실 지침서를 보유한 기관은 $43.58{\pm}11.92$(p<0.01)점으로 그렇지 않은 기관에 비해 통계적으로 유의하게 높은 점수분포를 보였다. 2. 화학물질 보관 캐비닛이 있는 기관 중 64.8%의 기관은 화학물질을 알파벳 순으로, 27.8%는 분류 기준에 따라, 그리고 7.4%는 무작위로 보관하고 있었다. 3. 단지 8.0% (6개)의 기관만이 실험실내에 눈세정 분수(2 개), 샤워기(3개) 및 눈세정물병(3개, 2개 중복 응답 기관)과 같은 응급처치 장치 및 물품을 갖추고 있었다. 4. 89.0%의 기관이 흄후드내에 화학물질을 보관하고 있었다. 5. 물질안전보건자료, 흄후드 기록지, 비상사태 절차서 및 한국산업안전공단 실험실 지침서와 같은 문서관리는 부적절하게 관리 및 기록되고 있었다. 6. 대부분의 산업위생 실험실은 응급처치 장비, 화학물질 또는 가스용기 보관실과 같은 실험실 안전설비가 부족할 뿐만 아니라 정리정돈, 화학물질 저장 캐비닛, 안전보호구 및 흄후드와 같은 관리가 미비하였다. 결론: 이상의 결과에 근거하여 기관장은 실험실의 안전보건관리를 위하여 문서관리체계를 제공하고, 모든 실험실 종사자가 적절한 개인보호구를 착용할 수 있도록 하며, 비상 장비를 설치하고, 실험실과 관련한 적절한 규정을 제정하며, 교육훈련 프로그램을 제공하여야 한다. 또한 실험실 종사자는 실험 중 적절한 개인보호구의 착용하고, 비상장비 이용에 대한 교육훈련에 참여하며, 적절한 실험실 운영관리에 대한 책임감을 가져야 한다. 위의 권고사항 이행을 위해서 KOSHA는 KQCP 프로그램에 실험실 안전보건관리 항목을 삽입하여 주기적인 평가를 수행할 필요가 있다. 우리나라 실험실의 특성을 고려할 때 본 연구결과는 일반 실험실에도 적용될 수 있을 것으로 생각된다.

The Role of Intra-Aortic Balloon Pump in Coronary Artery Bypass Surgery (관상동맥 우회술에서의 대동맥내 풍선 펌프의 역할)

  • 박성식;김기봉
    • Journal of Chest Surgery
    • /
    • v.30 no.3
    • /
    • pp.282-286
    • /
    • 1997
  • In the era of coronary artery bypass grafting, the intraaortic balloon pump (IABP) is more widely used and its indication has been ex anded. We perf'orbed retrospective clinical analysis on the patients who have received IABP pre andfor postoperatively during the course of CABG. From January 1981 to June 1995, total 322 patients have received CABG at the Seoul National University Hospital and among them 50 patients (15.5%) were supported by IABP during the course of the operation. The mean age at the time. of the operation was 57.2 years (39∼ 75 years) and the male to female ratio was 33 : 17. The preoperative diagnosis was unstable angina in 33 (66%), stable angina in 7 (14%) and postinfarct angina in 8 patients(16%). As for the indications of the IABP, there were 13 cases(26%) with left main disease, 13 (26%) with class IV angina, 12 (24%) with difficulty in CPB weaning, 6 (12%) with postinfarct angina and 3 (6%) with severe LV dysfunction. In the remaining 3 cases, one patient was operated on after PTCA failure in emergency basis, another was a patient with AMI, and the other was one who had postoperative low c rdiac output syndrome. All IABPS were introduced via femoral artery and among them 45 cases (90%) percutaneously. The mean postoperative assist time was 22.3 hours (0.5 ∼ 168 hours) and IABP could be removed within 48 hours in most of them (44150). The operative mortality was 6.1% (3 cases) and postoperative morbidity was only one with lower extremity ischemia. The more general application of the IABP during the course of the CABG ,especially in patients with high preoperative risk factors or difficulty in CPB weaning is a good measure of protecting and recovering myocardial function with minimal risk.

  • PDF

The Wireless Monitoring System of Respiration Signal (호흡신호 무선 통신 시스템 개발)

  • Son, Byoung-Hee;Jang, Jong-Chan;Yang, Hyo-Sik;Cha, Eun-Jong
    • Journal of the Institute of Convergence Signal Processing
    • /
    • v.12 no.3
    • /
    • pp.157-162
    • /
    • 2011
  • This study is about implementing wireless transferring system in pre-hospital cardiopulmonary resuscitation(CPR). Also, this study includes monitoring based feedback between patient and hospital to increase the survival rate of emergency patient by developing the performance of cardiopulmonary resuscitation in pre-hospital. It minimizes the loss of flow rate or gastric inflation through the space between the airway and the esophagus, which enables the inspiration-expiration rate to be measured more precisely. Due to these reasons this study applied ET insertion based respiratory sensor to measure flow rate. The main indices of artificial ventilation are justified from minute respiration(V), end-tidal $CO_2(E_TCO_2)$, and tracheal pressure($P_{tr}$). The simulation is performed to verify the bandwidth and delay time of transport network for in-hospital monitoring even as transporting images and voice information simultaneously. The total bandwidth is 815 kbps, and WLAN (IEEE 802.11x) is used as communication protocol. The network load is under 1.5% and the transmit delay time is measured under 0.3 seconds.

Effects of Life Stress and Depression of Health College Students on Their Suicidal Ideation : Control Effects of Social Support (보건계열 대학생의 대학 생활스트레스, 우울이 자살생각에 미치는 영향 : 사회적 지지의 조절 효과)

  • Park, Dae-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.2
    • /
    • pp.728-736
    • /
    • 2013
  • This study selected 390 students attending the three-year curriculum departments of G college in G metropolitan city including emergency medical technology, physical therapy and health administration randomly as the subjects of the research. The research was conducted from June 4 to 6, 2012 with structured self-administered questionnaire, 366 responses were used for final analysis. Data collected were analyzed with SPSS WIN(Statistical Package for Social Science Windows) 12.0 program and all tests were verified at the significance level of 0.05. As a result of the research, it was found that interaction effects between depression from suicidal ideation and social support showed negative correlation and it was statistically significant. Consequently, it was confirmed that social support had control effects in the relationship between depression and suicidal ideation. Therefore, the development and application of individual and group counseling and regular education program to prevent suicide and increase self-esteem are required, practical education program should be conducted and studies showing its results and effects are also needed.

Development and Application of e-Learning Human Anatomy Content for Undergraduate Students in Health Allied Science (해부학실습교육에서 의사소통기술을 활용한 해부설명회의 적용)

  • Kim, Jee-Hee;Park, Jeong-Hyun;Moon, Tae-Young
    • Proceedings of the KAIS Fall Conference
    • /
    • 2009.12a
    • /
    • pp.208-211
    • /
    • 2009
  • 본 연구에서는 해부학 실습에 사용되었던 사체와 인체 모형을 활용하여 해부설명회를 개최하였고, 의학전문대학원생들이 간호학과, 응급구조학과, 스포츠 과학부 등 3개 학과 학부생들을 대상으로 사체 내부의 구조와 기능을 설명하고, 상호 질의응답과 토론을 진행한 후, 설문조사와 소감문을 통하여 학습 효과를 분석하였다. 해부학 설명자 요인, 설명 및 설명회 전체 만족도, 학습도움정도에 있어서 참가자가 설명자보다 유의하게 높은 수치를 보였다. 기반시설이나 교육여건이 아니라 설명 자체의 만족도가 설명회 전체 만족도를 결정하였으며, 학습에 도움을 주는 가장 중요한 요인은 해부학 설명자 요인으로 태도, 방법, 설명 내용 등이 포함되었다. 참가자들은 낯선 수업방식에도 불구하고 이론수업을 통해 얻은 해부학 지식을 체계화하는데 도움을 받았고, 설명자는 참가자를 위해 적절한 용어, 설명속도, 질의응답 등 의사소통의 중요성과 필요성을 깨닫게 되었다. 결론적으로 건강-보건-의료 분야의 학생들을 대상으로 해부설명회를 개최하여 해부학 실습에 대한 학생들의 능동적인 참여를 유도하였고, 의사소통을 통한 정보 전달과정에서 학습내용을 체계화하였을 뿐만 아니라 학문 간의 연계성, 타 전공자와의 상호교류를 통한 학문적 이해의 폭이 확대되었음을 확인하였다. 최근 건강-의료 분야의 학과 신설 및 전공자가 급격하게 늘어남에 따라 해부학 교육의 질적 향성 및 학습자의 학습효과 증진을 도모하기 위해서는 새로운 강의방식의 도입이 필요하다. 따라서 본 연구는 해부학 과목이 전공필수로 포함되어 있는 강원대학교 2개 학과(간호학과, 스포츠과학부) 전공자들을 대상으로 해부학 강의를 위하여 강원대학교 e-러닝 센터와 함께 가상강의 컨텐츠를 개발 과정에 있어 담당교수의 역할을 분석하고, 정규교육과정에서 적용한 후, 학생들의 설문 조사와 가상강의실 운영 성과를 평가하였다.

  • PDF

Acute Suppurative Pericarditis Caused by Liver Abscess -1 case report- (간농양에 속발한 급성화농성 심 낭염 -1례 보고-)

  • 홍장수;노윤우
    • Journal of Chest Surgery
    • /
    • v.29 no.7
    • /
    • pp.785-788
    • /
    • 1996
  • Pericardial abscess due to liver abscess is a very rare disease, the result of which is usually fatal when untreated. But a combination of antibiotics therapy and pericardial drainage has broug t good result. A 32-year-old man was admitted to the emergency room because of fever and chilling sensation. Chest X-ray showed cardiomegaly and a mass lesion In the left lobe of liver on ultrasonography. The echocardiography revealed impending cardiac tamponade. Pus drainage of the liver abscess through per- foration of right diaphram and pericardiotomy were performed. The pericardium was thickened and 600 ml of purulent fluid and necrotic debris were drained. Fibrin clots were firmly attached to the undelying myocradium. Histological examination of the pericardium showed acute inflammation with microabsscess and Escherichia soli was cultured from pericardial pus. He was discharged after 4 weeks on antibiotics, but Doppler echocardiograpy revealed a slightly thickened pericardium with a mild constrictive physiology.

  • PDF

Descending Aorto-bronchial Fistula after Ascending Aorta Graft Interposition for Type I Acute Aortic Dissection (제1형 급성 대동맥 박리증의 상행 대동맥 치환술 후 하행 대동맥에 발생한 대동맥-기관지루)

  • Ryu, Kyoung-Min;Ryu, Jae-Wook;Park, Seong-Sik;Kim, Seok-Kon;Seo, Pil-Won
    • Journal of Chest Surgery
    • /
    • v.40 no.8
    • /
    • pp.578-581
    • /
    • 2007
  • A 59-year old female patient was admitted due to massive hemoptysis. 6-months previously, we performed ascending aorta graft interposition for terating Debakey type 1 acute aortic dissection. Chest CT scan showed the fistula between the descending thoracic aorta and the left lower lobe. We performed descending thoracic aorta graft interposition under cardiopulmonary bypass. She recovered well without any postoperative problems. Distal aorto-bronchial fistula after a previous aortic operation is very rare. We report here the good results of treating aorto-bronchial fistula because we recognized this lesion early and performed an early operation.