• 농촌의학ㆍ지역보건
• /
• 제37권2호
• /
• pp.76-83
• /
• 2012

이 연구는 대전광역시의 응급의료 취약지를 도출하고 그 지역의 보건학적 특성을 규명하기 위해 시행하였다. 응급의료 취약지는 GIS의 비용가중분석 기법을 이용하여 분석하였으며, 응급의료센터로부터 30분 이내에 접근이 어려운 지역으로 정의하였다. 응급의료 취약 여부에 따른 보건학적 특성은 SPSS 17.0을 이용하여 교차분석을 시행하였다. 연구 결과, 대전광역시의 응급의료 취약지는 12개의 행정동을 포함하고 있으며 이 지역에 약 8,100명이 거주하고 있었다. 응급의료 취약지여부에 따른 보건학적 특성의 차이를 교차 분석한 결과, 농어임업 인구, 국민기초생활수급권자 수, 장애인 수, 노인인구의 수가 카이제곱검정에서 유의하였다(p<0.05). 이번 연구를 통해 대전광역시의 응급의료 취약지를 선정할 수 있었으며 GIS 분석 시도로데이터를 적용하여 기존의 Buffer 방식(단순반경거리)보다 더 정확하고 현실적으로 응급의료 취약지를 선정할 수 있었다. 하지만 이 연구는 대전광역시에 국한되어 시행했기 때문에 향후에는 이 연구에 적용한 GIS 분석 기법과 응급의료 취약지 선정기준 등을 활용하여 전국을 대상으로 한 연구가 필요하다.

• 재활복지
• /
• 제20권4호
• /
• pp.31-54
• /
• 2016

본 연구는 사회적 취약계층인 독거노인 중증장애인에 대한 사회적 보호체계로서의 응급안전시스템에 대한 개선방안을 도출하기 위한 연구이다. 이를 위하여 독거노인 중증장애인 응급안전시스템을 시범사업으로 운영 하고 있는 전국 17개시도 중 대도시(서울시 종로구), 중소도시(경기도 용인시), 농촌(경남 거창군) 3개 지역을 임의로 선정하여 조사를 수행하였다. 조사방법은 시 군 구 담당 공무원과 센터 운영자를 중심으로 이루어진 구조화된 질문지를 토대로 한 인터뷰 방식으로 이루어졌다. 인터뷰에 대한 내용분석 결과, 독거노인 중증장애인의 안전을 위한 응급안전시스템에 대한 필요성은 전반적으로 인지하고 있었으며, 응급안전시스템 사업을 진행하는 과정에서 복지사각지대 대상자 발굴을 위한 홍보의 문제, 응급장비의 잦은 오작동으로 인한 당사자들의 불편함의 문제, 당사자 및 응급기관 담당자들의 안전에 대한 인식부족 문제, 24시간 모니터링 서비스를 위한 인력수급의 문제 등이 확인되었다. 이에 응급안전시스템의 효과적인 운영을 위한 개선방안으로 제도적으로는 취약계층 위기관리 대응에 관한 법률개정의 필요성을 제시하였으며, 이러한 법률을 토대로 안전장비 오작동 문제해결을 위한 응급장비에 대한 전면적인 점검, 24시간 모니터링을 위한 인력충원, 지역사회 기관과의 연계를 위한 MOU 체결구축을 통하여 촘촘한 복지 실현을 위해 원스톱 서비스가 이루어지도록 안전시스템 구축의 필요성을 제언하였다.

• 대한응급의학회지
• /
• 제29권5호
• /
• pp.415-422
• /
• 2018

Objective: This study compared the prognosis of patients who visited the trauma center directly (direct visit group) with those transferred from the non-trauma center (transferred group). Methods: The patients, who were 18 or older with Injury Severity Score of 15 or more in the trauma center at Busan, were studied from October 2015 to October 2016. To compare the treatment time between the direct visit and transferred group, first treatment time, final treatment time, and time to visit the trauma center were examined. To compare the prognosis, this study compared the 48-hour, 7-day, and in-hospital mortality rate as well as the duration of intensive care unit (ICU) and total hospital stay. To analyze the factors affecting the outcome of transferred group, the physician's level and procedures that had been performed at the non-trauma center were examined. Results: The mortality was similar in the direct visit and transferred group (48-hour 7.6% vs. 4.6%, P=0.111; 7-day 11.1% vs. 7.2%, P=0.89; and in-hospital 14.6% vs. 11.3%, P=0.214). The length of ICU and total hospital stay were similar in the two groups. The mortality was higher in the patients in the transferred group when using intubation, transfusion, and pressure intensifier. The intubated patients showed higher mortality according to logistic regression. Conclusion: The mortality, length of ICU, and hospital stay were similar but the time to visit the trauma center and the final treatment time were longer in transferred group. Stabilizing the patient at the near non-trauma center may be more helpful for some patients.

• 지역사회간호학회지
• /
• 제27권4호
• /
• pp.327-336
• /
• 2016

Purpose: This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information. Methods: A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015. Results: There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter. Conclusion: The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.

• 기본간호학회지
• /
• 제25권3호
• /
• pp.210-219
• /
• 2018

Purpose: The purpose of this study was to investigate the effects of emergency setting visitors' knowledge and behavior patterns in relation to prevention of respiratory tract infections. Methods: A descriptive survey was used. The participants were visitors to the emergency service in 'D' general hospital in 'D' city, and the data were collected from July 1 to September 1, 2016. The collected data were analyzed using frequency analysis, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and multiple regression analysis. Results: Factors influencing prevention of respiratory tract infections were visitors' education level, methods of dissemination of prevention information, and participants' knowledge with regard to preventive methods. The explanatory power was found to be 35% in the regression model. Conclusion: The findings indicate that visitors' education level, knowledge of infection prevention, and the dissemination of information regarding infection prevention by the hospital play an important role in the prevention of respiratory tract infections in emergency services in the hospital. These results highlight the need for a customized education program for prevention of respiratory tract infections in emergency settings. Programs should take into consideration the educational background of visitors, and provide them with appropriate information regarding infection prevention.

• 동서간호학연구지
• /
• 제24권2호
• /
• pp.146-153
• /
• 2018

Purpose: This study aimed to identify characteristics and severity assessed by Korean Triage and Acuity Scale (KTAS) among 2,496 older adults aged 65 and over who visited an emergency department (ED) located in Chuncheon city. Methods: Data were collected via electronic medical records from two hospitals from January to December of 2016. Chi square test and logistic regression were applied using SPSS 22.0. Results: 53.5% of the participants were women and 17.6% of visits were done by aged 85 and older. ED visits by ambulance were 33.9%. More than two-third of older adults' ED visits were emergent status. Severity of the ED visits of older adults were rated by KTAS. Commonly reported chief complaints of the ED visits were dizziness, dyspnea, chest pain, abdominal pain, and hypoalbuminemia. Among them, dizziness, chest pain, dyspnea, and hypoalbuminemia were related factors for being-emergent condition. Conclusion: Strategies for older adults' chief complaints are needed in order to reduce unexpected ED visits.

• 대한임상독성학회지
• /
• 제21권2호
• /
• pp.92-107
• /
• 2023

Purpose: This study investigated the characteristics and treatment outcomes of patients who visited the emergency department due to intoxication and analyzed the impact of the coronavirus disease 2019 (COVID-19) pandemic on their visits. Methods: A retrospective study was conducted using data from the National Emergency Department Information System (NEDIS) on patients who visited the emergency department due to intoxication between January 2014 and December 2020. In total, 277,791 patients were included in the study, and their demographic and clinical data were analyzed. A model was created from 2014 to 2019 and applied to 2020 (i.e., during the COVID-19 pandemic) to conduct a time series analysis distinguishing between unexpected accidents and suicide/self-harm among patients who visited the emergency department. Results: The most common reason for visiting the emergency department was unintentional accidents (48.5%), followed by self-harm/suicide attempts (43.8%). Unexpected accident patients and self-harm/suicide patients showed statistically significant differences in terms of sex, age group, hospitalization rate, and mortality rate. The time series analysis showed a decrease in patients with unexpected accidents during the COVID-19 pandemic, but no change in patients with suicide/self-harm. Conclusion: Depending on the intentionality of the intoxication, significant differences were found in the age group, the substance of intoxication, and the mortality rate. Therefore, future analyses of patients with intoxication should be stratified according to intentionality. In addition, the time series analysis of intentional self-harm/suicide did not show a decrease in 2010 in the number of patients, whereas a decrease was found for unintentional accidents.

• 전기전자학회논문지
• /
• 제10권1호
• /
• pp.55-61
• /
• 2006

현대 사회는 의료 기술의 발달로 인한 인간 수명의 연장과 핵가족화로 인하여 혼자 지내는 노인이 많아지면서 응급상황 발생시 신속한 의료서비스를 받지 못하는 경우가 많아지고 있다. 또한 대표적인 성인병인 심혈관질환과 뇌졸중 그리고 노인의 건강에 치명적인 낙상의 발생율도 높아지고 있는 추세이다. 본 논문에서는 심전도, 체온, 사용자의 움직임 등의 생체신호를 획득하고 획득된 생체신호를 분석하여 심혈관질환, 뇌졸중, 낙상 등의 응급상황 발생시 응급의료센터와 보호자에게 구조메시지를 전송할 수 있는 시스템을 제안하였다. 시스템은 크게 생체신호 획득부와 모바일부 두 부분으로 나눌 수 있다. 생체신호 획득부는 사용자에 따라 생체신호의 추가, 제거가 어렵다는 단점을 보완하기 위해 심전도, 체온, 가속도 센서 모듈로 모듈화 하여 구성하였다. 모바일부는 생체신호 획득부로부터 전송된 생체신호의 처리 및 응급상황시 메시지 전송, 생체신호의 디스플레이 역할을 수행하며, 생체신호 획득부에서 획득된 생체신호는 블루투스 모뎀을 통하여 모바일부로 전송된다. 또한 모바일부에서 처리된 신호는 802.11b 무선랜을 통하여 PC로 전송된다.

• 문화기술의 융합
• /
• 제9권5호
• /
• pp.385-390
• /
• 2023

본 연구는 소방공무원의 스트레스에 대한 심리적 응급처치 필요성을 연구하는데 목적이 있다. 연구 문제를 해결하기 위해 10명의 구급대원을 대상으로 1:1 심층 인터뷰를 통해 구급대원의 근무환경, 외상 후 스트레스 경험, 심리적 응급처치 경험 등을 분석하여 소방관의 정신건강 향상을 위한 심리적 응급처치의 필요성에 대한 정책을 다음과 같이 제안하였다. 첫째, 소방공무원을 현장에 배치해 외상 후 스트레스와 그로 인한 신체 증상을 미리 교육한 뒤 외상 사건에 노출될 필요가 있다. 둘째, 소방공무원은 외상환자에 노출된 후 적절한 시기에 심리적 응급처치를 해야 한다. 셋째, 정신건강 업무를 전문적으로 수행할 인력과 제도적 장치의 보완이 필요하다. 넷째, 소방공무원에 적합한 맞춤형 전문의료서비스와 심리지원을 위해서는 소방복합치유센터와 국립 소방병원의 연계가 필요하다.

• 항공우주의학회지
• /
• 제30권1호
• /
• pp.3-17
• /
• 2020

The cabin environment has many physiological effects on commercial aircraft passengers and medical providers, and environmental stress factors exist. Therefore, it is important for medical providers to understand the effects of aviation physiology and cabin environment on the human body. It should also be remembered that these physiological changes and environmental stress factors can affect passengers as well as flight crew and also medical equipment. Providing medical assistance during a flight offers a number of unique challenges including lower cabin pressure, tight quarters, crowded conditions, and loud background noise. The purpose of this Korean guideline is to offer an overview on various in-flight emergencies that could be anticipated and to outline treatment priorities.